Impact of a Mobile Application-Based Medication Reminder on Treatment Adherence Among Patients With Chronic Diseases and Memory Impairment: A Nursing Leadership Perspective - A Quasi Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 193
- 试验地点
- 2
- 主要终点
- Medication Adherence (MMAS-8)
研究概览
简要总结
This study aims to evaluate the impact of using a mobile application-based medication reminder on medication adherence among patients diagnosed with chronic diseases and memory impairment. Adherence to prescribed therapy is a significant challenge for this patient population, often leading to poor health outcomes and increased healthcare costs. From a nursing leadership perspective, innovative digital solutions can play a crucial role in supporting patient self-management. Using a quasi-experimental design, the study will investigate whether a customized mobile reminder system can effectively improve adherence rates and support patients in managing their therapeutic regimens.
详细描述
Improving medication adherence in patients with chronic illnesses and cognitive decline is a key priority in healthcare management and nursing administration. This quasi-experimental study utilizes a pretest-posttest design to examine the effectiveness of a mobile application-based reminder system designed specifically for patients experiencing memory impairment.
Participants will be selected based on specific inclusion criteria, including being diagnosed with a chronic disease and exhibiting mild-to-moderate memory impairment. Baseline assessments (pretest) will be conducted to measure initial medication adherence levels, patient demographics, and health status. Following the baseline phase, the intervention will be introduced, where participants will utilize the mobile application to receive automated medication alerts and reminders over a specified period. Evaluation (posttest) will be performed post-intervention to analyze changes in adherence rates. The findings are expected to provide insights into how nursing leadership can leverage mobile health (mHealth) technology to design supportive care pathways, enhance patient independence, and reduce clinical complications associated with poor treatment adherence.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed with one or more chronic diseases requiring regular long-term medication.
- •Patients exhibiting mild-to-moderate memory impairment or cognitive decline as screened by the Mini-Mental State Examination (MMSE).
- •Patients who personally own and are capable of operating a smartphone or have a primary caregiver willing to manage the mobile application.
- •Patients aged 18 years and older.
- •Patients who provide voluntary informed consent to participate in the study.
排除标准
- •Patients with severe cognitive impairment or advanced dementia who cannot interact with mobile technology even with caregiver assistance.
- •Patients with severe acute clinical complications or unstable psychiatric conditions.
- •Patients participating in another concurrent clinical trial or study targeting medication adherence
研究组 & 干预措施
Mobile Application Group
Participants in this single-group study will receive training on and utilize a customized mobile application-based medication reminder designed to support adherence to their therapeutic regimens.
干预措施: Mobile Application-Based Medication Reminder (Device)
结局指标
主要结局
Medication Adherence (MMAS-8)
时间窗: Baseline (pre-intervention) and 3 months post-intervention
Medication adherence will be assessed using the 8-item Morisky Medication Adherence Scale (MMAS-8). This self-reported tool evaluates patients' behaviors regarding taking their prescribed chronic medications. Total scores range from 0 to 8, where a score of 8 indicates high adherence, 6 to \<8 indicates medium adherence, and \<6 indicates low adherence.
次要结局
- Objective Medication Adherence: Medication Possession Ratio (MPR)(3 months post-intervention)
- Objective Medication Adherence: Proportion of Days Covered (PDC)(3 months post-intervention)
- Cognitive Function Status (MMSE)(Baseline)
- Perceived Nursing Care and Leadership Support(3 months post-intervention.)
研究者
Asmaa Elwan Mohammed Hassan
Lecturer of Nursing Administration, Faculty of Nursing, Mansoura University, Egypt
Mansoura University