Sustainability of Improvements in Medication Adherence through a Mobile Health Intervention

Context— Very few patient-centered, theory-guided programs for medication adherence and blood pressure control have been conducted in kidney transplant recipients. Objective— To evaluate preliminary indications of sustainability of improved blood pressure in kidney transplant recipients 12 months af...

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Bibliographic Details
Published in:Progress in transplantation (Aliso Viejo, Calif.) Calif.), 2015-09, Vol.25 (3), p.217-223
Main Authors: McGillicuddy, John W., Taber, David J., Mueller, Martina, Patel, Sachin, Baliga, Prabhakar K., Chavin, Kenneth D., Sox, Luke, Favela, April P., Brunner-Jackson, Brenda M., Treiber, Frank A.
Format: Article
Language:English
Subjects:
Adult
Antihypertensive Agents - administration & dosage
Antihypertensive Agents - therapeutic use
Blood Pressure
Female
Humans
Hypertension - drug therapy
Kidney Transplantation
Male
Medication Adherence
Middle Aged
Mobile Applications
Nursing
Pilot Projects
Self Administration
Telemedicine
Treatment Outcome
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Summary:Context— Very few patient-centered, theory-guided programs for medication adherence and blood pressure control have been conducted in kidney transplant recipients. Objective— To evaluate preliminary indications of sustainability of improved blood pressure in kidney transplant recipients 12 months after completion of a 3-month randomized controlled trial of a mobile health pilot program to improve blood pressure and medication adherence. Participants and Design— A total of 18 of the 19 trial participants were contacted and all consented to inclusion in the retrospective analysis of their medical records showing their clinic-recorded systolic blood pressures at 3, 6, and 12 months following participation in the 3-month trial of a medical regimen self-management intervention. Results— A significant group difference in systolic blood pressure was observed longitudinally, indicating that the intervention group, as compared with the standard-care group, exhibited lower clinic-measured systolic blood pressures at the 12-month posttrial follow-up visit (P = .01). At 12-month follow-up, success in establishing and sustaining control of systolic blood pressure (
ISSN:1526-9248
2164-6708
DOI:10.7182/pit2015975