[Effectiveness of an intervention to provide information to patients with hypertension as short text messages and reminders sent to their mobile phone (HTA-Alert)] - PubMed (original) (raw)

Clinical Trial

[Effectiveness of an intervention to provide information to patients with hypertension as short text messages and reminders sent to their mobile phone (HTA-Alert)]

[Article in Spanish]

E Márquez Contreras et al. Aten Primaria. 2004.

Abstract

Objective: To analyze the effect of an intervention to provide information with mobile phone text messages to patients with hypertension on compliance with therapy for hypertension.

Design: Comparative, controlled, multicenter, randomized cluster study.

Setting: 26 primary care health centers in Spain.

Participants: 26 researchers were randomized to a control group or an intervention group (52 patients each, for a total of 104 patients). All patients were receiving monotherapy for uncontrolled hypertension.

Intervention: Patients in the control group received their physician's usual interventions. Patients in the intervention group received messages and reminders sent to their mobile phones 2 days per week during 4 months.

Main outcome measures: Tablets were counted and blood pressure was measured at the start of the study and 1, 3, and 6 months later. The percentage of compliers, mean percentage of compliance and degree of control of hypertension were compared. The reduction in absolute and relative risk was calculated, as was the number of individuals needed to treat to avoid noncompliance.

Results: The results were evaluated for a total of 67 individuals (34 in the intervention group and 33 in the control group). The rate of compliance was 85.1% (CI, 74.9%-95.3%) overall, 85.7% (CI, 70.5%-100.9%) in the control group and 84.4% in the intervention group (CI, 70.7%-95.3%) (P=NS). Mean percentage compliance was 90.2%+/-16.3% overall, 88.1%+/-20.8% in the control group and 91.9%+/-11.6% in the intervention group (P=NS). The percentage of patients whose hypertension was controlled at the end of the study was 51.5% (CI, 34.4%-68.6%) in the control group and 64.7% (CI, 48.6%-80.8%) in the intervention group (P=NS).

Conclusions: The telephone messaging intervention with alerts and reminders sent to mobile phones did not improve compliance with therapy in patients with hypertension.

Objetivo: Analizar la eficacia, en el cumplimiento terapéutico de la hipertensión arterial, de una intervención informativa mediante mensajes de alerta al teléfono móvil de hipertensos.

Diseño: Estudio comparativo, controlado, aleatorizado por grupos y multicéntrico.

Emplazamiento: Veintiséis consultas de atención primaria de España.

Participantes: Veintiséis investigadores aleatorizados a 2 grupos, que incluyeron a 104 hipertensos no controlados en monoterapia. Los investigadores se aleatorizaron al grupo control (GC) y al grupo de intervención (GI), compuestos ambos por 52 pacientes.

Intervención: Los pacientes GC recibieron la intervención habitual de su médico, y los pacientes GI recibieron mensajes de alerta al teléfono móvil 2 días a la semana durante 4 meses.

Mediciones principales: Se realizaron el recuento de comprimidos y la determinación de la presión arterial al inicio y a los 1, 3 y 6 meses. Se compararon los porcentajes de cumplidores, el porcentaje medio de cumplimiento y el grado de control de la hipertensión arterial. Se calculó la reducción del riesgo absoluto y relativo, así como el número de individuos en los que es necesario intervenir para evitar un incumplimiento.

Resultados: Fueron evaluables 67 individuos (34 individuos en GI y 33 en GC). Tuvieron un buen cumplimiento terapéutico el 85,1% (intervalo de confianza [IC], 74,9-95,3) en el GC, el 85,7% (IC, 70,5-100,9), y el 84,4% en el GI (IC, 70,7-95,3) (p = NS). El porcentaje medio ± desviación estándar de cumplimiento fue de 90,2 ± 16,3 globalmente (GC, 88,1 ± 20,8; GI, 91,9 ± 11,6; p = NS). El porcentaje de controlados al final fue del 51,5% (IC, 34,4-68,6) en el GC y del 64,7% (IC, 48,6-80,8) en el GI (p = NS).

Conclusiones: La intervención mediante mensajes de alerta al teléfono móvil de hipertensos no ha mejorado el cumplimiento terapéutico.

PubMed Disclaimer

Cited by

Design and rationale of the tobacco, exercise and diet messages (TEXT ME) trial of a text message-based intervention for ongoing prevention of cardiovascular disease in people with coronary disease: a randomised controlled trial protocol.
Chow CK, Redfern J, Thiagalingam A, Jan S, Whittaker R, Hackett M, Graves N, Mooney J, Hillis GS. Chow CK, et al. BMJ Open. 2012 Jan 19;2(1):e000606. doi: 10.1136/bmjopen-2011-000606. Print 2012. BMJ Open. 2012. PMID: 22267690 Free PMC article.
A randomised controlled trial of a consumer-focused e-health strategy for cardiovascular risk management in primary care: the Consumer Navigation of Electronic Cardiovascular Tools (CONNECT) study protocol.
Redfern J, Usherwood T, Harris MF, Rodgers A, Hayman N, Panaretto K, Chow C, Lau AY, Neubeck L, Coorey G, Hersch F, Heeley E, Patel A, Jan S, Zwar N, Peiris D. Redfern J, et al. BMJ Open. 2014 Jan 31;4(2):e004523. doi: 10.1136/bmjopen-2013-004523. BMJ Open. 2014. PMID: 24486732 Free PMC article. Clinical Trial.
Addressing medication nonadherence by mobile phone: development and delivery of tailored messages.
Gatwood J, Balkrishnan R, Erickson SR, An LC, Piette JD, Farris KB. Gatwood J, et al. Res Social Adm Pharm. 2014 Nov-Dec;10(6):809-823. doi: 10.1016/j.sapharm.2014.01.002. Epub 2014 Feb 5. Res Social Adm Pharm. 2014. PMID: 24603134 Free PMC article.
Mobile phone messaging reminders for attendance at healthcare appointments.
Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R, Car J. Gurol-Urganci I, et al. Cochrane Database Syst Rev. 2013 Dec 5;2013(12):CD007458. doi: 10.1002/14651858.CD007458.pub3. Cochrane Database Syst Rev. 2013. PMID: 24310741 Free PMC article. Review.
Mobile Phone Interventions for the Secondary Prevention of Cardiovascular Disease.
Park LG, Beatty A, Stafford Z, Whooley MA. Park LG, et al. Prog Cardiovasc Dis. 2016 May-Jun;58(6):639-50. doi: 10.1016/j.pcad.2016.03.002. Epub 2016 Mar 18. Prog Cardiovasc Dis. 2016. PMID: 27001245 Free PMC article.

References

1. Márquez Contreras E., Casado Martínez J.J., Márquez Cabeza J.J. Estrategias para mejorar el cumplimiento. FMC. 2001;8:558–573.
1. Márquez Contreras E., Casado J.J., Celotti B., Martín J.L., Gil R., López V. El cumplimiento terapéutico en la HTA. Ensayo sobre la intervención durante 2 años mediante educación sanitaria. Aten Primaria. 2000;26:5–9. - PMC - PubMed
1. Navarro J., Bonet A., Gosalbes V. Perspectiva del cumplimiento terapéutico en el tratamiento de la enfermedad crónica cardiovascular en España a partir del análisis bibliométrico y temático de su producción científica (1969-1999. Med Clin (Barc) 2001;116(Supl 2):147–151.
1. Haynes R.B., McKibbon K.A., Kanani R., Brouwers M.C., Oliver T. Update Software; Oxford: 1999. Interventions for helping patients to follow prescriptions for medications (Cochrane Review. (The Cochrane Library. Issue 1). - PubMed
1. Kravitz R.L., Hays R.D., Sherbourne C.D., DiMatteo M.R., Rogers W.H., Ordway L. Recall of recommendations and adherence to advice among patients with chronic medical conditions. Arch Intern Med. 1993;153:1869–1887. - PubMed

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources
Medical
- MedlinePlus Health Information
Miscellaneous
- NCI CPTAC Assay Portal

[Effectiveness of an intervention to provide information to patients with hypertension as short text messages and reminders sent to their mobile phone (HTA-Alert)] - PubMed (original) (raw)