Medication adherence among homeless patients: A pilot study of cell phone effectiveness
Medication adherence among homeless patients: A pilot study of cell phone effectiveness
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DOI：
10.1111/j.1745-7599.2012.00756.x
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发表时间：
2012-11-01
影响因子：
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通讯作者：
Alemi, Farrokh
中科院分区：
文献类型：
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作者：
Burda, Charon;Haack, Mary;Alemi, Farrokh
目的：我们研究了使用手机监测无家可归者服药依从性的可行性，并为研究目的收集了数据。数据来源：10名接受精神药物治疗的同时存在药物使用和精神疾病的无家可归者参与了本研究。所有精神药理学治疗均由精神科精神卫生执业护士提供。向参与者提供手机，无限制通话45天。一个自动电话系统在30天内每天给参与者打电话。所有参与者的回答都被报告到电脑上，并由研究人员每天进行审查。结论：自动电话在93%的日子里到达了研究参与者，当到达时，参与者报告100%遵守了规定的药物治疗方案。离职访谈表明，人们强烈支持电话的有用性，以及电话和调查作为服药提醒的价值。没有患者退出这项研究。实践意义：这项试点研究确定了使用手机监测和管理难以接触到的人群的药物治疗方案的可行性，例如患有共存疾病的无家可归者。它还确立了这项技术将适用于研究数据收集。免责声明?本文所表达的观点不代表退伍军人管理局或美国政府的观点。
Purpose: We examined the feasibility of using cell phones to monitor medication adherence among homeless participants and collected data for research purposes. Data sources: Ten homeless individuals with a co-occurring substance use and psychiatric disorders who were receiving psychopharmacologic treatment participated in the study. All psychopharmacologic treatment was provided by a psychiatric mental health nurse practitioner. Cell phones were provided to participants with unlimited phone service for 45 days. An automated telephone system was programmed to call participants daily for 30 days. All participant responses were reported to a computer and reviewed by study staff on a daily basis. Conclusions: The automated calls reached study participants 93% of days and, when reached, participants reported 100% adherence with the prescribed medication regimen. Exit interviews indicated strong support for the usefulness of the phone and the value of the call and survey as reminders to take their medication. No patients dropped out of this study. Implications for practice: This pilot study establishes the feasibility of using cell phones to monitor and manage medication regimens for hard-to-reach populations, such as the homeless with co-occurring disorders. It also establishes that this technology would work for research data collection. Disclaimer ?The views expressed in this article do not represent the views of the Veterans Administration or the United States Government.