The effect of short message system (SMS) reminder on adherence to a healthy diet, medication, and cessation of smoking among adult patients with cardiovascular diseases
The effect of short message system (SMS) reminder on adherence to a healthy diet, medication, and cessation of smoking among adult patients with cardiovascular diseases
复制标题
DOI：
10.1016/j.ijmedinf.2016.12.003
复制
发表时间：
2017-02-01
影响因子：
4.9
通讯作者：
Shiyab, Wa'ed Y.
中科院分区：
文献类型：
--
作者：
Akhu-Zaheya, Laila M.;Shiyab, Wa'ed Y.
背景：心血管疾病是世界范围内的主要死亡原因。心血管疾病患者不遵守推荐的治疗方案是一个严重的问题，可能导致心血管疾病的增加。目的：本研究旨在评估短消息系统（SMS）提醒坚持健康的饮食，药物治疗，并在成年患者心血管疾病，方法戒烟的影响：随机对照试验设计与三组被用于这项研究。本研究招募了160名患者的非概率方便样本。参与者被随机分配到实验组（接受关于坚持健康饮食，药物和戒烟的短信），安慰剂组（接受一般信息）和对照组（常规护理）。采用Morisky 8项药物依从性量表（MMAS）、地中海饮食依从性筛选器（MEDAS）和戒烟准备阶梯分别评估患者的药物依从性、地中海饮食依从性和戒烟情况。结果进行了评估，在研究开始时和三个月后，以下完成intervention.Result：单向ANONVA被用来评估研究假设。研究组之间在药物依从性方面存在显著差异（p= 0.001）和坚持健康饮食（p = .000）;然而，在戒烟意图和/或吸烟数量方面，两组之间没有发现显著差异结论：据记载，短信是有效地改善坚持健康的饮食和药物。SMS可能是一种有前途的解决方案，用于管理不同的慢性疾病。研究的意义：建议通过手机服务应用短信系统（SMS），以提高患者对健康饮食和药物的依从性。然而，需要进一步的研究来支持SMS的有效性。(C)2016爱思唯尔爱尔兰有限公司版权所有。
Background: Cardiovascular Disease is the leading cause of death worldwide. Non-adherence to a recommended regimen among patients with Cardiovascular Diseases represents a significant problem which could lead to an increase in Cardiovascular Diseases. Purpose: This study aimed to assess the effects of Short Message System (SMS) reminders on adherence to a healthy diet, medication, and cessation of smoking among adult patients with Cardiovascular Diseases.Methods: Randomized controlled trial design with three groups was used for this study. A non-probability convenient sample of 160 patients was recruited in this study. The participants were assigned randomly to an experimental group (received SMS regarding adherence to a healthy diet, medication, and smoking cessation), placebo group (received general messages) and control group (routine care). Morisky 8-Item Medication Adherence Scale (MMAS), Mediterranean Diet Adherence Screener (MEDAS), and Readiness to Quit Ladder, were used to assess patients' adherence to medication, adherence to Mediterranean diet, and smoking cessation, respectively. The outcomes were assessed at the beginning of the study and three months later, following completion of the intervention.Result: One way ANONVA was used to assess the study hypothesis. Significant differences between study groups found in terms of adherence to medication (p=.001) and adherence to a healthy diet (p = .000); however, no significant difference was found between groups, in terms of intention to quit smoking, and/or the number of cigarettes smoked (p=.327), (p=.34), respectively.Conclusion: It is documented that SMS is effective in improving adherence to a healthy diet and medication. SMS could be a promising solution for management of different chronic diseases. Implication of the study: It is recommended to apply Short Message System (SMS) via cellphone services to improve patient's adherence to a healthy diet and medication. However, further research is needed to support the effectiveness of SMS. (C) 2016 Elsevier Ireland Ltd. All rights reserved.