The role of a self-directed technology to improve medication adherence in heart failure patients

Abstract

Medication nonadherence contributes to poor outcomes in patients with heart failure. The purpose of this project was to determine Whether a self-directed, Web-based medical technology. MyMedSchedule.com (R), could improve medication adherence. Thirty-three heart failure patients participated in a pre/post-intervention exploratory design. A self-directed technology did not significantly improve medication adherence, z = -1.661, P = .097 (pre-interventionscores, mean = 6.44,SD 1.38; post-interventionscores, mean = 6.89, SD = 1.09); however, participants expressed comfort (82%), satisfaction (15%), and confidence (15%) using the technology. Other positive outcomes Were also identified: Technology-based strategies have the potential to improve adherence and reduce Poor outcomes.