The Effectiveness of Mobile Phone Text Messaging in Improving Medication Adherence for Patients with Chronic Diseases: A Systematic Review

نویسندگان

1 Medical Informatics Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IR Iran

2 Health Information Management Department, School of Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran

3 Health Information Management Department, School of Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran

4 Health Information Management Department, School of Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran

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چکیده

Context: Medication non-adherence is a commonly observed problem in the self-administration of treatment, regardless of thedisease type. Text messaging reminders, as electronic reminders, provide an opportunity to improve medication adherence. Inthis study, we aimed to provide evidence addressing the question of whether text message reminders were effective in improvingpatients’ adherence to medication.Evidence Acquisition: We carried out a systematic literature search, using the five electronic bibliographic databases: PubMed,Embase, PsycINFO, CINAHL, and the Cochrane central register of controlled trials. Studies were included on the basis of whetherthey examined the benefits and effects of short-message service (SMS) interventions on medication adherence.Results: The results of this systematic review indicated that text messaging interventions have improved patients’ medication adherencerate (85%, 29.34). Included in the review, those who had problems with adherence, or those whom text messaging wasmost helpful had HIV, asthma, diabetes, schizophrenia and heart disease (73.5%). The period of intervention varied from 1 week to 14months. The most common study design was randomized controlled trials (RCTs) (66%) carried out in the developed countries.Conclusions: This study demonstrated the potential of mobile phone text messaging for medication non-adherence problem solving.