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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

The use of an electronic medication organizer device with alarm to improve medication adherence of older adults with hypertension

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Author(s):
Vieira, Liliana Batista [1] ; Moreira Reis, Adriano Max [2] ; Ramos, Celso de Avila [3] ; dos Reis, Tiago Marques [4] ; de Bortoli Cassiani, Silvia Helena [1]
Total Authors: 5
Affiliation:
[1] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, Ribeirao Preto, SP - Brazil
[2] Univ Fed Minas Gerais, Fac Farm, Belo Horizonte, MG - Brazil
[3] Univ Jose Rosario Vellano, Alfenas, MG - Brazil
[4] Univ Fed Alfenas, Alfenas, MG - Brazil
Total Affiliations: 4
Document type: Journal article
Source: Einstein (São Paulo); v. 19, 2021.
Web of Science Citations: 0
Abstract

Objective: To examine whether the use of a monthly electronic medication organizer device equipped with an alarm clock, called Electronic System for Personal and Controlled Use of Medications (Supermed), improves medication adherence of older adults with hypertension. Methods: This is a quali-quantitative, prospective, before-and-after study performed with 32 older adult patients with diagnosis of hypertension, who were recruited at a Primary Care Unit in Brazil. Results: The main outcome measures were improvement of medication adherence and blood pressure control after intervention with Supermed. Regarding medication adherence, 81.2% of patients were ``less adherent{''} in the pre-intervention period, and 96.9% were ``more adherent{''} in the post-intervention period. This means that 78.1% of patients changed from ``less adherent{''} to ``more adherent{''} after the intervention with Supermed (p<0.001). The mean systolic and diastolic blood pressure differences between intervention day and post-intervention were 18.5mmHg (p<0.0001) and 4.3mmHg (p<0.007), respectively, and the differences between mean systolic and diastolic blood pressure between pre-intervention and post-intervention were 21.6mmHg (p<0.001) and 4.7mmHg (p<0.001) respectively. Conclusion: The use of Supermed significantly improved self-reported medication adherence and blood pressure control in a hypertensive older adult population. (AU)

FAPESP's process: 10/03448-4 - Assessment of medication adherence of patients of a Basic Health Unit of the State of Sao Paulo before and after the use of a Custom Kit Pharmaco (KFP)
Grantee:Liliana Batista Vieira
Support Opportunities: Scholarships in Brazil - Doctorate