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

Autor(es)

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]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: Einstein (São Paulo); v. 19, 2021.
• Citações Web of Science: 0

Resumo

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)

• Processo FAPESP: 10/03448-4 - Avaliação da adesão à terapêutica medicamentosa de pacientes atendidos em uma Unidade Básica de Saúde do interior do Estado de São Paulo antes e após o uso de um Kit Farmacoterapêutico Personalizado (KFP)
• Beneficiário: Liliana Batista Vieira
• Modalidade de apoio: Bolsas no Brasil - Doutorado