Evidence map›Paper›PMID 27780795›Full record

ArticleJMIR mHealth and uHealth2016

Economic Evaluation of Text-Messaging and Smartphone-Based Interventions to Improve Medication Adherence in Adolescents with Chronic Health Conditions: A Systematic Review.

Sherif M Badawy, Lisa M Kuhns

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR mHealth and uHealth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04590105 (The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations), which is not on this map. Cited by 72 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 14 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04590105 nacompletednot on this map

The Impact of a Smartphone App on the Quality of Pediatric Colonoscopy Preparations

TypeinterventionalSponsorStony Brook UniversityRan2014 to 2015Enrolled42ConditionsPediatric ALLArmsSmartphone App "SB Colonoscopy Prep", Written Instruction
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 14 syntheses or guidelines pooled it.

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  3. Economic Evaluation of Pharmacist-Led Digital Health Interventions: A Systematic Review.International journal of environmental research and public health · 2022
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12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Sherif M BadawyAnn and Robert H Lurie Children's Hospital of Chicago, Department of Pediatrics, Division of Hematology, Oncology, and Stem Cell Transplant, Northwestern University Feinberg School of Medicine, Chicago, IL, United States. sbadawy@luriechildrens.org.ORCID http://orcid.org/0000-0002-4739-265X
Lisa M KuhnsORCID http://orcid.org/0000-0001-8294-7801

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
AHRQ HHS K12 HS023011NCATS NIH HHS UL1 TR001422
6 · The paper itself

Abstract

backgroundThe rate of chronic health conditions (CHCs) in children and adolescents has doubled in the past 20 years, with increased health care costs. Technology-based interventions have demonstrated efficacy to improving medication adherence. However, data to support the cost effectiveness of these interventions are lacking.

objectiveThe objective of this study is to conduct an economic evaluation of text-messaging and smartphone-based interventions that focus on improving medication adherence in adolescents with CHCs.

methodsSearches included PubMed MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science, and Inspec. Eligibility criteria included age (12-24 years old), original articles, outcomes for medication adherence, and economic outcomes.

resultsOur search identified 1118 unique articles that were independently screened. A total of 156 articles met inclusion criteria and were then examined independently with full-text review. A total of 15 articles met most criteria but lacked economic outcomes such as cost effectiveness or cost-utility data. No articles met all predefined criteria to be included for final review. Only 4 articles (text messaging [n=3], electronic directly observed therapy [n=1]) described interventions with possible future cost-saving but no formal economic evaluation.

conclusionsThe evidence to support the cost effectiveness of text-messaging and smartphone-based interventions in improving medication adherence in adolescents with CHCs is insufficient. This lack of research highlights the need for comprehensive economic evaluation of such interventions to better understand their role in cost-savings while improving medication adherence and health outcomes. Economic evaluation of technology-based interventions can contribute to more evidence-based assessment of the scalability, sustainability, and benefits of broader investment of such technology tools in adolescents with CHCs.

Indexed as

adolescentchronic diseasecost-benefit analysismedication adherencesmartphonetext messaging

Identifiers

PMID27780795
PMCPMC5101413

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.