Evidence map›Paper›PMID 30410985›Full record

ArticleInternational journal of healthcare2018

Patient Participation in the Development of a Customized M-Health Intervention to Improve Medication Adherence in Poorly Adherent Individuals with Bipolar Disorder (BD) and Hypertension (HTN).

Carol Blixen, Martha Sajatovic, David J Moore, Colin Depp, Clint Cushman, Jamie Cage, Marina Barboza, Logan Eskew, Peter Klein, Jennifer B Levin

Abstract read
In one paragraph

Article in International journal of healthcare, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
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

10 authors.

Carol BlixenDepartment of Psychiatry, Case Western Reserve University School of Medicine, Neurological and Behavioral Outcomes Center, Cleveland, Ohio, USA.
Martha SajatovicDepartment of Psychiatry, Case Western Reserve University School of Medicine, Department of Psychiatry; University Hospitals Cleveland Medical Center; Neurological and Behavioral Outcomes Center, Cleveland, Ohio, USA.
David J MooreDepartment of Psychiatry, University of California, San Diego, La Jolla, California, USA.
Colin DeppDepartment of Psychiatry, University of California, San Diego, La Jolla, California, USA.
Clint CushmanDepartment of Psychiatry, University of California, San Diego, La Jolla, California, USA.
Jamie CageSchool of Social Work, Virginia Commonwealth University, Virginia, USA.
Marina BarbozaDepartment of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland State University, Cleveland, Ohio, USA.
Logan EskewDepartment of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland State University, Cleveland, Ohio, USA.
Peter KleinDepartment of Psychiatry, Case Western Reserve University School of Medicine, Neurological and Behavioral Outcomes Center, Cleveland, Ohio, USA.
Jennifer B LevinDepartment of Psychiatry, Case Western Reserve University School of Medicine, Department of Psychiatry; University Hospitals Cleveland Medical Center; Neurological and Behavioral Outcomes Center, Cleveland, Ohio, USA.

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jennifer E Iudicello · 2001 to 2026
$50.4M
UM-IHV AITRP in NigeriaD43TW001041 · FIC · UNIVERSITY OF MARYLAND BALTIMORE · PI CHARURAT, MANHATTAN E · 1998 to 2015
$9.2M
Improving Medication Adherence in Hypertensive Individuals with Bipolar DisorderR21HL132364 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LEVIN, JENNIFER BETH · 2016 to 2017
$449k
FIC NIH HHS D43 TW001041NHLBI NIH HHS R21 HL132364NIMH NIH HHS P30 MH062512
6 · The paper itself

Abstract

objectiveIndividuals living with bipolar disorder (BD) have poorer management of chronic medical conditions such as hypertension (HTN), and worse treatment adherence than the general population. The study objective was to obtain information from patients with both BD and HTN that would inform the development of an m-Health intervention to improve medication adherence for poorly adherent individuals living with both these chronic illnesses.

methodsFocus group methodology was used to collect information from 13 participants on perceived barriers and facilitators to BD and HTN medication adherence, as well as feedback on the demonstration and use of a bidirectional text messaging system for medication reminders. Focus groups were audiotaped, transcribed verbatim, and analyzed using content analysis with an emphasis on dominant themes.

resultsForgetfulness was the most frequently mentioned barrier to taking antihypertensive medications, and decisions about taking them were often influenced by BD mood fluctuations and the burden of having to take

conclusionsOur findings indicate that patient engagement in the development of an m-health intervention has the potential to improve adherence with both BD and HTN medications in individuals with known sub-optimal adherence. Patient engagement in health care is essential if we are to optimize patient outcomes.

Indexed as

bipolar disorderhypertensionmedication adherencem-Health technology

Identifiers

PMID30410985
PMCPMC6217830

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.