Evidence map›Paper›PMID 32974043›Full record

ArticlePilot and feasibility studies2020

Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study.

Aikaterini Kassavou, Charlotte Emily A'Court, Jagmohan Chauhan, James David Brimocombe, Debi Bhattacharya, Felix Naughton, Wendy Hardeman, Cecilia Mascolo, Stephen Sutton

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 11% of its field
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Aikaterini KassavouDepartment of Public Health and Primary Care, The Primary Care Unit, Behavioural Science Group, University of Cambridge, Cambridge, UK.ORCID 0000-0002-6562-4143
Charlotte Emily A'CourtDepartment of Public Health and Primary Care, The Primary Care Unit, Behavioural Science Group, University of Cambridge, Cambridge, UK.
Jagmohan ChauhanDepartment of Computer Science and Technology, Mobile Systems Group, University of Cambridge, Cambridge, UK.
James David BrimocombeDepartment of Public Health and Primary Care, The Primary Care Unit, Behavioural Science Group, University of Cambridge, Cambridge, UK.
Debi BhattacharyaSchool of Pharmacy, University of East Anglia, Norwich, UK.
Felix NaughtonSchool of Health Science, University of East Anglia, Norwich, UK.
Wendy HardemanSchool of Health Science, University of East Anglia, Norwich, UK.
Cecilia MascoloDepartment of Computer Science and Technology, Mobile Systems Group, University of Cambridge, Cambridge, UK.
Stephen SuttonDepartment of Public Health and Primary Care, The Primary Care Unit, Behavioural Science Group, University of Cambridge, Cambridge, UK.
University of Cambridge · GBUniversity of East Anglia · GB

Funding

Department of Health RP-PG-0615-20013
6 · The paper itself

Abstract

AIMS AND

objectivesThis paper describes a pilot non-randomised controlled study of a highly tailored 56-day text messaging and smartphone app prototype intervention to increase adherence to anti-hypertensive medication in primary care. The aim of this study was to evaluate the acceptability of the intervention and obtain patients' views about the intervention content, the delivery mode, and the mechanisms by which the intervention supported medication adherence.

methodsPatients diagnosed with hypertension were invited and recruited to the study via general practice text messages and attended a face to face meeting with a member of the researcher team. Participants were asked to test the text messaging intervention for 28 consecutive days and switch to the smartphone app for 28 more days. Participants completed baseline and follow-up questionnaires and took part in semi-structured telephone interviews. Digital log files captured patients' engagement with the intervention. Participant transcripts were analysed using thematic analysis. Descriptive statistics were used to summarise data from questionnaires and log files. A mixed methods analysis generated data to respond to the research questions.

resultsSeventy-nine patients expressed interest to participate in this study, of whom 23 (64% male, 82% above 60 years old) were registered to take part. With one drop-out, 22 participants tested the text messaging delivery mode (with 20 being interviewed) and four of them (17%) switched to the app (with 3 being interviewed). All participants engaged and interacted with the text messages and app notifications, and all participants found the intervention content and delivery mode acceptable. They also self-reported that the interactive elements of the intervention motivated them to take their medications as prescribed.

conclusionThis study provides evidence that the digital intervention is acceptable by hypertensive patients recruited in primary care. Future research could usefully investigate its feasibility and effectiveness using rigorous research methods.

trial registrationISRCTN12805654.

Indexed as

AcceptabilityDigital interventionHypertensionMedication adherencePrimary care

Identifiers

PMID32974043
PMCPMC7504598
OpenAlexW3083655139

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.