Evidence map›Paper›PMID 39058963›Full record

ArticleJCO oncology practice2025

Use of a Smartphone Application to Promote Adherence to Oral Medications in Patients With Breast Cancer.

Claire Sathe, Rohit Raghunathan, Sophie Ulene, Fiona McAuley, Kishan A Bhatt, Julia E McGuinness, Meghna S Trivedi, Neil Vasan, Kevin M Kalinsky, Katherine D Crew and 5 more

Abstract read
In one paragraph

Article in JCO oncology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Claire SatheHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.ORCID 0000-0002-6707-603X
Rohit RaghunathanHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.
Sophie UleneVagelos College of Physicians and Surgeons, Columbia University, New York, NY.ORCID 0000-0002-4259-501X
Fiona McAuleyVagelos College of Physicians and Surgeons, Columbia University, New York, NY.ORCID 0000-0003-3563-6976
Kishan A BhattVagelos College of Physicians and Surgeons, Columbia University, New York, NY.
Julia E McGuinnessHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.ORCID 0000-0001-5292-1440
Meghna S TrivediHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.ORCID 0000-0002-4831-0492
Neil VasanHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.
Kevin M KalinskyWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0002-3113-7902
Katherine D CrewHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.ORCID 0000-0002-9637-2962
Khadija F FaheemHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.
Erik HardenHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.ORCID 0000-0003-1633-3777
Cynthia LawHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.
Dawn L HershmanHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.ORCID 0000-0001-8807-153X
Melissa K AccordinoHerbert Irving Comprehensive Cancer Center, Columbia University Medical Center, New York, NY.ORCID 0000-0002-4156-7279

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
NCI NIH HHS P30 CA013696
6 · The paper itself

Abstract

purposeMedication nonadherence is common among patients with breast cancer (BC) and increases BC mortality and complications from comorbidities. There is growing interest in mobile health interventions such as smartphone applications (apps) to promote adherence.

methodsUse of Medisafe, a medication reminder and tracking app, was tested over 12 weeks among patients on BC treatment and at least one oral medication. Study participants were instructed to generate adherence reports every 4 weeks through Medisafe and were deemed to have completed the intervention if >50% of reports were generated. The primary end point was feasibility of the intervention, defined as a completion rate of ≥75% of consented patients. Secondary end points included changes in self-reported nonadherence from baseline to 12 weeks and patient-reported outcomes including reasons for nonadherence and satisfaction with Medisafe. We conducted univariable and multivariable analyses to evaluate demographic and clinical factors associated with intervention completion.

resultsAmong 100 patients enrolled, 78 (78.0%) completed the intervention. Age, race, ethnicity, clinical stage, and type of medication were not associated with odds of intervention completion. Self-reported nonadherence rates did not improve from baseline to postintervention in the overall study population. However, among patients with self-reported nonadherence at baseline, 26.3% reported adherence postintervention; these patients frequently reported logistical barriers to adherence. Study participants reported high levels of satisfaction with Medisafe, noting that the app was highly functional and provided high-quality information.

conclusionSmartphone apps such as Medisafe are feasible and associated with high patient satisfaction. They may improve adherence in nonadherent patients and those who face logistical challenges interfering with medication-taking. Future trials of mobile health interventions should target patients at high risk for medication nonadherence.

Indexed as

Breast NeoplasmsMedication AdherenceMobile ApplicationsSmartphoneAdministration, OralAdultAgedFemaleHumansMiddle Aged

Identifiers

PMID39058963
PMCPMC13101177

What OpenQuestion holds

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Registered trials

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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.