Patient and Partner Feedback Reports to Improve Statin Medication Adherence: A Randomized Control Trial

Reddy, Ashok; Huseman, Tiffany L.; Canamucio, Anne; Marcus, Steven C.; Asch, David A.; Volpp, Kevin G.; Long, Judith A.

doi:10.1007/s11606-016-3858-0

Cited by 45 publications

(48 citation statements)

References 21 publications

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“…Reddy et al 30 investigated the effect of guided feedback (GlowCap Bottle) on adherence to statin medication. There were three groups: intervention group, control group, and a partner intervention group, whereby the report from the GlowCap Bottle was also sent to a designated family member/friend of the participant.…”

Section: Statinsmentioning

confidence: 99%

“…A significant difference in overall adherence was noted between the two intervention groups (individual and partner feedback) and controls (89% and 86% vs 67%, respectively; p¼0.001). 30 The authors continued to monitor adherence once the 13-week intervention period was over. The higher adherence rates achieved in the intervention groups were not sustained once intervention was stopped.…”

Section: Statinsmentioning

confidence: 99%

“…The higher adherence rates achieved in the intervention groups were not sustained once intervention was stopped. 30…”

Section: Statinsmentioning

confidence: 99%

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The Effects of Feedback on Adherence to Treatment: A Systematic Review and Meta-analysis of RCTs

Seewoodharry

Maconachie

Gillies

et al. 2017

American Journal of Preventive Medicine

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Section: Statinsmentioning

confidence: 99%

Section: Statinsmentioning

confidence: 99%

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The Effects of Feedback on Adherence to Treatment: A Systematic Review and Meta-analysis of RCTs

Seewoodharry

Maconachie

Gillies

et al. 2017

American Journal of Preventive Medicine

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“…[16][17][18] Behavioral economics has shown that social forces can also motivate people to engage in beneficial actions like medication adherence, but these approaches are not well-studied. [19][20][21][22] In this study, we investigated the role of social support, in the form of suggesting participants enlist a medication adherence partner (MAP); the effect of alerting patients about their failure to adhere; and the combination of these two interventions.…”

Section: Introductionmentioning

confidence: 99%

Partners and Alerts in Medication Adherence: A Randomized Clinical Trial

et al. 2018

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“…It is especially relevant to health behavior, where the rewards of poor health choices tend to be obvious and immediate, whereas the consequences are often obscure and delayed. In this issue of JGIM, Reddy et al 1 apply insights from behavioral economics to examine a set of behavioral Bnudges^designed to enhance statin adherence. They found that a combination of electronic reminders and performance feedback (delivered either to the patient or to a partner) were more effective than usual care in boosting adherence at 3 months.…”

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confidence: 99%

Borrowing from Strength

Kravitz

2017

J GEN INTERN MED

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On my first day of medical school, a fourth year student was called to the podium to tell a story. He looked at us kindly and began.A man descends to the afterworld and is confronted by two rooms. He enters the first room and sees rows of banquet tables spread lavishly with every kind of food and drink imaginable. Yet the people are in anguish. When the man looks closer he sees why. Their arms are locked in rigid splints, making it impossible for them to bring anything from hand to mouth. The wailing and thrashing are overwhelming. Soon the man has had enough. He moves to the second room. The second room is uncannily similar to the first: the banquet tables, the sumptuous offerings, the people with their arms locked in splints. Yet there is no wailing or thrashing. Instead there are sounds of laughter, merriment, and joy. The man is dumbfounded. He turns to the one of the inhabitants and asks how can the people be so happy under such manifestly trying conditions. BHere,^the inhabitant of the second room responds, Bwe feed each other.T he critical importance of strength through collaboration and mutual support is foundational to the field of general internal medicine. These themes are illustrated by several articles in the current issue.Behavioral economics uses lessons borrowed from psychology to explain deviations from rationality in economic decision-making. It is especially relevant to health behavior, where the rewards of poor health choices tend to be obvious and immediate, whereas the consequences are often obscure and delayed. In this issue of JGIM, Reddy et al. 1 apply insights from behavioral economics to examine a set of behavioral Bnudges^designed to enhance statin adherence. They found that a combination of electronic reminders and performance feedback (delivered either to the patient or to a partner) were more effective than usual care in boosting adherence at 3 months. However, the effect dissipated by 6 months. Also in this issue, Rollman et al. 2 use electronic Bnudges^to encourage physicians to refer patients with possible anxiety disorders to a collaborative care intervention. The intervention consisted of telephone intake by a lay Bbehaviorist,^weekly multidisciplinary case discussions, and treatment consisting of a cognitive-behavioral therapy (CBT) workbook, medication, or referral (as guided by patient preference). The intervention seems designed to balance efficacy (by incorporating several elements known to work) and pragmatism (by emphasizing phone contact and using trained lay personnel as the initial point of contact). Patients with high levels of anxiety who were assigned to the intervention were less anxious and had better health-related quality of life than those assigned to the control group. In an accompanying editorial, Roy-Byrne 3 questions these striking outcomes in light of the modest reported use of the CBT workbook and limited prescribing of serotonin-reuptake inhibitor medications. He speculates that patient self-activation as well as liberal mental health specialty referra...

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Patient and Partner Feedback Reports to Improve Statin Medication Adherence: A Randomized Control Trial

Abstract: Daily alarms combined with individual or partner feedback reports improved statin medication adherence. While neither an individual feedback nor partner feedback strategy created a sustainable medication adherence habit, the intervention itself is relatively easy to implement and low cost.

Cited by 45 publications

References 21 publications

The Effects of Feedback on Adherence to Treatment: A Systematic Review and Meta-analysis of RCTs

The Effects of Feedback on Adherence to Treatment: A Systematic Review and Meta-analysis of RCTs

Partners and Alerts in Medication Adherence: A Randomized Clinical Trial

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