Imperial College London
Alternate

Dr Gaby Judah

Faculty of Medicine, Department of Surgery & Cancer

Non-Clinical Lecturer in Behavioural Sciences
 
 
 
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Contact

 

g.judah

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bond:2021:10.3390/healthcare9101282,
author = {Bond, Z and Scanlon, T and Judah, G},
doi = {10.3390/healthcare9101282},
journal = {Healthcare (Basel)},
title = {Systematic review of RCTs assessing the effectiveness of mHealth interventions to improve statin medication adherence: using the behaviour-change technique taxonomy to identify the techniques that improve adherence.},
url = {http://dx.doi.org/10.3390/healthcare9101282},
volume = {9},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Statin non-adherence is a common problem in the management of cardiovascular disease (CVD), increasing patient morbidity and mortality. Mobile health (mHealth) interventions may be a scalable way to improve medication adherence. The objectives of this review were to assess the literature testing mHealth interventions for statin adherence and to identify the Behaviour-Change Techniques (BCTs) employed by effective and ineffective interventions. A systematic search was conducted of randomised controlled trials (RCTs) measuring the effectiveness of mHealth interventions to improve statin adherence against standard of care in those who had been prescribed statins for the primary or secondary prevention of CVD, published in English (1 January 2000-17 July 2020). For included studies, relevant data were extracted, the BCTs used in the trial arms were coded, and a quality assessment made using the Risk of Bias 2 (RoB2) questionnaire. The search identified 17 relevant studies. Twelve studies demonstrated a significant improvement in adherence in the mHealth intervention trial arm, and five reported no impact on adherence. Automated phone messages were the mHealth delivery method most frequently used in effective interventions. Studies including more BCTs were more effective. The BCTs most frequently associated with effective interventions were "Goal setting (behaviour)", "Instruction on how to perform a behaviour", and "Credible source". Other effective techniques were "Information about health consequences", "Feedback on behaviour", and "Social support (unspecified)". This review found moderate, positive evidence of the effect of mHealth interventions on statin adherence. There are four primary recommendations for practitioners using mHealth interventions to improve statin adherence: use multifaceted interventions using multiple BCTs, consider automated messages as a digital delivery method from a credible source
AU  - Bond,Z
AU  - Scanlon,T
AU  - Judah,G
DO  - 10.3390/healthcare9101282
PY  - 2021///
SN  - 2227-9032
TI  - Systematic review of RCTs assessing the effectiveness of mHealth interventions to improve statin medication adherence: using the behaviour-change technique taxonomy to identify the techniques that improve adherence.
T2  - Healthcare (Basel)
UR  - http://dx.doi.org/10.3390/healthcare9101282
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34682962
UR  - https://www.mdpi.com/2227-9032/9/10/1282
UR  - http://hdl.handle.net/10044/1/92419
VL  - 9
ER  -
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