A C A D E M I C R E S E A R C H
SMART REM I NDER S TO I MPROVE MED I CAT I ON I NTAKE
NAWAL CHANANE + FARHAAN MIRZA AUCKLAND UNIVERSITY OF TECHNOLOGY
Mobile applications can be used to help patients struggling with medication adherence as it is usually an extra burden for those with multiple health conditions, or with complex regimens and multiple medications. There are several reasons for non- adherence but forgetfulness is one of the most commonly reported barriers, counting for more than 30 percent even among motivated patients. 1 Therefore, we developed MAMA (Medication Adherence Management Application); a simple- to-use medication management mobile application. The goals of MAMA are to help keep records of medication list, medication
indicated that participants used the app, for most of the trialling period consistently. Although the majority of participants did not have prior experience with medication reminder apps, it did not affect the acceptability by participants with multi-medications. This pilot study demonstrated the feasibility and potential utility of the app and revealed a promising future when implemented to address medication intake failure.
December 2020. Each participant was scheduled for two weeks period starting from the date of the first scheduled medication. Twenty-six individual enrolled on the pilot study. Of those 26 enrolments, only 22 created accounts; 17 females and five males. Out of these total enrolments, 22 participants completed the trial period and the feedback questionnaire. The results from the pilot study
validated the vision of this initiative. MAMA successfully
references
helped participants to take their medication on-time. Our findings indicate that it had an acceptable level of efficacy in improving users’ medication intake, with an average of 79 percent (SD= 0.21) adherence across all participants, ranging from as low as 26 percent and as high as 100 percent. Moreover, according to the outcome of a survey conducted, MAMA was rated favourably by the participants. Participants with medication reminders experience rated the functions as excellent. The majority of the participants responded positively to recommending MAMA to their friends and to have a GP recommend it to patients. MAMA was found easy to use and useful in reminding users to take medication on-time. The data collected through the app
1. Coventry PA, Fisher L, Kenning C, Bee P, Bower P. Capacity, responsibility, and motivation: A critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity. BMC Health Serv Res. 2014;14(1):1–12. 2. Chanane N, Mirza F, Naeem MA. Co- Designing a Medication Notification Application with Multi-Channel Reminders Co-Designing a Medication Notification Application with Multi- Channel Reminders. In AIS Electronic Library ( AISeL ); 2020. 3. Sudburya D, Saeeda A, Nnajiubaa U, Murugesh-Warrena A, Mashayekhia S, Abdel-Gadira S, et al. An extension of the UTAUT 2 in a healthcare context. UK Acad Inf Syst Conf Proc 2013. 2013;Paper 55.
intake logs and on-time medication remindres through a multi-channel notification workflow. 2 MAMA builds on the UTAUT 2 model for mobile IT in the healthcare context. 3 The MAMA pilot study was designed with the primary goal to evaluate the PREMIUM TO CONT I NUE READ I NG TH I S PAGE JO I N HiNZ TODAY FROM $1 7 PER MONTH WI TH NO M I N I MUM TERM . OR $1 9 8 PER YEAR .
intervention by assessing the: • feasibility and acceptability hinz.org.nz/page/JOIN through acquiring early adopters’ feedback and recommendations for future development and enhancements. • efficacy of MAMA in improving on- time medication intake. The pilot study recruitment occurred from October 2020 to
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