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Study: Texting enhances HIV therapy compliance
Weekly mobile phone text messaging may help patients with human immunodeficiency virus adhere to antiretroviral therapy that is often associated with difficult side effects, according to a study published online March 14 in the Cochrane Database of Systematic Reviews.
Weekly mobile phone text messaging may help patients with human immunodeficiency virus (HIV) adhere to antiretroviral therapy (ART) that is often associated with difficult side effects, according to a study published online March 14 in the Cochrane Database of Systematic Reviews.
Tara Horvath of Global Health Sciences at the University of California, San Francisco, and colleagues noted that ART adherence is important for survival, to prevent drug resistance requiring a more expensive second-line regimen, and for suppressing viral load, which significantly reduces the likelihood of transmission.
High-quality evidence suggests that weekly text messages may enhance ART adherence, so investigators reviewed 2 randomized controlled trials from Kenya including a total of 966 adult patients with HIV. One trial compared short weekly text messages against standard care. The other trial compared short-daily, long-daily, short-weekly, and long-weekly messages against standard care.
Patients receiving standard care in each study received a mobile phone but did not receive any study-related mobile communication.
Those assigned to intervention in the first study were sent brief text messages, such as, “How are you?”, and were expected to respond within 48 hours. In the second study, patients assigned to intervention received daily or weekly short text messages, such as, “This is your reminder,” or daily or weekly long text messages, such as, “This is your reminder. Be strong and courageous. We care about you.”
At 48-52 weeks, combined data from both trials demonstrated that any text messaging was associated with greater ART adherence, weekly texts of any length were associated with adherence, and short weekly text messages were associated with adherence. In the first trial, short weekly texts were also associated with viral load suppression at 52 weeks.
Based on the quality of the evidence, the researchers concluded, “Policy-makers should consider funding programs proposing to provide weekly mobile phone text-messaging as a means for promoting adherence to antiretroviral therapy. Clinics and hospitals should consider implementing such programs.”
Coalition promotes important acetaminophen dosing reminders
November 18th 2014It may come as a surprise that each year Americans catch approximately 1 billion colds, and the Centers for Disease Control and Prevention estimates that as many as 20% get the flu. This cold and flu season, 7 in 10 patients will reach for an over-the-counter (OTC) medicine to treat their coughs, stuffy noses, and sniffles. It’s an important time of the year to remind patients to double check their medicine labels so they don’t double up on medicines containing acetaminophen.
Support consumer access to specialty medications through value-based insurance design
June 30th 2014The driving force behind consumer cost-sharing provisions for specialty medications is the acquisition cost and not clinical value. This appears to be true for almost all public and private health plans, says a new report from researchers at the University of Michigan Center for Value-Based Insurance Design (V-BID Center) and the National Pharmaceutical Council (NPC).
Management of antipsychotic medication polypharmacy
June 13th 2013Within our healthcare-driven society, the increase in the identification and diagnosis of mental illnesses has led to a proportional increase in the prescribing of psychotropic medications. The prevalence of mental illnesses and subsequent treatment approaches may employ monotherapy as first-line treatment, but in many cases the use of combination of therapy can occur, leading to polypharmacy.1 Polypharmacy can be defined in several ways but it generally recognized as the use of multiple medications by one patient and the most common definition is the concurrent use of five more medications. The presence of polyharmacy has the potential to contribute to non-compliance, drug-drug interactions, medication errors, adverse events, or poor quality of life.
Medical innovation improves outcomes
June 12th 2013I have been diagnosed with stage 4 cancer of the pancreas, a disease that’s long been considered not just incurable, but almost impossible to treat-a recalcitrant disease that some practitioners feel has given oncology a bad name. I was told my life would be measured in weeks.
