The effect of electronic monitoring feedback on medication adherence and clinical outcomes: A systematic review
Publication Date
October 09, 2017
Authors
Milou Van Heuckelum, Cornelia H. M. Van Den Ende, Anne E. J. Houterman, Charlotte P. M. Heemskerk, et al
Volume
12
Issue
10
Pages
e0185453
DOI
https://dx.plos.org/10.1371/journal.pone.0185453
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0185453
Scopus
85030995804
Mendeley
http://www.mendeley.com/research/effect-electronic-monitoring-feedback-medication-adherence-clinical-outcomes-systematic-review-2
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Mendeley | Further Information

{"title"=>"The effect of electronic monitoring feedback on medication adherence and clinical outcomes: A systematic review", "type"=>"journal", "authors"=>[{"first_name"=>"Milou", "last_name"=>"van Heuckelum"}, {"first_name"=>"Cornelia H. M.", "last_name"=>"van den Ende"}, {"first_name"=>"Anne E. J.", "last_name"=>"Houterman"}, {"first_name"=>"Charlotte P. M.", "last_name"=>"Heemskerk"}, {"first_name"=>"Sandra", "last_name"=>"van Dulmen"}, {"first_name"=>"Bart J. F.", "last_name"=>"van den Bemt"}], "year"=>2017, "source"=>"PLOS ONE", "identifiers"=>{"issn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0185453"}, "id"=>"74c0565a-2351-3bc7-a41f-90d5000a52c3", "abstract"=>"Objective\nThis study aims to assess the efficacy of Electronic Monitoring Feedback\n(EMF) as an intervention to improve medication adherence (i.e. dose-or\nfull adherence) and clinical outcomes in adult patients.\nMethods\nA systematic search was performed in Medline, EMBASE, PsycINFO and Web\nof Science and reported according to the PRISMA guidelines. Randomised\ncontrolled trials (RCTs) comparing EMF with usual care were identified\nto systematically summarise the evidence for use of EMF in improving\nmedication adherence and clinical outcomes. The GRADE approach was used\nto assess the quality of the body of evidence.\nResults\nOf 9,993 initially-identified studies, ten studies (four of high-quality\nand six of low-quality) were included. The sample size of the studies\nincluded varied from 18 to 205 patients. Four of the six studies\n(66.7%) reported a significant positive effect of EMF on mean dose\nadherence levels, whereas a significant positive effect of EMF on mean\nfull adherence levels was found in all of the included studies (100%,\nfive out of five of the studies included). A significant positive effect\nof EMF on clinical outcomes was reported in one of the seven studies\nincluded. The overall effect of EMF on mean dose-and full adherence was\npositive and the overall effect of EMF on clinical outcomes was\ninconclusive.\nConclusion\nConsidering the positive effect of EMF on medication adherence, EMF\nmight be a promising intervention to enhance medication adherence.\nHowever, the effect of EMF on clinical outcomes was inconclusive. Prior\nto implementing EMF in clinical practice, future research with\nhigh-quality studies (e.g. adequate sample sizes, follow-up periods and\nno interfering co-interventions) is required to examine the (long-term)\nefficacy of EMF.", "link"=>"http://www.mendeley.com/research/effect-electronic-monitoring-feedback-medication-adherence-clinical-outcomes-systematic-review-2", "reader_count"=>2, "reader_count_by_academic_status"=>{"Student > Doctoral Student"=>1, "Student > Master"=>1}, "reader_count_by_user_role"=>{"Student > Doctoral Student"=>1, "Student > Master"=>1}, "reader_count_by_subject_area"=>{"Nursing and Health Professions"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Psychology"=>{"Psychology"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}}, "group_count"=>0}

Scopus | Further Information

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