A health literacy pilot intervention to improve medication adherence using Meducation® technology.
| dc.contributor.author | Zullig, Leah L | |
| dc.contributor.author | McCant, Felicia | |
| dc.contributor.author | Melnyk, S Dee | |
| dc.contributor.author | Danus, Susanne | |
| dc.contributor.author | Bosworth, Hayden B | |
| dc.date.accessioned | 2024-02-01T15:58:42Z | |
| dc.date.available | 2024-02-01T15:58:42Z | |
| dc.date.issued | 2014-05 | |
| dc.description.abstract | ObjectiveTo determine whether antihypertensive medication adherence could improve using a Meducation® technology health literacy intervention.MethodsWe conducted a six-month feasibility study among patients with cardiovascular disease (CVD) risk factors receiving care from hospital-based primary care clinics. All patients received a personalized Meducation® calendar listing CVD-related medications. We evaluated changes in medication adherence and clinical outcomes at six months.ResultsThere was a 42% enrollment rate (n=23). Forty percent had low health literacy, defined as less than 9th grade reading level. At three months, self-reported medication adherence improved. At six months, medication possession ratio improved 3.2%. Also, at six months there were decreases in patients' average systolic blood pressure (0.5 mmHg), diastolic blood pressure (1.5 mmHg), and body weight (3.6 pounds) (p>0.05).ConclusionsA health literacy intervention may be a feasible mechanism to improve cardiovascular-related medication adherence and outcomes.Practice implicationsHealth literacy interventions may improve adherence while requiring relatively few resources to implement. | |
| dc.identifier | S0738-3991(14)00055-X | |
| dc.identifier.issn | 0738-3991 | |
| dc.identifier.issn | 1873-5134 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Elsevier BV | |
| dc.relation.ispartof | Patient education and counseling | |
| dc.relation.isversionof | 10.1016/j.pec.2014.02.004 | |
| dc.rights.uri | ||
| dc.subject | Humans | |
| dc.subject | Cardiovascular Diseases | |
| dc.subject | Cardiovascular Agents | |
| dc.subject | Pilot Projects | |
| dc.subject | Blood Pressure | |
| dc.subject | Middle Aged | |
| dc.subject | Primary Health Care | |
| dc.subject | United States | |
| dc.subject | North Carolina | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | Patient Education as Topic | |
| dc.subject | Medication Adherence | |
| dc.subject | Health Literacy | |
| dc.subject | Veterans Health | |
| dc.subject | Surveys and Questionnaires | |
| dc.title | A health literacy pilot intervention to improve medication adherence using Meducation® technology. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Zullig, Leah L|0000-0002-6638-409X | |
| duke.contributor.orcid | Bosworth, Hayden B|0000-0001-6188-9825 | |
| pubs.begin-page | 288 | |
| pubs.end-page | 291 | |
| pubs.issue | 2 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Basic Science Departments | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Center for the Study of Aging and Human Development | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Duke Science & Society | |
| pubs.organisational-group | Population Health Sciences | |
| pubs.organisational-group | Duke Innovation & Entrepreneurship | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine & Neurosciences | |
| pubs.organisational-group | Duke - Margolis Center For Health Policy | |
| pubs.publication-status | Published | |
| pubs.volume | 95 |
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