iMedA: Improving MEDication Adherence Through Person-Centered Care and Adaptive Interventions

Summary

The aim of this study is to design, implement, and evaluate an adaptive personalized digital intervention, to be delivered through a mobile application, to increase medication adherence and self-care management for persons with hypertension. This is a collaborative project between Halmstad University and Region Halland in Halland county, Sweden.

The project is divided into three steps: 1)Focus groups 2)pilot study 3)Longitudinal study. The design of the study is influenced by the Intervention Mapping technique, which is used for the design and development of health promotion programs. The investigators first conducted a systematic review in order to detect the determinants, behaviors to change, and implemented digital strategies in the previous studies. The result was drawn in the Matrix of Change Objectives to facilitate the mapping. Then through focus groups, the investigators are going to ascertain the needs of the Swedish context. Through what has been learned with these findings, digital interventions will be designed and developed to be delivered via mobile application. A pilot study is considered then to evaluate the feasibility and usability testing of digital intervention. Finally, a longitudinal study is designed to evaluate the effectiveness of the digital intervention in the longer term. The design is proposed to be an interrupted time series (ITS) approach which is considered to be the strongest quasi-experimental design that can be used to evaluate the effectiveness of an intervention.

Conditions

• Hypertension

Interventions

BEHAVIORAL

Reminder

A reminder to take the anti-hypertension medication with adjustable frequency.

BEHAVIORAL

Educational message

An educational message to increase the knowledge about various facts around hypertension. The short messages are supposed to be sent based on the patient's needs.

BEHAVIORAL

Motivational messages

The motivational short messages to increase the motivational levels.

BEHAVIORAL

showing trends

Short messages contain different trends of medication intake rate, BP, physical activity rate, and so on.

Sponsors & Collaborators

• Region Halland

  collaborator OTHER

• Halmstad University

  lead OTHER

Principal Investigators

• Kobra Etminani · Halmstad University

Study Design

Allocation

NA

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

40 Years

Max Age

70 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2020-09-30

Primary Completion

2021-02-28

Completion

2021-02-28