Results from the "Me & My Heart" (eMocial) Study: a Randomized Evaluation of a New Smartphone-Based Support Tool to Increase Therapy Adherence of Patients with Acute Coronary Syndrome.

Acute coronary syndrome Adherence Dual antiplatelet therapy Smartphone-based support Ticagrelor

Journal

Cardiovascular drugs and therapy
ISSN: 1573-7241
Titre abrégé: Cardiovasc Drugs Ther
Pays: United States
ID NLM: 8712220

Informations de publication

Date de publication:
08 2023
Historique:
accepted: 28 02 2022
medline: 3 8 2023
pubmed: 21 4 2022
entrez: 20 4 2022
Statut: ppublish

Résumé

This study evaluated whether patient support, administered via an electronic device-based app, increased adherence to treatment and lifestyle changes in patients with acute coronary syndrome (ACS) treated with ticagrelor in routine clinical practice. Patients (aged ≥ 18 years) with diagnosed ACS treated with ticagrelor co-administered with low-dose acetylsalicylic acid were randomized into an active group (with support tool app for medication intake reminders and motivational messages) and a control group (without support tool app), and observed for 48 weeks (ClinicalTrials.gov Identifier: NCT02615704). Patients were asked to complete the 36-item Short-Form Health Survey (SF-36) and Lifestyle Changes Questionnaire (LSQ), and were assessed for blood pressure and body mass index (BMI) at baseline (visit 1) and at the end of the study (visit 2). Medication adherence was measured using the Brilique Adherence Questionnaire (BAQ). Patients (N = 676) were randomized to an active (n = 342) or a control (n = 334) group. BAQ data were available for 174 patients in the active group and 174 patients in the control group. Over the 48-week period, mean (standard deviation) adherence for the active and control groups was 96.4% (13.2%) and 91.5% (23.1%), respectively (effect of app intervention, p < 0.05). There were no significant differences in blood pressure and BMI between visits. General improvements in SF-36 and LSQ scores were observed for both groups. The patient support tool app was associated with significant improvements in patient-reported treatment adherence compared with a data collection app alone in patients prescribed ticagrelor for ACS.

Identifiants

pubmed: 35441926
doi: 10.1007/s10557-022-07331-1
pii: 10.1007/s10557-022-07331-1
pmc: PMC10397150
doi:

Substances chimiques

Ticagrelor GLH0314RVC
Aspirin R16CO5Y76E

Banques de données

ClinicalTrials.gov
['NCT02615704']

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

729-741

Informations de copyright

© 2022. The Author(s).

Références

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Auteurs

Florian Krackhardt (F)

Department of Internal Medicine and Cardiology, Charité Campus Virchow-Klinikum, Charité University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. florian.krackhardt@charite.de.

Magnus Jörnten-Karlsson (M)

Digital Implementation, Digital Health R&D, AstraZeneca, Gothenburg, Sweden.

Matthias Waliszewski (M)

Department of Internal Medicine and Cardiology, Charité Campus Virchow-Klinikum, Charité University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Mikael Knutsson (M)

Late Stage Development, Cardiovascular, Renal, and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.

Anna Niklasson (A)

Late Stage Development, Cardiovascular, Renal, and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.

Karl-Friedrich Appel (KF)

Ambulantes Herzzentrum Kassel, Kassel, Germany.

Ralf Degenhardt (R)

Herz-Kreislauf-Zentrum, Rotenburg a. d. Fulda, Germany.

Alexander Ghanem (A)

Asklepios Klinik St. Georg, Hamburg, Germany.

Till Köhler (T)

Herzzentrum Wuppertal, Helios-Universitätsklinikum, Wuppertal, Germany.

Marc-Alexander Ohlow (MA)

SRH-Waldklinikum, Gera, Germany.

Carsten Tschöpe (C)

Berlin Institute of Health at Charité; BIH Center for Regenerative Therapies (BCRT), Charité-Universitätsmedizin Berlin, Berlin, Germany.

Heinz Theres (H)

Martin Luther Krankenhaus, Berlin, Germany.

Jürgen Vom Dahl (J)

Kliniken Maria Hilf, Mönchengladbach, Germany.

Björn W Karlson (BW)

Late Stage Development, Cardiovascular, Renal, and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Lars S Maier (LS)

Department of Internal Medicine II, Universitätsklinikum Regensburg, Regensburg, Germany.

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