A Smartphone App on Medication Adherence

Kaohsiung Medical University Chung-Ho Memorial Hospital100 enrolled

Overview

This is an experimental study which aims to explore the effectiveness of a smartphone app for medication adherence (MedAdhere app) among schizophrenic patients for eight weeks.

Schizophrenia is a mental disorder that causes severe functional disabilities and imposes a heavy economic burden. Poor medication adherence is one of the major causes of relapse of psychiatric symptoms in schizophrenic patients. This is an experimental study which aims to explore the effectiveness of a smartphone app for medication adherence (MedAdhere app) among schizophrenic patients for eight weeks.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Medication Adherence

Interventions

the MedAdhere appBEHAVIORAL

The experimental group downloaded and used the MedAdhere app on their personal smartphones during this 8-week study

Eligibility

Sex: ALLMin age: 20 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * schizophrenia * aged 20 to 65 years * able to read traditional Chinese * owning a smartphone * currently admitted at a psychiatric day-care center Exclusion Criteria: * Intellectually disabled or severe cognitive function impairment (Dementia)

Locations (1)

Kaohsiung Medical University

Kaohsiung City, Taiwan

Outcomes

Primary Outcomes

psychiatric symptoms

The positive and negative syndrome scale was used to measure participants' psychiatric symptoms. Of the 30 items on the scale, seven are positive symptoms, seven are negative symptoms, and 16 are general psychopathology symptoms. Symptom severity for each item is rated according to the anchoring points in the 7-point scale (1 = absent; 7 = extreme) that best describe the symptom (Kay et al., 1987). The PANSS score is the sum of ratings across items, ranging from 7 to 49 for the Positive, Negative Scales, and 16 to 112 and 16 to 112 for the General Psychopathology Scale.

Time frame: Change from Baseline psychiatric symptoms at 8 weeks

cognitive functions

The Mini-Mental State Examination was used to measure participants' cognitive functions. The MMSE consists of 15 questions for assessing the following seven cognitive domains: orientation in time and place, memory registration and recall, attention and calculation, and language. The total MMSE score ranged from 0 to 30, and higher scores indicate better cognitive functions.

Time frame: Change from Baseline cognitive functions at 8 weeks

Medication adherence rate

Utilizing cloud-based platforms to compute the medication adherence rate.

Time frame: Change from Baseline Medication adherence' rate at 8 weeks

Data from ClinicalTrials.gov

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