Impact of telehealth modalities on medication adherence in older adults with heart disease: Evidence from NHATS

Background As telehealth becomes increasingly integrated into healthcare, understanding its impact on medication adherence among older adults with chronic conditions like heart disease is essential. This study investigates the effects of various telehealth modalities on medication adherence rates in this demographic. Objective The purpose of this study is to evaluate the impact of various telehealth modalities on medication adherence among older adults with heart disease, utilizing data from the National Health and Aging Trends Study. Methods Data were analyzed from 1552 participants aged 65 and older diagnosed with heart disease, sourced from the National Health and Aging Trends Study (NHATS). Telehealth modalities assessed included video consultations, phone visits, patient portals, and online refill services. Medication adherence was measured using validated self-reported questionnaires. Modified Poisson regression with robust error variance was employed to evaluate the relationship between telehealth engagement and adherence, controlling for demographic variables. Results Findings revealed that participants utilizing video consultations and online refill services had significantly higher medication adherence rates compared to those engaging in traditional care methods. Risk Ratios indicated that these modalities facilitated better communication and medication management, ultimately enhancing adherence. Conclusions Telehealth modalities offer promising strategies to improve medication adherence among older adults with heart disease. The study underscores the importance of integrating digital health interventions into routine care, which can address barriers to adherence and improve health outcomes in this vulnerable population.