Key result
Mobile apps and direct phone contact improve treatment adherence after myocardial infarction.
Why the study?
Patients with myocardial infarction have low adherence to secondary prevention, prompting a review to identify factors influencing treatment adherence and evaluate interventions to improve it.
Do interventions such as modern technologies and phone communication improve treatment adherence in patients after myocardial infarction?
Do interventions such as modern technologies and phone communication improve treatment adherence in patients after myocardial infarction?
Modern technologies and phone communication can improve medication adherence in patients following a myocardial infarction.
Supports mobile apps and phone contact to improve post-MI adherence; confirms efficacy in systematic synthesis of RCTs.
Background: Patients with myocardial infarction have low adherence to secondary prevention. Patients with acute coronary syndromes usually decide not to take cardiac drugs for 7 days after discharge for various reasons and adherence rates are usually very low. The aim of this scoping review was to identify factors influencing treatment adherence after myocardial infarction and the role of interventions to improve treatment adherence. Methods: Two electronic databases (PubMed and Web of Science) were systematically searched for relevant published reviews of interventions for adherence after myocardial infarction. Inclusion criteria were study design: randomized control trial, systematic reviews; published in English; sample age ≥18 years. The methodological framework proposed by Arksey & O'Malley was used to guide the review process of the study. Results: Thirteen articles met the inclusion/exclusion criteria. Four of the thirteen studies assessed factors influencing patient adherence to therapy after myocardial infarction, the remaining studies examined various interventions increasing adherence to treatment after myocardial infarction. Conclusion: There is a need to improve adherence of patients to treatment after myocardial infarction. Studies show that the use of modern technologies and communication with the patients by phone improve adherence to treatment.
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Zorina et al. (2022) conducted a review in Myocardial infarction (n=13). Interventions to improve adherence (e.g., telemedicine, mobile applications, telephone interventions) vs. Standard care or no intervention was evaluated on Factors influencing patient adherence to therapy and effectiveness of various interventions increasing adherence. The use of modern technologies, such as educational mobile applications, and direct communication with patients by phone improve patient adherence to treatment after myocardial infarction.
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