Rationale design and efficacy of a smartphone application for improving self-awareness of adherence to edoxaban treatment: study protocol for a randomised controlled trial (adhere app)
Why the study?
High adherence to oral anticoagulants is essential for stroke prevention in AF, but the feasibility and efficacy of a smartphone app-based intervention to improve adherence remain to be tested.
Does a smartphone application with medication and BP alarms improve edoxaban adherence in patients with atrial fibrillation?
Population
500 patients with AF treated with edoxaban for stroke prevention
Comparison
Smartphone app conditional feedback vs conventional treatment
Design
Multicenter randomised controlled trial
Follow-up
6 months
Authors
Discussion
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Member takes
Implication
App reminders plus BP/HR self-checks should not yet change AF anticoagulation practice; leaves open whether they improve edoxaban adherence.
Structured PICO
Does a smartphone application with medication and BP alarms improve edoxaban adherence in patients with atrial fibrillation?
P
Population
500 patients with atrial fibrillation being treated with edoxaban for stroke prevention
I
Intervention
Smartphone application providing medication reminders and blood pressure/heart rate check alarms, linked to an automatic BP machine via Bluetooth
C
Comparator
Conventional treatment
O
Outcome
Edoxaban adherence by pill count measurement at 3 and 6 months of follow-upsurrogate
This study protocol outlines a randomized controlled trial to evaluate whether a smartphone app with medication and blood pressure alarms can improve edoxaban adherence in patients with atrial fibrillation.
Cite This Study
Kim et al. (2022) studied this question.