Abstract 18266: The Impact of Text Message Reminders on Adherence to Exercise and Medications Stratified by Education
Background: Studies have demonstrated the role of socioeconomic factors on adherence to evidenced-based therapies. It has been postulated that those with less education may exhibit higher rates of medications and lifestyle intervention non-adherence. Recent studies have established the ability of text messages to improve adherence to medications and prescribed exercise regimens. In this study, we examined the impact of education level on adherence to disease modifying medications and cardiac rehabilitation exercise regimens in post-MI patients and the impact of a novel text message reminder system to improve adherence, stratified by educational level.
Methods: Eighty-four patients with varying degrees of education were recruited from a local cardiac rehabilitation facility within two weeks post-MI. Patients were randomized to a control or intervention group. Patients in the intervention group received daily text messages reminding them to adhere to their medications and exercise regimens. The control arm of the study received no text message reminders. Adherence to both medications and exercise was tracked by logbooks over a one year follow-up.
Results: At 12 months, patients with lower levels of education (≤12 years) had lower levels of medication and exercise adherence in the control group. Patients with less education took on average 66% of their medications over the year and exercised for on average 412 minutes per month. Comparatively those with higher levels of education (>12 years) took on average 74% of their medications and exercised on average 540 minutes per month. Less educated patients improved their medication adherence by, on average, 23% and their duration of exercise by 372 minutes per month. By contrast, more educated patients improved their medication adherence by 17% and their duration of exercise by 115 minutes per month.
Conclusion: In summary, it appears that post-MI patients with lower levels of education do exhibit higher rates of medication and exercise non-adherence. Repeated text message reminders appear to have greater effect in patients with lower levels of education. Text message reminders may represent an especially effective intervention to improve adherence to disease modifying therapies in these populations.
Author Disclosures: A.K. Pandey: None. T. Patel: None. N. Suskin: None. N. Choudhry: None.
- © 2016 by American Heart Association, Inc.