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The Effectiveness of Education and Mobile Phone Reminder on Adherence on Medication in Elderly with Hypertension (A pilot Randomized controlled Trial)

  • At: PPR SIG 2021 (2021)
  • Type: Digital
  • By: ZAIRINA, Elida (Department of Pharmacy Practice, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia, Indonesia)
  • Co-author(s): Rodhyatul Fithri1, Umi Athiyah2,3, Elida Zairina2,3,4* 1Master of Pharmaceutical Science Study Program, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia 2 Department of Pharmacy Practice, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia 3 Innovative Pharmacy Practice and Integrated Outcome Research (INACORE) Group, Universitas Airlangga, Surabaya, Indonesia 4Center for Patient Safety Research, Universitas Airlangga, Surabaya, Indonesia
  • Abstract:


    Hypertension is the highest disease prevalence in the elderly in Indonesia. Studies found that the factors that lead to non-adherence in the elderly that knowledge and memory. Medication adherence essential to achieve the therapeutic target and to prevent complications.


    This study aimed to determine the effect of education on adherence in hypertensive elderly using the Health Belief Model (HBM) and a mobile phone reminder.


    A randomized controlled trial (RCT) design was used in this study. The intention to treat analysis was conducted in 86 participants who met the inclusion criteria. Personal telephone education, Whatsapp text reminders to take medication, and telephone reminders to refill prescription were among the interventions provided. The ARMS, the HBM, and the knowledge questionnaires were used in this study. The Blood pressure was measured before and after the intervention. SPSS version 24 was used to perform statistical analysis on the data.


    The T-test showed a difference in the level of adherence between the two groups (p>0.005) after the intervention. The Intervention groupshown significant improvement in adherence, which means the education succeeded in influenced the perceptions of hypertensive elderly, assisted by mobile phone reminder. In addition, the patient\’s blood pressure decreased significantly after intervention (p <0.005) of 15.18mmHg systole and 10.44mmHg diastole.


    Education based on the Health Belief Model (HBM) and mobile phone reminder interventions effectively improve adherence and control blood pressure in the elderly with hypertension.

Last update 4 October 2019

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