Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review
Medication adherence (MA) is a major problem. On average 50% of chronic disease management medications are not taken as prescribed While digital healthcare tools like mobile apps offer benefits such as informative messages and prescription management, they must be personalized and offer support acro...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Diabetology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-4540/4/4/40 |
| _version_ | 1827575099623997440 |
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| author | Nikol Georgieva Viktor Tenev Maria Kamusheva Guenka Petrova |
| author_facet | Nikol Georgieva Viktor Tenev Maria Kamusheva Guenka Petrova |
| author_sort | Nikol Georgieva |
| collection | DOAJ |
| description | Medication adherence (MA) is a major problem. On average 50% of chronic disease management medications are not taken as prescribed While digital healthcare tools like mobile apps offer benefits such as informative messages and prescription management, they must be personalized and offer support across all medication phases to effectively address individual patient factors and optimize adherence, with room for further improvements. This scoping review examined the impact of digital health technologies on MA in adults with diabetes as well as their benefits and barriers. Using PubMed and Scopus databases, 11 out of 385 studies (2.86%) from January 2017 to August 2023 met the criteria for digital health interventions in diabetes MA, assessed through the Chronic Care Model. The Chronic Care Model (CCM) is a patient-centered, evidence-based framework designed to improve the care and outcomes for chronic illness patients, consisting of six core elements and enhanced by eHealth tools that facilitate self-management and support through digital innovations. The results demonstrate the effectiveness of digital health technology in improving medication adherence among adults with diabetes. Specific digital interventions, including mobile apps like Gather and Medisafe, SMS text messaging, telemonitoring, and tailored care management have demonstrated effectiveness in enhancing MA. These interventions have shown positive outcomes, including enhanced glycemic control and increased patient engagement. Some of the limitations, which these technologies face, are the poor usability, digital illiteracy among the patients, low rates of sustainability and low accessibility among the elderly population. Digital health technology shows promise in enhancing medication adherence among adults with diabetes, as revealed in this scoping review. However, ongoing research is necessary to fine-tune these interventions for improved outcomes and the overall well-being of individuals with diabetes. Additional improvement of the technologies and adaptation to the diverse population might be a good field for exploration. |
| first_indexed | 2024-03-08T20:51:24Z |
| format | Article |
| id | doaj.art-1aa050282ed440dd8106bf3420d43553 |
| institution | Directory Open Access Journal |
| issn | 2673-4540 |
| language | English |
| last_indexed | 2024-03-08T20:51:24Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diabetology |
| spelling | doaj.art-1aa050282ed440dd8106bf3420d435532023-12-22T14:02:57ZengMDPI AGDiabetology2673-45402023-10-014446548010.3390/diabetology4040040Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping ReviewNikol Georgieva0Viktor Tenev1Maria Kamusheva2Guenka Petrova3Department of Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University of Sofia, 1000 Sofia, BulgariaDepartment of Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University of Sofia, 1000 Sofia, BulgariaDepartment of Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University of Sofia, 1000 Sofia, BulgariaDepartment of Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University of Sofia, 1000 Sofia, BulgariaMedication adherence (MA) is a major problem. On average 50% of chronic disease management medications are not taken as prescribed While digital healthcare tools like mobile apps offer benefits such as informative messages and prescription management, they must be personalized and offer support across all medication phases to effectively address individual patient factors and optimize adherence, with room for further improvements. This scoping review examined the impact of digital health technologies on MA in adults with diabetes as well as their benefits and barriers. Using PubMed and Scopus databases, 11 out of 385 studies (2.86%) from January 2017 to August 2023 met the criteria for digital health interventions in diabetes MA, assessed through the Chronic Care Model. The Chronic Care Model (CCM) is a patient-centered, evidence-based framework designed to improve the care and outcomes for chronic illness patients, consisting of six core elements and enhanced by eHealth tools that facilitate self-management and support through digital innovations. The results demonstrate the effectiveness of digital health technology in improving medication adherence among adults with diabetes. Specific digital interventions, including mobile apps like Gather and Medisafe, SMS text messaging, telemonitoring, and tailored care management have demonstrated effectiveness in enhancing MA. These interventions have shown positive outcomes, including enhanced glycemic control and increased patient engagement. Some of the limitations, which these technologies face, are the poor usability, digital illiteracy among the patients, low rates of sustainability and low accessibility among the elderly population. Digital health technology shows promise in enhancing medication adherence among adults with diabetes, as revealed in this scoping review. However, ongoing research is necessary to fine-tune these interventions for improved outcomes and the overall well-being of individuals with diabetes. Additional improvement of the technologies and adaptation to the diverse population might be a good field for exploration.https://www.mdpi.com/2673-4540/4/4/40digital healthdiabetesmedication adherence |
| spellingShingle | Nikol Georgieva Viktor Tenev Maria Kamusheva Guenka Petrova Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review Diabetology digital health diabetes medication adherence |
| title | Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review |
| title_full | Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review |
| title_fullStr | Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review |
| title_full_unstemmed | Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review |
| title_short | Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review |
| title_sort | diabetes mellitus digital solutions to improve medication adherence scoping review |
| topic | digital health diabetes medication adherence |
| url | https://www.mdpi.com/2673-4540/4/4/40 |
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