Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials.
OBJECTIVE: To systematically review randomised controlled trials (RCTs) of computer-generated medication reminders or feedback directed to healthcare providers or patients. DATA SOURCES: Extensive computerised and manual literature searches identified 76 English-language reports of RCTs reported be...
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| Format: | Journal article |
| Language: | English |
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2003
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| _version_ | 1826262224472113152 |
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| author | Bennett, J Glasziou, P |
| author_facet | Bennett, J Glasziou, P |
| author_sort | Bennett, J |
| collection | OXFORD |
| description | OBJECTIVE: To systematically review randomised controlled trials (RCTs) of computer-generated medication reminders or feedback directed to healthcare providers or patients. DATA SOURCES: Extensive computerised and manual literature searches identified 76 English-language reports of RCTs reported before 1 January 2002. Searches were conducted between June 1998 and April 2002. STUDY SELECTION: 26 papers making 29 comparisons (two papers reported on multiple interventions) of computer-supported medication management to a control group. DATA EXTRACTION: The quality of the RCTs was systematically assessed and scored independently by two reviewers. Rates of compliance with (potential) reminders for the control and intervention groups were extracted. DATA SYNTHESIS: Heterogeneity of studies prevented a meta-analysis. Where possible, rates were calculated using the intention-to-treat principle. The comparisons were grouped into five areas. Reminders to providers in outpatient settings: six of 12 comparisons demonstrated positive effects (relative rates [RRs: intervention rates/control rates], 1.0 to 42.0). Provider feedback in outpatient settings: five of seven comparisons showed improved clinician behaviour (RRs, 1.0 to 2.5). Combined reminders and feedback in outpatient settings: the single comparison found no improvement. Reminders to providers in inpatient settings: three of five comparisons showed improvements (RRs, 1.0 to 2.1). Patient-directed reminders: two of four comparisons showed improvements in patient compliance. CONCLUSION: Reminders are more effective than feedback in modifying physician behaviour related to medication management. Patient-directed reminders can improve medication adherence. |
| first_indexed | 2024-03-06T19:33:01Z |
| format | Journal article |
| id | oxford-uuid:1e1c4600-8898-4394-a8e1-ae550fca2814 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:33:01Z |
| publishDate | 2003 |
| record_format | dspace |
| spelling | oxford-uuid:1e1c4600-8898-4394-a8e1-ae550fca28142022-03-26T11:14:33ZComputerised reminders and feedback in medication management: a systematic review of randomised controlled trials.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1e1c4600-8898-4394-a8e1-ae550fca2814EnglishSymplectic Elements at Oxford2003Bennett, JGlasziou, P OBJECTIVE: To systematically review randomised controlled trials (RCTs) of computer-generated medication reminders or feedback directed to healthcare providers or patients. DATA SOURCES: Extensive computerised and manual literature searches identified 76 English-language reports of RCTs reported before 1 January 2002. Searches were conducted between June 1998 and April 2002. STUDY SELECTION: 26 papers making 29 comparisons (two papers reported on multiple interventions) of computer-supported medication management to a control group. DATA EXTRACTION: The quality of the RCTs was systematically assessed and scored independently by two reviewers. Rates of compliance with (potential) reminders for the control and intervention groups were extracted. DATA SYNTHESIS: Heterogeneity of studies prevented a meta-analysis. Where possible, rates were calculated using the intention-to-treat principle. The comparisons were grouped into five areas. Reminders to providers in outpatient settings: six of 12 comparisons demonstrated positive effects (relative rates [RRs: intervention rates/control rates], 1.0 to 42.0). Provider feedback in outpatient settings: five of seven comparisons showed improved clinician behaviour (RRs, 1.0 to 2.5). Combined reminders and feedback in outpatient settings: the single comparison found no improvement. Reminders to providers in inpatient settings: three of five comparisons showed improvements (RRs, 1.0 to 2.1). Patient-directed reminders: two of four comparisons showed improvements in patient compliance. CONCLUSION: Reminders are more effective than feedback in modifying physician behaviour related to medication management. Patient-directed reminders can improve medication adherence. |
| spellingShingle | Bennett, J Glasziou, P Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials. |
| title | Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials. |
| title_full | Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials. |
| title_fullStr | Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials. |
| title_full_unstemmed | Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials. |
| title_short | Computerised reminders and feedback in medication management: a systematic review of randomised controlled trials. |
| title_sort | computerised reminders and feedback in medication management a systematic review of randomised controlled trials |
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