The Habit Formation trial of behavioral economic interventions to improve statin use and reduce the risk of cardiovascular disease: Rationale, design and methodologies
Peter P Reese, Kevin G Volpp, Louise B Russell, George Loewenstein, Jiali Yan, David Pagnotti, Ryan McGilloway, Troyen Brennen, Darra Finnerty, Karen Hoffer, Sakshum Chadha, Iwan Barankay
Abstract [from journal]
Background: Low adherence to statin (HMG-CoA reductase inhibitors) medication is common. Here, we report on the design and implementation of the Habit Formation trial. This clinical trial assessed whether the interventions, based on principles from behavioral economics, might improve statin adherence and lipid control in at-risk populations. We describe the rationale and methods for the trial, recruitment, conduct and follow-up. We also report on several barriers we encountered
Electronic Pill Bottles or Bidirectional Text Messaging to Improve Hypertension Medication Adherence (Way 2 Text): a Randomized Clinical Trial
Shivan J. Mehta, Kevin G. Volpp, Andrea B. Troxel, Susan C. Day, Raymond Lim, Noora Marcus, Laurie Norton, Sophia Anderson, David A. Asch
Abstract [from journal]
Background: Poor medication adherence contributes to inadequate control of hypertension. However, the value of adherence monitoring is unknown.
Objective: To evaluate the impact of monitoring adherence with electronic pill bottles or bidirectional text messaging on improving hypertension control.
Design: Three-arm pragmatic randomized controlled trial.
Patients: One hundred forty-nine primary care patients aged 18-75 with hypertension and text messaging capabilities who
...Tailored medication adherence incentives for high-risk children with asthma: a pilot study
Chén C. Kenyon, Kavya G. Sundar, Siobhan M. Gruschow, William O. Quarshie, Chris Feudtner, Tyra C. Bryant-Stephens, Victoria A. Miller
Abstract [from journal]
Objective: While reminder-based electronic monitoring systems have shown promise in enhancing inhaled corticosteroid (ICS) adherence in select populations, more engaging strategies may be needed in families of children with high-risk asthma. This study assesses the acceptability and feasibility of gain-framed ICS adherence incentives in families of urban, minority children with frequent asthma hospitalization.
Methods: We enrolled children aged 5-11 years with multiple yearly asthma hospitalizations in a 2-
...Factors Associated with Potentially Inappropriate Medication Use in Community‐Dwelling Older Adults in the United States: A Systematic Review
Stephanie K. Nothelle, Ritu Sharma, Allison Oakes, Madeline Jackson, Jodi B. Segal
Abstract [from journal]
Objectives: Potentially inappropriate medication (PIM) use in older adults is a prevalent problem associated with poor health outcomes. Understanding drivers of PIM use is essential for targeting interventions. This study systematically reviews the literature about the patient, clinician and environmental/system factors associated with PIM use in community‐dwelling older adults in the United States.
Will Cancer Care Be Moving Out of the Hospital Into The Home?
Photo Page: 2018 Penn Behavioral Science and Health Symposium
Photo Page: Poster Session at 2018 Roybal Behavioral Economics Retreat
Mountain Top Behavioral Economics: 2018 Roybal Retreat Photo Page
Penn Nursing's Alison Buttenheim Named Interim Director of CHIBE
Inside the Black Box of Patient-Centered Medical Homes
The concept of a patient-centered medical home (PCMH) holds intuitive appeal, with its emphasis on coordination of care, improved patient-provider communication and patient engagement, use of health information technology, and expanded practice hours.
Mitesh Patel's Alice Hersh Award Acceptance Speech in Seattle
Trends in P2Y12 Receptor Inhibitor Use and Adherence After Percutaneous Coronary Intervention, 2008-2016
Post-angioplasty, patient adherence to recommended antiplatelet therapy decreased when newer, more expensive drugs were introduced. From 2008-2016, as the use of newer agents increased, the proportion of patients not filling any antiplatelet prescription within 30 days of discharge increased from 6.4% to 19.1%. In the subsequent 12 months, the newer drugs were associated with higher patient costs and lower adherence to recommended therapy.
Partners and Alerts in Medication Adherence: A Randomized Clinical Trial
Judd B. Kessler, Andrea B. Troxel, David A. Asch, Shivan J. Mehta...
Abstract [from journal]
Background: Poor medication adherence is common and limits the effectiveness of treatment.
Objective: To investigate how social supports, automated alerts, and their combination improve medication adherence.
Design: Four-arm, randomized clinical trial with a 6-month intervention.
Participants: A total of 179 CVS health employees or adult dependents with CVS Caremark prescription coverage, a current daily statin prescription, a medication possession ratio less than 80%,...