Telepharmacy intervention: Can it impact medication adherence among patients with chronic disease?
DOI:
https://doi.org/10.46542/pe.2024.242.104108Keywords:
Chronic disease, Online platform, Patient adherence, TelepharmacyAbstract
Background: Medication adherence among patients with chronic diseases remains challenging for healthcare professionals. The large number and types of drugs that must be taken in the long term and the lack of knowledge related to drugs and diseases are factors that affect patient compliance. Telepharmacy is expected to improve patient medication adherence by providing easy access to consult with pharmacists.
Objective: To assess the effect of telepharmacy on chronic patient medication adherence.
Methods: This study had a cross-sectional study design, and the study population was Lifepack application users. The data was collected through an online questionnaire distributed through the Lifepack platform. The adherence was evaluated using the Morisky Medication Adherence Scale, and the association of telepharmacy and patient medication adherence was examined using the chi-square independence test with significance at p < 0.05.
Results: In a study comprising of 94 respondents, a proportional ratio of respondents who used and did not use telepharmacy services was observed (45.75% and 54.25%, respectively). Analysis using the chi-square statistic (χ²) demonstrated a significant association between telepharmacy and patient adherence (χ² = 64.745, df = 1, p < 0.001). Furthermore, the odds ratio (OR) revealed a substantial difference in adherence, with an OR of 122.67 (95% CI [27.58, 545.66]).
Conclusion: Telepharmacy has a significant impact on medication adherence in chronic patients.
References
Badan Penelitian dan Pengembangan Kesehatan. (2018). Laporan nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514
Badan POM RI. (2020). Peraturan badan pengawas obat dan makanan nomor 8 Tahun 2020 tentang pengawasan obat dan makanan yang diedarkan secara daring. https://jdih.pom.go.id/download/product/861/8/2020
Bickmore, T. W., Kimani, E., Trinh, H., Pusateri, A., Paasche-Orlow, M. K., & Magnani, J. W. (2018). Managing chronic conditions with a smartphone-based conversational cirtual agent. Proceedings of the 18th International Conference on Intelligent Virtual Agents, 119–124. https://doi.org/10.1145/3267851.3267908
Connelly, K., Faber, A. M., Rogers, Y., Siek, K., & Toscos PhD, T. (2006). Mobile applications that empower people to monitor their personal health. E & i Elektrotechnik Und Informationstechnik, 123(4), 124.
Cotter, A. P., Durant, N., Agne, A. A., & Cherrington, A. L. (2014). Internet interventions to support lifestyle modification for diabetes management: A systematic review of the evidence. Journal of Diabetes and Its Complications, 28(2), 243–251. https://doi.org/10.1016/j.jdiacomp.2013.07.003
Edi, I. G. M. S. (2020). Faktor-faktor yang memengaruhi kepatuhan pasien pada pengobatan. Jurnal Ilmiah Medicamento, 1(1). https://doi.org/10.36733/medicamento.v1i1.719
Farid, A. F., Firdausy, A. Z., Sulaiman, A. M., Simangunsong, D. E., Sulistyani, F. E., Varianti, F. M. A., Ong, K. K., Kristiany, L., Diningsih, N. E. M., & Febiani, N. (2022). Efektivitas penggunaan layanan telefarmasi di era pandemi COVID-19 dari perspektif masyarakat. Jurnal Farmasi Komunitas, 9(2).
Henselmans, I., Heijmans, M., Rademakers, J., & van Dulmen, S. (2015). Participation of chronic patients in medical consultations: Patients’ perceived efficacy, barriers and interest in support. Health Expectations, 18(6), 2375–2388. https://doi.org/10.1111/hex.12206
Iannitti, T., Di Cerbo, A., Cesar Morales-Medina, J., & Palmieri, B. (2015). Narrative review of telemedicine consultation in medical practice. Patient Preference and Adherence, 65. https://doi.org/10.2147/PPA.S61617
JASP Team. (2023). JASP (Version 0.18.0)[Computer software]. https://jasp-stats.org/
Kini, V., & Ho, P. M. (2018). Interventions to improve medication adherence. JAMA, 320(23), 2461. https://doi.org/10.1001/jama.2018.19271
Lifepack. (2023). Lifepack. https://lifepack.id/
Rahmayani, I. (2015). Indonesia raksasa teknologi Ddigital Asia. https://www.kominfo.go.id/content/detail/6095/indonesia-raksasa-teknologi-digital-asia/0/sorotan_media
Sinuraya, R. K., Destiani, D. P., Puspitasari, I. M., & Diantini, A. (2018). Medication adherence among hypertensive patients in primary healthcare in Bandung City. Indonesian Journal of Clinical Pharmacy, 7(2), 124–133.
World Health Organization. (2003). Adherence to long-term therapies: Evidence for action. World Health Organization.
Xin, C., xia, zhongni, jiang, cheng, lin, mengmeng, & li, gonghua. (2015). Effect of pharmaceutical care on medication adherence of patients newly prescribed insulin therapy: a randomized controlled study. Patient Preference and Adherence, 797. https://doi.org/10.2147/PPA.S84411
