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Invited Commentary |

Mobile Text Messaging and Adherence of Patients to Medication Prescriptions A txt a dA keeps da doctR awA?

Robby Nieuwlaat, PhD1; Niraj Mistry, MD, MSc2; R. Brian Haynes, MD, PhD1,3
[+] Author Affiliations
1Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
2Department of Pediatrics, University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada
3Department of Medicine, McMaster University, Hamilton, Ontario, Canada
JAMA Intern Med. 2016;176(3):350-351. doi:10.1001/jamainternmed.2015.7853.
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Low patient medication adherence is one of the 2 largest unsolved gaps in health care, with the other being suboptimal therapy prescription. For example, oral anticoagulation (OAC) is firmly recommended in patients with atrial fibrillation at high risk for stroke, but typically about half of the eligible patients do not receive OAC.1 Of those patients who receive OAC, approximately half will not begin therapy or will stop therapy within a year,2 and of those patients persisting with an OAC regimen, only half take their pills consistently as prescribed.3 As a consequence, most patients will not reap the full health benefits from proven therapies such as OAC. There is rising interest in medication adherence research,4 but these well-meaning efforts have not yet led to substantial and reliable adherence improvements when looking at the entire adherence research field. Are we perhaps missing the signal of specific interventions?

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