The Smart-Phone Application Follow-up System for Medication Compliance in Patients with Depression

Authors

  • Rui CHI Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital)
  • Pengfei WANG Beijing Anding Hospital of Capital Medical University
  • Kaili ZHAO Development Center for Medical Science and Technology,National Health and Family Planning commission
  • Yajuan NIU Beijing Huilongguan Hospital
  • Jingge DU Beijing Huilongguan Hospital
  • Kun WANG Beijing Huayi Network Technology Corp.
  • Yuanhong CHEN Beijing Huayi Network Technology Corp.
  • Qinchao HUANG Beijing Huayi Network Technology Corp.
  • Shaoli WANG Beijing Huilongguan Hospital
  • Wentian DONG Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University),National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)

Keywords:

Smart-Phone APP, depression, medication compliance

Abstract

Objective: To evaluate the influence of a Smart-Phone Application (APP) Follow-up System (SPAFS) on medication compliance in patients treated for depression. Methods: Subjects aged 16-65 years old with depressive disorder, who regularly took antidepressant medications for at least one month were recruited from the Peking University Sixth Hospital and Beijing Hui Long Guan Hospital from July 1st, 2014, to April 30th, 2015. Two groups of patients were evaluated: SPAFS group (were willing to be online anytime, who received APP) and control group (agreed to adhere to traditional psychological clinical follow-up procedures). Results: One hundred and twenty-one patients were investigated, 57 in the SPAFS group (intervention group) and 64 in the control group. At the end of the 6-month follow-up, 17 patients in the control group and 4 patients in the intervention group discontinued their medication; there was a statistically significant difference (P<0.05). In the self-assessment of medication compliance, the scores in the intervention group (8.44±1.31) were significantly higher than those in the control group (6.95±2.73). The medication discontinuation rate in the intervention group was lower than that in the control group(P<0.05). The SDS scores in the intervention group were lower than those in the control group (P<0.05). The self-reported medication compliance scores in the intervention group were higher than those in the control group (P<0.05). The most common reasons for medication discontinuation in the control group were forgetting to take the medication, concerns about brain damage from long-term medication use, and the personal decision to discontinue medications when the medical condition appeared to improve. Conclusion: This study showed that the SPAFS improved medication compliance during the follow-up period in patients treated for depression.

Author Biographies

Rui CHI, Peking University Sixth Hospital, Peking University Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health (Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital)

Peking University Sixth Hospital, Peking University

Institute of Mental Health, Key Laboratory of Mental Health, Ministry of Health   (Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital)

Pengfei WANG, Beijing Anding Hospital of Capital Medical University

Beijing Anding Hospital of Capital Medical University

Kaili ZHAO, Development Center for Medical Science and Technology,National Health and Family Planning commission

Development Center for Medical Science and Technology,National Health and Family Planning commission

Yajuan NIU, Beijing Huilongguan Hospital

Beijing Huilongguan Hospital

Kun WANG, Beijing Huayi Network Technology Corp.

Beijing Huayi Network Technology Corp.

Yuanhong CHEN, Beijing Huayi Network Technology Corp.

Beijing Huayi Network Technology Corp.

Qinchao HUANG, Beijing Huayi Network Technology Corp.

Beijing Huayi Network Technology Corp.

Shaoli WANG, Beijing Huilongguan Hospital

Beijing Huilongguan Hospital

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Published

30.09.2019

How to Cite

1.
CHI R, WANG P, ZHAO K, NIU Y, DU J, WANG K, CHEN Y, HUANG Q, WANG S, DONG W. The Smart-Phone Application Follow-up System for Medication Compliance in Patients with Depression. Appl Med Inform [Internet]. 2019 Sep. 30 [cited 2024 Jun. 18];41(3):122-8. Available from: https://ami.info.umfcluj.ro/index.php/AMI/article/view/677

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Articles