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Automated telecommunication interventions to promote adherence to cardio-metabolic medications: meta-analysis of effectiveness and meta-regression of behaviour change techniques
Health Psychology Review ( IF 9.638 ) Pub Date : 2017-09-12 , DOI: 10.1080/17437199.2017.1365617
Aikaterini Kassavou 1 , Stephen Sutton 1
Affiliation  

Automated telecommunication interventions, including short message service and interactive voice response, are increasingly being used to promote adherence to medications prescribed for cardio-metabolic conditions. This systematic review aimed to comprehensively assess the effectiveness of such interventions to support medication adherence, and to identify the behaviour change techniques (BCTs) and other intervention characteristics that are positively associated with greater intervention effectiveness. Meta-analysis of 17 randomised controlled trials showed a small but statistically significant effect on medication adherence, OR = 1.89, 95% CI [1.51, 2.36], I2 = 89%, N = 25,101. Multivariable meta-regression analysis including eight BCTs explained 88% of the observed variance in effect size (ES). The BCTs ‘tailored’ and ‘information about health consequences’ were positively and significantly associated with ES. Future studies could explore whether the inclusion of these and/or additional techniques (e.g., ‘implementation intentions’) would increase the effect of automated telecommunication interventions, using rigorous designs and objective outcome measures.

中文翻译:

自动化的电信干预措施,以促进对心血管药物的依从性:行为改变技术的有效性的荟萃分析和荟萃回归

自动化的电信干预措施,包括短消息服务和交互式语音响应,越来越多地用于促进对心脏代谢疾病处方药物的依从性。该系统评价旨在全面评估此类干预措施对支持药物依从性的有效性,并确定行为改变技术(BCT)和其他与更好的干预措施有效性呈正相关的干预措施特征。对17项随机对照试验的荟萃分析显示,对药物依从性的影响很小,但在统计学上具有统计学意义,OR = 1.89,95%CI [1.51、2.36],I 2  = 89%,N = 25,101。包括8个BCT在内的多变量元回归分析解释了88%的观察到的效应量方差(ES)。BCT“量身定制”和“有关健康后果的信息”与ES呈正相关且显着相关。未来的研究可以探索采用严格的设计和客观的结果衡量方法,将这些和/或其他技术(例如,“实施意图”)包括在内是否会提高自动电信干预措施的效果。
更新日期:2018-01-12
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