142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

305381
Effects of a Smart Patient Program on Medication Adherence, Pain, Physical Function and Depression among Korean Medical Aid Beneficiaries with Osteoarthritis

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Yang Heui Ahn, PhD, RN, HCNS , Department of Nursing, Wonju College of Medicine Yonsei University, Wonju, South Korea
Background: Medication non-adherence is a growing concern to health care team because it is associated with adverse outcomes and higher costs of care. The purpose of this study was to identify the effects of a smart patient program for enhancing medication adherence on medication adherence, pain, physical function and depression among medical aid beneficiaries with osteoarthritis in a community of Korea. Methods: An experimental research design was employed. A total of 60 medical aid beneficiaries with osteoarthritis included high risk group, were recruited and assigned randomly to an experimental (n=30) or control group (n=30). The smart patient program (SPP) based on Cox's Interaction Model of Client Health Behavior was developed and implemented, which focused on patient-centered and tailored intervention with motivational interview and coaching strategies utilizing ‘smart card’ and ‘medication calendar’. The SPP had 8 sessions during 3 months and led by nurse as a case manager in partnership with pharmacist. Instruments were the Modified Morisky Scale, Korean Western Ontario McMaster Universities, Stanford Health Assessment Questionnaire, Korean Center for Epidemiologic Studies Depression Scale. Analysis included descriptive statistics, χ²-test, t-test and ANCOVA. Results: There were no differences between the groups in baseline measures except depression. Significant increase was observed for the experimental group as compared to the control group in medication adherence, pain, physical function, and decrease in depression. Conclusions: The Smart Patient Program was effective to improve medication adherence, pain, physical function and less depression. Further research is needed to clarify the long-term effects of the SPP through longitudinal study.

Learning Areas:

Public health or related nursing

Learning Objectives:
Identify the effects of a smart patient program on medication adherence, pain, physical function and depression among medical aid beneficiaries with osteoarthritis in a community of Korea.

Keyword(s): Adherence, Nurses/Nursing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal of multiple funded grants focusing on community/public health and nursing. My scientific interests have been the development of nursing intervention strategies to empower the undeserved population in the community.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.