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The impact of digital health interventions on medication adherence in hypertensive patients.

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Title: The impact of digital health interventions on medication adherence in hypertensive patients.
Alternate Title: El impacto de las intervenciones de salud digital en la adherencia a la medicación en pacientes hipertensos.
Authors: Shomurodova, Muhayyo1 shomurodova@bsmi.uz, Narmetova, Yulduz2 yulduzxan_narmetova@mail.ru, Mirzajonova, Saboxon3 sabohonmirzajanova@gmail.com, Mustafayeva, Malika4 malikamustafaeva1993@icloud.com, Axmedov, Avazbek5 ahmedovavazbek878@gmail.com, Masharifova, Salimaxon6 salimaxonmasharipova@gmail.com, Ikramova, Nodira7 ikromovanodira00@gmail.com, Mirzajonov, Azimjon8 mirzojonovazimjon4@gmail.com, Qushnazarova, Ugiljon9 ogiljon@urdu.uz
Source: Revista Latinoamericana de Hipertensión. 2025, Vol. 20 Issue 11, p791-797. 7p.
Subjects: DIGITAL health, PATIENT compliance, HEALTH care reminder systems, MOBILE apps, HYPERTENSION, SOCIOCULTURAL factors, REGULATION of blood pressure
Geographic Terms: UZBEKISTAN, TASHKENT (Uzbekistan)
Abstract (English): The aim of this study was to investigate the effect of digital health interventions on medication adherence in hypertensive patients in Uzbekistan. This cross-sectional study was conducted on 350 patients attending medical centers in Tashkent, Samarkand, and Bukhara. Information was collected through a structured questionnaire including demographic information, the Morisky Medication Adherence Scale, and a questionnaire about using digital interventions. The findings revealed that only 27.1% of the patients belonged to the high medication adherence, while 32.3% were in the low adherence group. As far as the use of digital tools is concerned, the most utilized tool was SMS reminders at 41.4%. Statistical tests also found a significant relationship between the use of digital interventions and medication adherence in a manner that users of these tools had a higher adherence score (r = 0.42, p < 0.001). Mobile application users had the highest mean adherence score (7.1) and non-users the lowest (5.4). Multivariate regression analyses also identified frequency of use of digital tools as the strongest positive predictor of adherence (ß = 0.38), with number of medications prescribed being a negative predictor. Further, at each level of adherence, patients who used digital tools were more likely to have optimal blood pressure control. This study concludes that digital health interventions can play an important role in improving medication adherence and clinical outcomes among hypertensive patients, but their success depends on contextual factors such as access to technology and cultural appropriateness of the tools. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): El objetivo de este estudio fue investigar el efecto de las intervenciones de salud digital en la adherencia a la medicación en pacientes hipertensos en Uzbekistán. Este estudio transversal se realizó con 350 pacientes que acudieron a centros médicos en Tashkent, Samarcanda y Bujará. La información se recopiló mediante un cuestionario estructurado que incluía información demográfica, la Escala de Adherencia a la Medicación de Morisky y un cuestionario sobre el uso de intervenciones digitales. Los resultados revelaron que solo el 27,1% de los pacientes pertenecía al grupo de alta adherencia a la medicación, mientras que el 32,3% se encontraba en el grupo de baja adherencia. En cuanto al uso de herramientas digitales, la herramienta más utilizada fueron los recordatorios por SMS con un 41,4%. Las pruebas estadísticas también revelaron una relación significativa entre el uso de intervenciones digitales y la adherencia a la medicación, de modo que los usuarios de estas herramientas presentaron una mayor puntuación de adherencia (r = 0,42, p < 0,001). Los usuarios de aplicaciones móviles obtuvieron la puntuación media de adherencia más alta (7,1) y los no usuarios, la más baja (5,4). Los análisis de regresión multivariante también identificaron la frecuencia de uso de herramientas digitales como el predictor positivo más fuerte de la adherencia (ß = 0,38), mientras que el número de medicamentos prescritos fue un predictor negativo. Además, en cada nivel de adherencia, los pacientes que utilizaron herramientas digitales tuvieron mayor probabilidad de tener un control óptimo de la presión arterial. Este estudio concluye que las intervenciones de salud digital pueden desempeñar un papel importante en la mejora de la adherencia a la medicación y los resultados clínicos en pacientes hipertensos, pero su éxito depende de factores contextuales como el acceso a la tecnología y la adecuación cultural de las herramientas. [ABSTRACT FROM AUTHOR]
Copyright of Revista Latinoamericana de Hipertensión is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The impact of digital health interventions on medication adherence in hypertensive patients.
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  Data: The aim of this study was to investigate the effect of digital health interventions on medication adherence in hypertensive patients in Uzbekistan. This cross-sectional study was conducted on 350 patients attending medical centers in Tashkent, Samarkand, and Bukhara. Information was collected through a structured questionnaire including demographic information, the Morisky Medication Adherence Scale, and a questionnaire about using digital interventions. The findings revealed that only 27.1% of the patients belonged to the high medication adherence, while 32.3% were in the low adherence group. As far as the use of digital tools is concerned, the most utilized tool was SMS reminders at 41.4%. Statistical tests also found a significant relationship between the use of digital interventions and medication adherence in a manner that users of these tools had a higher adherence score (r = 0.42, p &lt; 0.001). Mobile application users had the highest mean adherence score (7.1) and non-users the lowest (5.4). Multivariate regression analyses also identified frequency of use of digital tools as the strongest positive predictor of adherence (&#223; = 0.38), with number of medications prescribed being a negative predictor. Further, at each level of adherence, patients who used digital tools were more likely to have optimal blood pressure control. This study concludes that digital health interventions can play an important role in improving medication adherence and clinical outcomes among hypertensive patients, but their success depends on contextual factors such as access to technology and cultural appropriateness of the tools. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
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  Data: El objetivo de este estudio fue investigar el efecto de las intervenciones de salud digital en la adherencia a la medicaci&#243;n en pacientes hipertensos en Uzbekist&#225;n. Este estudio transversal se realiz&#243; con 350 pacientes que acudieron a centros m&#233;dicos en Tashkent, Samarcanda y Bujar&#225;. La informaci&#243;n se recopil&#243; mediante un cuestionario estructurado que inclu&#237;a informaci&#243;n demogr&#225;fica, la Escala de Adherencia a la Medicaci&#243;n de Morisky y un cuestionario sobre el uso de intervenciones digitales. Los resultados revelaron que solo el 27,1% de los pacientes pertenec&#237;a al grupo de alta adherencia a la medicaci&#243;n, mientras que el 32,3% se encontraba en el grupo de baja adherencia. En cuanto al uso de herramientas digitales, la herramienta m&#225;s utilizada fueron los recordatorios por SMS con un 41,4%. Las pruebas estad&#237;sticas tambi&#233;n revelaron una relaci&#243;n significativa entre el uso de intervenciones digitales y la adherencia a la medicaci&#243;n, de modo que los usuarios de estas herramientas presentaron una mayor puntuaci&#243;n de adherencia (r = 0,42, p &lt; 0,001). Los usuarios de aplicaciones m&#243;viles obtuvieron la puntuaci&#243;n media de adherencia m&#225;s alta (7,1) y los no usuarios, la m&#225;s baja (5,4). Los an&#225;lisis de regresi&#243;n multivariante tambi&#233;n identificaron la frecuencia de uso de herramientas digitales como el predictor positivo m&#225;s fuerte de la adherencia (&#223; = 0,38), mientras que el n&#250;mero de medicamentos prescritos fue un predictor negativo. Adem&#225;s, en cada nivel de adherencia, los pacientes que utilizaron herramientas digitales tuvieron mayor probabilidad de tener un control &#243;ptimo de la presi&#243;n arterial. Este estudio concluye que las intervenciones de salud digital pueden desempe&#241;ar un papel importante en la mejora de la adherencia a la medicaci&#243;n y los resultados cl&#237;nicos en pacientes hipertensos, pero su &#233;xito depende de factores contextuales como el acceso a la tecnolog&#237;a y la adecuaci&#243;n cultural de las herramientas. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Revista Latinoamericana de Hipertensi&#243;n is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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