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MAR: A Study of the Impact of Positive and Negative Reinforcement on Medication Adherence Reminders

机译:MAR:正负强化对药物依从性提醒的影响研究

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This study investigates the effectiveness of three versions of a mobile persuasive application called Medication Adherence Reminder (MAR) in promoting medication adherence level among patients. MAR-1 offers a reminder feature, similar to most mobile applications on the market today, and a medications history, intended to promote self-awareness of medication adherence behavior. MAR-2 adds a points system to reward adherence, while MAR-3 adds a demerit system to punish nonadherence. An experimental comparative approach was employed to evaluate and compare the effectiveness of the three versions of MAR. The sample consisted of 30 participants over 18 years of age and on long-term medication regimens. A four-week field study with 10 participants for each MAR version was conducted. The majority of the participants found the app useful in helping them stick to their prescriptions. Most importantly, both the reward and penalty features were found to promote medication adherence behavior above the MAR-1 baseline level. While participants favored rewards over penalty, no statistically significant difference in medication adherence was found between the two approaches.
机译:这项研究调查了三个版本的移动说服应用程序的有效性,这些应用程序称为“药物依从性提醒”(MAR),可提高患者之间的药物依从性水平。 MAR-1具有提醒功能,类似于当今市场上的大多数移动应用程序,并且具有用药历史,旨在促进人们对用药行为的自我意识。 MAR-2添加了积分系统来奖励遵守情况,而MAR-3添加了记分系统来惩罚不遵守情况。实验比较方法用于评估和比较三种版本的MAR的有效性。样本由30位18岁以上且接受长期药物治疗的参与者组成。进行了为期四周的现场研究,每个MAR版本有10名参与者。大多数参与者发现该应用程序有助于他们坚持处方。最重要的是,发现奖励和惩罚特征均能​​促进药物依从性高于MAR-1基线水平。尽管参与者偏重于奖励而不是惩罚,但两种方法在药物依从性方面均未发现统计学上的显着差异。

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