Patients’ Perception of App-based Educational and Behavioural Interventions for Enhancing Oral Anticancer Medication Adherence
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Well-designed smartphone apps can potentially help in enhancing adherence to oral anticancer medications (OAMs). The objective of this study was to evaluate patients’ perception on inclusion of various adherence-enhancing strategies as features of an app and their interest in using such app. A cross-sectional survey was conducted at the National Cancer Centre Singapore. A structured self-administered questionnaire was used to collect data from patients taking OAMs. Final analysis was based on 409 surveys and most of the respondents were female (291, 71.1%), Chinese (332, 81.2%), married (296, 72.4%) and breast cancer patients (211, 51.6%). Close to two-thirds of respondents rated medication information (65.0%), disease information (60.2%) and side effect self-management (60.2%) features as having the highest level of importance in an adherence app. Three hundred thirty-two (81.2%) of the respondents owned a smartphone, among which 92 (27.7%) reported using health-related apps. From respondents with smartphones, 219 (66.0%) were interested in using an app for OAM adherence. Age 65 and older compared to 21–54 years old (adjusted OR = 0.34; 95% CI = 0.15–0.76) and current use of a health app (adjusted OR = 1.91; 95% CI = 1.07–3.41) were significant predictors of interest to adopt an adherence app. In conclusion, patients value the inclusion of educational and behavioural interventions in adherence apps. Developers of adherence apps should consider including tools for side effect self-management and provision of information to educate patients on their medications and disease condition.
KeywordsAdherence Oral anticancer medication Cancer Smartphone app Educational intervention
The authors wish to thank all the pharmacy staff, at the National Cancer Centre Singapore, who helped in the process of data collection.
Compliance with Ethical Standards
This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.
Conflict of Interest
- 4.Nieuwlaat R, Wilczynski N, Navarro T, Hobson N, Jeffery R, Keepanasseril A, Agoritsas T et al (2014) Interventions for enhancing medication adherence. Cochrane Database Syst Rev. doi: 10.1002/14651858.CD000011.pub4 (11):Cd000011
- 10.Bender MS, Choi J, Arai S, Paul SM, Gonzalez P, Fukuoka Y (2014) Digital technology ownership, usage, and factors predicting downloading health apps among caucasian, filipino, korean, and latino americans: the digital link to health survey. JMIR Mhealth Uhealth 2(4):e43CrossRefPubMedPubMedCentralGoogle Scholar
- 14.Deloitte. 2015. Mobile multiplies: global mobile consumer survey. https://www2.deloitte.com/content/dam/Deloitte/sg/Documents/technology-media-telecommunications/sg-tmt-global-mobile-consumer-survey-noexp.pdf. Accessed 14 December 2015
- 19.Demonceau J, Ruppar T, Kristanto P, Hughes DA, Fargher E, Kardas P, De Geest S et al (2013) Identification and assessment of adherence-enhancing interventions in studies assessing medication adherence through electronically compiled drug dosing histories: a systematic literature review and meta-analysis. Drugs 73(6):545–562CrossRefPubMedPubMedCentralGoogle Scholar
- 20.Singapore Department of Statistics. 2007. Recommendations on definition and classification of age. https://www.singstat.gov.sg/docs/default-source/default-document-library/methodologies_and_standards/standards_and_classifications/nsa.pdf. Accessed 23 March 2016
- 22.Anderson M. 2015. Technology device ownership: 2015. http://www.pewinternet.org/2015/10/29/technology-device-ownership-2015/. Accessed 16 January 2016
- 23.IDC. 2015. Smartphone OS market share, 2015 Q2. http://www.idc.com/prodserv/smartphone-os-market-share.jsp. Accessed 29 March 2016
- 24.Stawarz K, Cox AL, Blandford A (2014) Don’t forget your pill! Designing effective medication reminder apps that support users’ daily routines. In: SIGCHI conference on human factors in computing systems. ACM Press, Toronto, CanadaGoogle Scholar