Linn, A.J., Van Dijk, L., Van Weert, J.C.M., Gebeyehu, B.G., Van Bodegraven, A.A., & Smit, E.G. (2018). Creating a synergy effect: A randomized controlled trial testing the effect of a tailored multimedia intervention on patient outcomes. Patient Education and Counseling, 101, 1419-1426. doi:10.1016/j.pec.2018.03.017

Abstract

OBJECTIVE:

Improving adherence is a challenge and multiple barriers are likely to explain non-adherence. These barriers differ per patient and over course of the regimen. Hence, personalized interventions tailored to the specific barriers are needed. In a theoretical and evidence-based Tailored Multimedia Intervention, technology (online preparatory assessment, text messaging) was used as an add-on to a tailored counseling session (learned during a communication skills training), with the expectation of synergistic effects.

METHODS:

A cluster randomized controlled trial was conducted in six hospitals, eight nurses and 160 chronic patients. Patient satisfaction with communication, beliefs about medication, self-efficacy and medication adherence were assessed at initiation of the treatment and after six months.

RESULTS:

Intervention effects were found for patient satisfaction with nurses’ affective communication and self-efficacy at the initiation of treatment. The effect on self-efficacy remained after six months.

CONCLUSION:

By combining tailored counseling with technology, this intervention resulted in positive changes in important prerequisites of medication adherence.

PRACTICAL IMPLICATIONS:

Technology can contribute significantly to health care providers’ ability to tailor information to the patients’ needs.