Opportunities for technology: Translating an efficacious intervention to improve medication adherence among older adults

Abstract

We developed and tested the Multifaceted Prospective Memory Intervention (MPMI) to improve medication adherence among older adults (≥ 65 years of age) who were prescribed at least one daily medication for the control of high blood pressure. Blood pressure control is important because high blood pressure is a leading cause of stroke, heart failure, retinopathy, renal disease as well as pathology in other end organs including the brain. The MPMI resulted in improvement from 57% at baseline to 78% adherence to the inter-dose interval post intervention, but most of these gains were lost after 5 months. The control condition started at 68%, was stable during the intervention, but dropped to 62% after 5 months of additional monitoring. The intervention was successful, but the effects were not sustained. Continued investigation to find ways to enhance self-management among older adults using technology is needed in order to maintain health and function.