Brief Counseling and Mobile Phone Short Message Service (SMS) Increase Patient Compliance

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic inflammatory lung disease that is irreversible and progressive. One of the factors that plays a role in the success of COPD disease control is compliance in taking the drug. This research aimed to know the effect of SMS and brief counseling on compliance level in COPD outpatient at Pulmonary special Hospital in Bantul Yogyakarta. The research was conducted between the December 2014 and January 2015. This research used experimental study with pre and post controlled group design. There were 33 patients for each group. The intervention group received SMS and brief counseling, while the control group received standard care. The level of compliance data was collected based on interviews using Morisky Medication Adherence Scale (MMAS) questionnaire. The results showed that from 66 patients, 49 patients (72.2%) had a high level of compliance, 12 patients (18.2%) a moderate compliance and 5 patients (7.6%) a low compliance. MMAS analysis results showed that there was significant difference p = 0.000 (<0.05) between before and after intervention. For the control group there was no significant difference p = 0.306 (> 0.05). SMS and brief counseling in patients with COPD effectively enhanced the patient's compliance.