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Table 1 Study characteristics for the included studies

From: The use of technology to improve medication adherence in heart failure patients: a systematic review of randomised controlled trials

Study

Study design

Sample size

Intervention

Control group

Intervention arms

Length of intervention

Primary outcomes

Secondary outcomes

Hale et al. [15], USA

Randomized controlled pilot study

Intervention = 13

Control = 16

(n = 29)

MedSentry remote medication monitoring system- medication contained in individual bins with participants alerted when it is time to take it

Usual care: using their usual medication reminder method

2 arms (control versus intervention)

90 days

• Medication adherence

• Health status

• Quality of life

• Emergency department (ED) visits and hospitalizations

Not applicable

Gallagher et al. [16], USA

Randomized controlled pilot study

Intervention = 20

Control = 20

(n = 40)

Telemonitoring (in combination with the GlowCap system- patients told they may be contacted for monitoring in intervention group

Usual care with passive monitoring

2 arms (control versus intervention)

30 days

• Adherence to loop diuretics

• 30-day all cause readmission

• Attendance at follow-up

• Acceptability of telemonitoring

Goldstein et al. [17], USA

Randomized controlled feasibility trial

Smartphone (n = 30)

Intervention = 15

Control = 15

Container (n = 30)

Intervention = 15

Control = 15

(n = 60)

Telehealth intervention (electronic pill box) and m-health intervention (app on smartphone)

Usual care with intervention device that did not provide reminders—"silent condition"

2 × 2 arms (two control versus intervention)

1.Pillbox silent

2.Pillbox reminding

3.Smartphone silent

4.Smartphone reminding

28 days

• Medication adherence

• Mastery of intervention (participants ability to use their given device and its functions)

• Device ratings

Not applicable

Boyne et al. [18], Netherlands

Randomised controlled trial

Intervention = 197

Control = 185

(n = 382)

Telemonitoring device (HealthBuddy)- connected to a landline. Participants answered daily questions about symptoms, knowledge, and behaviour by touching one of the device keys

Usual care with easy access to a HF nurse and 4 outpatient clinic visits during follow-up

2 arms (control versus intervention)

12 months

• Disease-specific knowledge

• Disease-specific self-care

• Disease-specific self-efficacy

• Disease-specific adherence to therapy

Not applicable

Wu et al. [19], USA

Randomised controlled trial

TPB + MEMS group = 27

TPB = 27

Control = 28

(n = 82)

Theory of Planned Behaviour (TPB) AND Medication Event Monitoring System (MEMS) feedback

Usual care

3 arms

1.TPB and MEMS (PLUS)

2.TPB (LITE)

3. Usual care (Control)

9 months

• Cardiac event-free survival

• Quality of life

• Medication adherence

Not applicable

Felker et al. [20], USA

Randomised Controlled Trial

Intervention = 92

Control = 95

(n = 187)

Mobile Health (mHealth) intervention- educational skill-based teaching for medication management

Usual care

2 arms (intervention versus control)

3 months

(6 months follow-up as well)

• Change in mean daily step count from baseline through 3 months

• Change in medication adherence

• Quality of life

• Physiological measure of disease status (NT-proNBP, HbA1c)

• Metabolic profiling

Yanicelli et al. [21], Argentina

Randomised Controlled Trial

Intervention = 20

Control = 20

(n = 40)

Home telemonitoring system (HTS)- application (app) that collects physiological measures and symptoms, with an educational and messaging function

Usual care

2 arms (intervention versus control)

90 days

• Changes in self-care

• Changes in treatment adherence

• Rehospitalisation

Young et al. [22], USA

Randomised Controlled Trial

Intervention = 54

Control = 51

(n = 105)

Electronic pill organizer reminder

Usual care with standard discharge teaching and scheduled follow-up doctor's appointment

2 arms (intervention versus control)

12-week SM training

3 + 6-month follow-up

SM adherence:

• Frequencies of daily weighing

• Following low-sodium diet

• Taking prescribed medication

• Exercising

• Attending follow-up appointments

• Clinical biomarkers

• All-cause readmissions

• ED visits

• Physical activity

Ross et al. [23], USA

Randomised controlled trial

Intervention group = 54

Control group = 53

(n = 107)

SPPARO (System Providing Access to Records Online):

• Web-based electronic medical record

• Web-based educational guide

• Web-based messaging system

Usual care

2 arms (control versus intervention)

12 months

• Self-efficacy

• Patient satisfaction

• Adherence (medication and general)