Can a text message programme modify illness and medication beliefs in people with inflammatory disease?

Abstract

Background: Tailoring text messages based on patients’ illness and medication beliefs has shown significant improvements in medication adherence, however this has not been tested within the IBD population. Unintentional and intentional medication adherence is problematic, therefore this research will establish an understanding of the efficacy of text messages designed to modify illness and medication beliefs associated with adherence. Methods: An evaluation study was conducted with a sample of 32 IBD patients within the UK. Medication beliefs and illness perception scores determined the set of personalised daily text messages participants received over a duration of 12 weeks. A bank of 112 messages were developed. Self-reported medication adherence was measured pre and post evaluation. Findings: Self-reported medication adherence increased post intervention, a significant increase in treatment control t (31) =-6.04, p<.001 and coherence t (31) =-5.63, p<.001 and a decreased level of concern surrounding their condition was evident. Medication concerns decreased, this difference was statistically significant, t (31) = 2.16, p<.038, interestingly medication necessity increased by 66%. Discussion: Tailoring text messages can improve medication adherence in patients with IBD. Addressing patients preconceived medication concerns and illness beliefs associated with their condition can increase medication adherence which will not only improve patient outcomes but save a significant amount of money within the NHS.