A Quasi-Experimental Study to Assess the Effectiveness of Electronic Messaging Support Service Program on Adherence of Lipid-Lowering Therapy among Patients of Acute Coronary Syndrome at Cardiac Out Patient Department, KGMU, Lucknow

Abstract

Aim: The objective of the study was to assess the effectiveness electronic messaging support service program (EMSSP) on adherence of lipid-lowering therapy among cardiac outpatient department (OPD) patients of acute coronary syndrome (ACS).

Materials and Methods: The research approach was quantitative and quasi-experimental with nonrandomized control group design was applied in the study. Samples of the study were outdoor patients attending cardiac OPD, who met the inclusion criteria and agreed to participate in the study. In this study, 90 patients of ACS (45 in each, experimental and control group) within 48 h of diagnosis are included. The intervention, EMSSP was given for 2 months. Tools used for data collection were Modified Morisky, Green and Levine Medication Adherence Scale (MAS), pill count, and serum lipid profile. Collected data were analyzed by descriptive (frequency distribution and percentage) and inferential statistics using the SPSS vesion16.

Results: There was significant change in mean and Standard deviation (SD) score of Modified Morisky, Green and Levine Medication Adherence Scale (MAS) and pill count in experimental group than in control group with P = 0.00001. Similarly, there was a significant decrease in mean SD of total cholesterol and low-density lipoprotein level (P < 0.05) in the experimental group than the control group at 2 months of EMSSP.

Conclusion: Reminding and supporting patients in taking the medication seems the most promising intervention in treating un-intentional non-adherence of medication.