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HL7 mFHAST Research & Development Environmental Scan

Mobile phone text message reminders of antipsychotic medication

An article from the BMC Psychiatry journal

From the article results: "Of 273 inpatients, 85 met eligibility criteria for the survey, showed decisional capacity, and agreed to participate. Of the 85 respondents, over a third (31-35%) admitted to have forgotten to take/collect their antipsychotic medication in the past, and approximately half (49%) to have intentionally skipped their antipsychotics or taken a smaller dose than prescribed. Male patients (55%), those with negative attitudes towards antipsychotics (40%), and those unsatisfied with the information they received on medication (35%) were approximately 3 to 4 times more likely to report past intentional poor adherence. The large majority of respondents (80-82%) reported having a mobile phone and knowing how to use SMS, and a smaller majority (59%) expressed an interest in receiving SMS medication reminders after discharge. No variable predicted a patient's interest in receiving electronic reminders of antipsychotics."
Study RegionUnited Kingdom
OrganizationInstitute of Psychiatry at the Maudsley, King’s College London
Issue or ProblemIncreasing adherence to antipsychotic medication
Tech MediumSMS
Technology DeviceMobile Phone
mFHAST ImplicationAbility to increase adherence to antipsychotic medications through text message reminders

More links

  • Link to the full article on PubMedAutomatic SMS reminders of antipsychotic medication were acceptable to the majority of the survey respondents as an optional service offered upon discharge from inpatient care. Automatic electronic reminders deserve further investigation as a flexible, minimally invasive, cost-effective and broadly applicable tool that can potentially improve antipsychotic adherence and clinical outcomes.
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