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. 2015 Jan 24;2(1):e000166. doi: 10.1136/openhrt-2014-000166

Table 2.

Advantages and disadvantages of technologies designed to improve chronic medication adherence in cardiovascular disease

Technology Advantages Disadvantages
Medication container alarms39 Simple, cheap, evidence for improved adherence Poor uptake
SMS reminders35 36 Cheap, convenient for patients, evidence for short term benefit on adherence No proven effect in long term
Nurse-led telephone calls37 Patient-specific, evidence for improved adherence Resource-heavy in terms of staff hours
Computer-based education modules40 Encourages patient participation, patients better informed about their condition May be inconvenient for patients, no evidence of improved adherence.
Interactive Voice Response technology41 Useful for large numbers of patients, can create tailored responses, evidence for improved adherence May be viewed as impersonal
Online records42 Convenient for patients Risk of confidentiality breach, no evidence of improved medication adherence
Smartphone/tablet applications43–45 Interactive, tailored to individual patients, evidence for improved adherence Expensive, may not be accessible to all cohorts of patients