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. 2017 Aug 16;2(2):e20. doi: 10.2196/diabetes.8030

Table 3.

Benefits and barriers of digital health technology for medication adherence.

Study author, year Digital health technology Benefits Barriers
Aikens et al, 2014 [40] IVRa-tailored text messages; clinician notification Interactive, tailored SMSb text messages; clinician notification Development of tailored SMS text messages
Arora et al, 2014 [41] Daily SMS text messages in English or Spanish Frequent reminders, available in English or Spanish One-way reminders
Bobrow et al, 2016 [42] SMS text messaging SMS text message reminders by mobile phone Use of refill data; availability of medications
Davidson et al, 2015 [43] Electronic medication trays: reminder signals; reminder SMS text messages Culturally sensitive Expense of electronic medication trays
Edelman et al, 2015 [44] TEACH-DMc: call from nurse; tailored SMS text messages; diabetes- and hypertension-focused content versus nontailored, noninteractive information Tailored SMS text messages Development of tailored SMS text messages
Katalenich et al, 2015 [45] SMS text messages or phone call reminders to use automated system; no interaction unless severely high or low glucose SMS text message reminders by mobile phone No interaction unless severely high or low glucose
Kim et al, 2006 [46] SMS text messages and Internet education Medication reminders and education Nurse SMS text message expense
Migneault et al, 2012 [48] Automated, multi-behavior intervention or education-only control Culturally adapted reminders and education Expense of computer-based, interactive counseling system; development of tailored SMS text messages
Nelson et al, 2016 [47] SMS text messages/IVR: deliver and tailor text messages and voice communications to promote MAd Tailored SMS text messages and IVRs Expense of communication platform; development of tailored SMS text messages
Nundy et al, 2014 [49] Web-based software reminders and texted-back responses to questions Interactive (text-back), mobile-based, educational messages and reminders Expense of Web-based software
Shane-McWhorter et al, 2014 [22] Telemonitoring with asynchronous measurements transmitted from the patient to a remote care coordinator: pharmacist or certified diabetes educator Self-management; patient data entered for clinician review Expense of remote care coordinator
Wakefield et al, 2011 [26] Closed surveillance via home telehealth device and nurse care management Self-management; patient data entered for clinician review Expense of nurse care management
Wild et al, 2016 [50] Supported telemonitoring intervention involved self-measurement and transmission to a secure website; review by family practice clinicians Clinician notification Expense of telemonitoring infrastructure and password-protected server

aIVR: interactive voice response.

bSMS: short message service.

cTEACH-DM: Tailored Case Management for Diabetes and Hypertension.

dMA: medication adherence.