Gamification and Medication Adherence (GAME Adherence)
Hypertension and Hyperlipidemia
About this trial
This is an interventional health services research trial for Hypertension and Hyperlipidemia
Eligibility Criteria
Inclusion Criteria:
- Prescribed 1 or 2 blood pressure medications and a statin medication for > 1 year
- Has supply of medications at the time of enrollment
- Medication possession ratio 40-80% for at least one of those medications for the past 6 months
- Systolic blood pressure > 140 mm Hg on two most recent checks
- Owns a smartphone or tablet operating the iOS or Android operating system
Exclusion Criteria:
- Unable or unwilling to provide informed consent, including but not limited to cognitive or language barriers (reading or comprehension of English)
- Systolic blood pressure > 180 mm Hg on either of their last two checks
- Anticipated life expectancy less than 6 months
- Any other reason why it is not feasible to complete the entire study
Sites / Locations
- University of Pennsylvania
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control
Intervention
Via the Way to Health platform, all participants will receive daily text messages asking about medication adherence for that day and twice weekly text messages asking if participants have measured blood pressure on that day.
Via the Way to Health platform, all patients will receive daily text messages asking about medication adherence for that day and twice weekly text messages asking if participants have measured blood pressure on that day. Participants are entered into a game. Each week they receive 90 points. If they took their medications or checked their blood pressure the prior day, they keep their points, but if not, they lose 10 points. At the end of the week if they have at least 70 points they move up a level, but if not, they drop a level. Participants start in the middle of 5 levels. Participants choose a support partner. At the start of the intervention, the study team holds a 3-way phone call with the participant and support partner to discuss ways they can help the participant meet their goal. The support partner gets a weekly email with the participant's progress. Primary care physicians will receive a monthly email noting patients' self-reported adherence and blood pressure.