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The objective of this study was to evaluate the effectiveness of an automated telephone system reminding patients with hypertension and/or cardiovascular disease to obtain overdue medication refills. The authors compared the intervention with usual care among patients with an overdue prescription for a statin or lisinopril-hydrochlorothiazide (lisinopril-HCTZ). The primary outcome was refill rate at 2 weeks. Secondary outcomes included time to refill and change in low-density lipoprotein cholesterol and blood pressure. Significantly more patients who received a reminder call refilled their prescription compared with the usual-care group (statin cohort: 30.3% vs 24.9% [P<.0001]; lisinopril-HCTZ cohort: 30.7% vs 24.2% [P<.0001]). The median time to refill was shorter in patients receiving the reminder call (statin cohort: 29 vs 36 days [P<.0001]; lisinopril-HCTZ cohort: 24 vs 31 days [P<.0001]). There were no statistically significant differences in mean low-density lipoprotein cholesterol and blood pressure. These findings suggest the need for interventions that have a longer-term impact.
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http://dx.doi.org/10.1111/jch.12723 | DOI Listing |
Nephrol Nurs J
September 2025
Nurse Practitioner Manager for a renal care company.
Frailty is highly prevalent in patients with end stage kidney disease (ESKD) and predictive of morbidity. Nurses lack frailty education and face practical challenges to assessment, which prevent effective interventions to address frailty. A quality improvement project sought to determine if frailty education and utilization of a renal frailty index tool impacts telephonic case management nursing care of patients by improving knowledge, perception, identification, and assessment of frailty, thereby prompting nursing interventions.
View Article and Find Full Text PDFJMIR Cardio
August 2025
Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Level 5, Block K, Westmead Hospital, Hawkesbury Road, Westmead, 2145, Australia, 61 2 8890 3125.
Background: Patient education and self-management support are critical for atrial fibrillation (AF) management. Conversational artificial intelligence (AI) has the potential to provide interactive and personalized support, but has not been evaluated in patients with AF.
Objective: This study aimed to evaluate the feasibility of a conversational AI intervention to support patients with AF postdischarge.
J Agric Saf Health
January 2025
University of Wisconsin-Madison, Madison, WI, USA.
Highlights: Risk assessment is required for new machine designs, including autonomous, robotic, and other highly automated agricultural equipment. Meaningful data is needed to inform many risk assessment processes, yet there is no historical incident data on novel machine forms that have never been widely deployed. The establishment of an exposure database could supply needed data for machine risk assessment with new machine forms.
View Article and Find Full Text PDFJ Agric Saf Health
August 2025
Department of Agricultural & Biological Engineering, University of Illinois at Urbana Champaign, Urbana, Illinois, USA.
Highlights: Comprehensive view of occupational safety research: Prioritizing topics in robotics and autonomous machines. Barriers to safety research: Logistical, intellectual property, timeline, and funding challenges. Importance of surveillance or tracking system: Documenting fatalities, injuries, and near misses/good catches.
View Article and Find Full Text PDFBMC Health Serv Res
August 2025
Department of Implementation Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Background: Over the past decade, many well-resourced health plans and systems surpassed the 80% colorectal cancer screening rate goal, while lower resource environments such as federally qualified health centers (FQHCs) lag behind. FQHCs in rural areas are especially challenged with limited resources to reach diverse patients who often lack consistent engagement with clinical care. mHealth solutions, like mPATHCRC, can address these challenges by automating tasks and expanding patient outreach.
View Article and Find Full Text PDF