alexa Usefulness of FaceTime to Improve Medication Adherence in Adolescents and Young Adults with Systemic Lupus Erythematosus: A Case Series
ISSN: 2161-1149

Rheumatology: Current Research
Open Access

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Usefulness of FaceTime to Improve Medication Adherence in Adolescents and Young Adults with Systemic Lupus Erythematosus: A Case Series

Joyce S Hui-Yuen1, Ashlea E Cook1, Andrew H Eichenfield1 and Anca D Askanase2*

1Division of Pediatric Rheumatology, Morgan Stanley Children’s Hospital of New York-Presbyterian, Columbia University Medical Center, USA

2Division of Rheumatology, New York-Presbyterian Hospital, Columbia University Medical Center, USA

*Corresponding Author:
Anca Askanase MD, MPH
Division of Adult Rheumatology
New York Presbyterian Hospital
Columbia University Medical Center
New York, NY 10032, USA
Tel: 2123423684
Fax: 2123420509
E-mail: [email protected]

Received Date: May 12, 2015; Accepted Date: June 1, 2015; Published Date: June 25, 2015

Citation: Hui-Yuen JS, Cook AE, Eichenfield AH, Askanase AD (2015) Usefulness of FaceTime to Improve Medication Adherence in Adolescents and Young Adults with Systemic Lupus Erythematosus: A Case Series. Rheumatology (Sunnyvale) 5:153. doi: 10.4172/2161-1149.1000153

Copyright: © 2015 Hui-Yuen JS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Poor adherence to medications is a ubiquitous problem in patients with chronic diseases such as systemic lupus erythematosus (SLE), and can be associated with higher risk of disease flare and mortality. With the increasingly accessible use of mobile technology in health care, a novel application has emerged: the use of mobile technology to improve medication adherence in patients with chronic disease. We report the use of video-conferencing via FaceTime to improve medication adherence in childhood-onset SLE patients treated with mycophenolate mofetil. All of the patients had an undetectable mycophenolic acid (MPA) level prior to remote directly observed therapy (remote DOT) with FaceTime. The primary outcome was achievement of a therapeutic MPA level after remote DOT with FaceTime, and was met in all patients. This suggests an important role for video-conferencing in the improvement of medication adherence and disease outcomes not only in SLE patients, but in young adults with other chronic diseases.

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