Feasibility Study of “Kin Ya Kan Na” Application to Promote Medication Adherence for Patients with Schizophrenia
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Abstract
This research aimed to develop “Kin Ya Kan Na” medication self-management application and test its feasibility. The study was divided into 2 phases: 1) Developing this application by integrating the concepts of self-regulation, social support, and empirical evidence and 2) testing its feasibility. Ten adult patients with schizophrenia who had a stable condition, previous histories of medication nonadherence, and owned a smartphone were specifically recruited from outpatient treatment at the Mental Health and Psychiatric Department in Buddhasothorn hospital, Chachoengsao province. The research instruments consisted of 1) a smartphone application regarding medication self-management, 2) guidelines for evaluating the usability of m-Health which was rated by experts, 3) Medication Adherence Scale for Thais, and 4) Satisfaction Scale towards Medication Self-Management Mobile Application rated by the users. The reliability values were 0.88, 0.94 and 0.86, respectively. The participants were asked to complete the questionnaires to assess the feasibility of application for four weeks. Descriptive statistics and nonparametric test using Wilcoxon signed rank test were employed for data analyses. The study found that the 8 functional components of the android smartphone application which was rated by experts was in a good level (Mean = 4.31, SD = 0.28), patients’ satisfaction with this application was at the highest level (Mean = 4.59, SD = 0.24), and had significantly higher adherence behavior scores (z = 2.366, p < .05). The feasibility of using this application to promote medication adherence among patients with schizophrenia showed promising results.
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