Medication Adherence App for Food Pantry Clients With Diabetes: A Feasibility Study


      • Community needs assessment showed a high need for interventions to improve diabetes outcomes.
      • This study determined the feasibility of using a mobile phone app in a community food pantry to improve diabetes medication adherence among minority racial population.
      • Participants used the Wellth mobile phone app featuring text message reminders and incentives. Government-sponsored insurance (Medicaid) paid the app cost and incentives via the Performing Provider Systems.
      • It is feasible to use mobile phone apps to improve medication adherence among urban low-income population. A clinically significant improvement in medication adherence (93%) was captured by mobile phone cameras.


      Low-income food pantry clients are unable to adhere to the diet and physical activity recommendations of the American Diabetes Association. The aim of the study is to test the feasibility of using a mobile phone app to improve diabetes medication adherence. Clients with uncontrolled type 2 diabetes were enrolled in a mobile phone app featuring 70 days of text message reminders and incentives. The app and the 4-item Morisky Medication Adherence Scale evaluated medication adherence. Clinically significant medication adherence of 93% was achieved with use of the app. Phone app use is feasible among urban low-income clients to improve medication adherence.


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      Sandhya Nadadur, DNP, FNP-BC, AGPCNP-C, is an adjunct professor at the College of Staten Island, City University of New York in Staten Island and can be contacted at [email protected]