Feasibility, fidelity and initial effects of an app-based service for short-term antibiotic therapy: A pilot study in a primary care setting

Background: Short-term antibiotic treatments show medication non-adherence rates around 40%, limiting therapy success and increasing risk for recurring infections. Smartphone applications offer simple solutions to support patients' medication adherence. Objective: To evaluate service and trial feasibility of a smartphone-based adherence support delivered by community pharmacists and to explore initial effects. Methods: test, and calculated effect sizes. Results: = 0.294) for dosing adherence. Conclusion: This study demonstrated feasibility and fidelity of a smartphone-based therapy support in the community pharmacy setting. Trends suggest a potential improvement in adherence rates through smartphone reminders and text messages. These findings highlight the need for a fully powered trial.