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Multiple Scenarios for Rewards and Punishments in Medication Adherence

Medication adherence works as the key mediator between practice and patient outcomes. However, in actual application, inadequate medication adherence is a pervasive cause of poor health outcomes. Many interventions have been developed to help promote patients’ healthy behavior in taking medication. In this paper, we discuss the theoretical background that supports a novel intervention which includes not only rewards but also punishments through the use of mobile phone to increase medication adherence rate. We also design multiple scenarios of the intervention to illustrate further its applications based on the theories. Moreover, the comparison of different scenarios provides a deeper understanding of the cost-effectiveness and targeted patient type for each scenario. We contribute to mobile health practice by designing and fully examining a novel intervention, and we extend related theories to explain the application of intervention.