Effectiveness of Digital Pharmaceutical Care Intervention on Medication Adherence in Hypertensive Patients: A Quasi-Experimental Study in Banjarmasin, South Kalimantan

Yugo Susanto (1) , Andi Hermansyah (2) , Muhammad Ashar (3) , Saybah Humairah (4) , Devi Ristian Octavia (5) , Long Chiau Ming (6) , Muhammad Junaid Farrukh (7) , Zaheer-Ud-Din Babar (8) , Ronny Faslah (9) , Abdul Rahem (10) , Yuni Priyandani (11) , Gusti Noorrizka Veronika Achmad (12)
(1) Universitas Airlangga , Indonesia
(2) Universitas Airlangga , Indonesia
(3) Universitas Negeri Malang , Indonesia
(4) Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin , Indonesia
(5) Universitas Muhammadiyah Lamongan , Indonesia
(6) Sunway University , Malaysia
(7) UCSI University , Malaysia
(8) Qatar University , Qatar
(9) Politeknik Negeri Banjarmasin , Indonesia
(10) Universitas Airlangga , Indonesia
(11) Universitas Airlangga , Indonesia
(12) Universitas Airlangga , Indonesia

Abstract


Hypertension remains a major public health challenge in Indonesia, where suboptimal adherence to antihypertensive therapy contributes to poor blood pressure control and avoidable cardiovascular risk. Pharmacist-led digital care offers a promising strategy to enhance medication adherence. This study aimed to evaluate the effectiveness of SatuObat, a Pharmacist-led digital care app, in improving medication adherence among hypertensive patients in community pharmacy practice. A quasi-experimental study with a non-equivalent control group pre-test and post-test design was conducted at community pharmacies in Banjarmasin, Indonesia. A total of 102  patients were recruited using consecutive sampling and assigned to either a control group (receiving usual care, n=52) or an intervention group (receiving usual care plus SatuObat app, n=50). The intervention comprised structured digital reminders, two-way chat with pharmacists, and tailored educational messages delivered through the app over 4 weeks. Medication adherence was measured using the validated Indonesian version of the MARS-5 questionnaire. Data were analyzed using the Wilcoxon signed-rank test and the Mann-Whitney U test. Adherence did not change significantly in the control group (p = 0.532), whereas the intervention group showed a significant increase in adherence scores (Δ = 7.20; p < 0.001). Post-intervention adherence was significantly higher in the intervention group than in the control group (p < 0.001). These findings indicate that integrating SatuObat into pharmacist-led care can substantially enhance medication adherence among hypertensive patients in community pharmacy settings and support the wider adoption of digital pharmaceutical care in low- and middle-income countries.

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Authors

Yugo Susanto
Andi Hermansyah
(Primary Contact)
Muhammad Ashar
Saybah Humairah
Devi Ristian Octavia
Long Chiau Ming
Muhammad Junaid Farrukh
Zaheer-Ud-Din Babar
Ronny Faslah
Abdul Rahem
Yuni Priyandani
Gusti Noorrizka Veronika Achmad
Author Biographies

Yugo Susanto, Universitas Airlangga

Doctoral Program in Pharmaceutical Sciences, Universitas Airlangga, Surabaya, East Java, Indonesia

Department of Pharmacy, Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin, Banjarmasin, South Kalimantan, Indonesia

Andi Hermansyah, Universitas Airlangga

Department of Pharmacy Practice, Universitas Airlangga, Surabaya, East Java, Indonesia

Innovative Pharmacy Practice and Integrated Outcomes Research (INACORE), Universitas Airlangga, Surabaya, East Java, Indonesia

Muhammad Ashar, Universitas Negeri Malang

Department of Electrical Engineering and Informatics, Universitas Negeri Malang, Malang, East Java, Indonesia

Saybah Humairah, Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Department of Pharmacy, Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin, Banjarmasin, South Kalimantan, Indonesia

Devi Ristian Octavia, Universitas Muhammadiyah Lamongan

Department of Pharmacy, Universitas Muhammadiyah Lamongan, Lamongan, East Java, Indonesia

Long Chiau Ming, Sunway University

Faculty of Medical and Life Sciences, Sunway University, Subang Jaya, Selangor Darul Ehsan, Malaysia

Muhammad Junaid Farrukh, UCSI University

Faculty of Pharmaceutical Sciences, UCSI University, Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia

Zaheer-Ud-Din Babar, Qatar University

Department of Clinical Pharmacy and Practice, Qatar University, Doha, Qatar

Ronny Faslah, Politeknik Negeri Banjarmasin

Department of Information Systems, Politeknik Negeri Banjarmasin, Banjarmasin, South Kalimantan, Indonesia

Abdul Rahem, Universitas Airlangga

Department of Pharmacy Practice, Universitas Airlangga, Surabaya, East Java, Indonesia

Yuni Priyandani, Universitas Airlangga

Department of Pharmacy Practice, Universitas Airlangga, Surabaya, East Java, Indonesia

Gusti Noorrizka Veronika Achmad, Universitas Airlangga

Department of Pharmacy Practice, Universitas Airlangga, Surabaya, East Java, Indonesia

1.
Susanto Y, Hermansyah A, Ashar M, Humairah S, Octavia DR, Ming LC, Farrukh MJ, Babar Z-U-D, Faslah R, Rahem A, Priyandani Y, Achmad GNV. Effectiveness of Digital Pharmaceutical Care Intervention on Medication Adherence in Hypertensive Patients: A Quasi-Experimental Study in Banjarmasin, South Kalimantan. Borneo J Pharm [Internet]. 2026Sep.30 [cited 2026Oct.3];9(3). Available from: https://journal.umpr.ac.id/index.php/bjop/article/view/12742

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