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Abstract

After an organ transplant, adherence to a prescribed medication regimen, is vital after-care to avoid organ rejection and ultimately, death. For adolescents, barriers to medication adherence are often tied to social, emotional, and behavioral issues rather than simple forgetfulness. Studies have identified Cognitive Behavioral Therapy (CBT) as an effective approach for improving medication adherence in adolescents. However, following up with patients after every dose and helping them overcome their barriers to medication adherence is not a feasible solution. MedAdherence is a Smartphone-based CBT system that incorporates incentives and is designed to improve medication adherence in adolescent kidney transplant patients. The system sends reminders, records adherence data, and provides support for CBT at the moment of non-adherence. In this work, we also evaluate the feasibility of the LogicBlox platform, a Datalog-based, Cloud-delivered platform-as-a-service, for mobile web applications such as MedAdherence.

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