Skip to content
Use Case

Improving medication adherence between visits

Gentle, timely Nudges help patients take medications consistently and reflect on side effects without feeling monitored or overwhelmed.

Medication adherence use case
Challenge

The adherence gap

Roughly half of chronic condition patients don't take medications as prescribed. The problem is even worse in behavioral health, where side effects, stigma, and ambivalence erode consistency.

The result is preventable hospitalizations, worsening symptoms, and clinicians making treatment decisions based on incomplete data. Traditional outreach can't scale, and patients rarely self-report gaps until something goes wrong.

50%

Chronic patients don't take meds as directed

Approximately half of patients prescribed chronic medications do not take them as directed, missing doses or discontinuing treatment within the first year.

World Health Organization, 2023
$528B

Annual cost of medication non-adherence

Morbidity and mortality from poor medication adherence costs the U.S. healthcare system an estimated $528.4 billion annually in avoidable hospitalizations and preventable deaths.

Annals of Pharmacotherapy, 2023
2x

Text messaging doubles adherence odds

A meta-analysis of 16 RCTs found text-message interventions doubled the odds of medication adherence and increased overall adherence rates by 17.8%.

PMC / a:care Congress, 2024
Solution

How Nudge helps

Supportive, well-timed reminders that build habits and surface concerns early.

Dosing-aligned reminders

Warm Nudges timed to when patients actually need to take their medication.

Side effect check-ins

Brief prompts surface concerns that often go unreported until the next visit.

Habit-building

Habit-stacking Nudges anchor medication to existing daily behaviors.

Adaptive escalation

Skip logic branches to supportive messages on missed doses.

Workflow

A week in the life of a patient

From enrollment to pre-visit summary. All automated, all personalized.

Step 1

Enrollment

Patient confirms medication, preferred reminder time, and contact method.

Step 2

Daily reminders

Nudge at chosen time with one-tap confirmation.

Step 3

Weekly check-in

Reflection prompt about side effects, mood changes, or concerns.

Step 4

Adaptive branching

Missed confirmations or side effects trigger supportive sequences.

Step 5

Pre-visit summary

Clinician receives adherence snapshot and engagement trends.

Outcomes

Expected outcomes

Improve adherence

Reduce forgetfulness and build daily routines around dosing.

Detect side effects early

Surface concerns patients would otherwise not report.

Reduce exacerbations

Prevent symptom worsening tied to non-adherence.

Better clinical data

Real-world adherence data to inform treatment decisions.

"Patients tell us the reminders feel supportive, not nagging. That tone makes the difference between engagement and opt-out."
Anthony Como
Anthony Como

Founder, KuduCare

Anthony Como company logo

Next up

Let's talk

Contact us to explore how Nudge can strengthen engagement, adherence, and between-visit support.

Get in touch