Nearly half of all Americans are living with a chronic condition, and one in four have Multiple Chronic Conditions (MCC). Chronic Obstructive Pulmonary Disease (COPD) is one such chronic disorder. Affecting 15 million Americans, COPD is the third leading cause of death in the United States, and treatment for COPD costs the healthcare system in excess of ;Results indicated a small but insignificant increase in adherence rates, as well as improved but insignificant QoL scores between the pre and posttest periods. However, the analyses indicated a significant increase in subjective well-being scores between the two periods. They also revealed a 91.3% average compliance rate to the study push messages over the two-month period. While the research revealed faster compliance for those using text messaging, there was no significant difference in compliance rates for those answering using text messaging compared to those using email.;While the results indicated that the use of an EMA-associated system designed to raise awareness of SWB is one way of improving overall well-being and health of chronically-ill individuals, they did more significantly reveal areas of further study among other disease states, over longer study periods, and with larger sample sizes. |