Secondary outcomes favored the TExT-MED group , with the most sizable change observed in self-reported medication adherence ( as measured by the Morisky Medication Adherence Scale , an @-point validated scale with higher scores representing better adherence ) , which improved from @ to @ in the TExT-MED group compared with a net decrease of -@ in the controls ( @ -LSB- @ % CI @ to @ -RSB- ) .