Adherence to Medical Treatments for Telemedicine Patients

Not Applicable

Terminated

Brief Summary: This study will test the feasibility of MedRem, a novel medication reminder and tracking system on wearable wrist devices, specifically with the Apple Watch 4. The study team will load the MedRem app onto two Apple Watch 4s for use during the study. As the device is placed on the wrist, it is free from the limitations of smartphones. However, one of the major challenges in developing interactive systems for wrist devices is their form factor. The touch screens available on these devices are tiny and much smaller compared to smart phones and tablet computers. MedRem enables user interactions by incorporating speech recognition and text-to-speech features along with clever interface design. The tiny display of the device is used for minimal inputs and outputs, while a user can retrieve and provide more information from/to the system through voice commands. Personalized models are built and updated over time to reduce errors in recognizing users' voice commands, and thus better user experience is provided.

Recruitment & Eligibility

Inclusion Criteria

Phase 1 (Controls)
- 18 - 75 years old
- Good general health (self-reported), with no history of cerebral vascular accident (CVA)
- English-speaking
- Willingness and ability to comply with scheduled visits and study procedures

Phase 2 (Stroke Patients)

18 - 75 years old
English-speaking
Willingness and ability to comply with scheduled visits and study procedures
Have requirements for home- based therapy regimens (i.e. physical/occupational therapy)
Require medications for secondary stroke prevention (e.g. antithrombotic therapy to prevent ischemic stroke, stroke risk factor management with blood pressure, diabetes, cholesterol medications).
Have a Modified Rankin Scale for Neurologic Disability (MDS) of 2 - 4

Exclusion Criteria

Phase 1 (Controls)
- Pregnant women, fetuses, neonates, children, prisoners, cognitively impaired, non-English speaking subjects
- Prohibitive cognitive impairments or language deficits
- Does not have wireless internet connection at home

Phase 2 (Stroke Patients)

Pregnant women, fetuses, neonates, children, prisoners, cognitively impaired, non-English speaking subjects
Have a Modified Rankin Scale for Neurologic Disability (MDS) of 0-1 or 5
Prohibitive cognitive impairments or language deficits
Significant weakness, dystonia, or spasticity that will prevent proper use and response to the Apple Watch device
Live in nursing home or rehabilitation facility
Does not have wireless internet connection at home

Arm && Interventions

Group	Intervention	Description
MedRem application	MedRem application	MedRem smartwatch application

Primary Outcome Measures

Name	Time	Method
Use of MedRem System	30 days	Assess the patients' adherence to medications and exercise. Adherence will be measured by patient responses to questions prompted by the MedRem System.
Assessment of Survey	30 days	Acceptance and usability will be measured by the Intervention Patient MedRem Usability Survey. Steps were taken and distance covered data will also be collected from the Apple Watch.

Secondary Outcome Measures