The eDosette Pilot Study

Not Applicable

Completed

• Conditions: Medication Adherence
• Interventions: Other: eDosette

• Registration Number: NCT03513224
• Lead Sponsor: McMaster University

Brief Summary

Medication non-adherence can lead to serious health issues for older adults. This study is a four week study in older adults using a new device, the eDosette, which dispenses and records how one takes their medications, and subsequently makes this information available to the primary care team by the internet. This study aims to show that the eDosette can report how well a group of older adults living independently in the community are taking their medications (e.g. "medication adherence"). This study hopes to show that the eDosette intervention could play a role in medication adherence by improving conversations between older adults and primary care.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Study Start: 2016-09-01
• Primary Completion: 2017-08-31
• Study Completion: 2017-12-31
• Status Verified: 2018-04
• Study First Submitted: 2018-04-19
• Study First Submitted QC: 2018-04-19
• Last Update Submitted: 2018-04-19
• Study First Posted: 2018-05-01
• Last Update Posted: 2018-05-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 57

Inclusion Criteria

• age 65 and over
• taking five or more medications (including supplements)
• using or willing to use a blister pack or dosette
• currently managing their medications independently
• living independently
• English speaking

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Exclusion Criteria

• a documented diagnosis of mild cognitive impairment or dementia
• living in any form of assisted living facility
• currently palliative
• currently deemed medically unstable by their primary care team

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
eDosette	eDosette	-

Primary Outcome Measures

Name	Time	Method
Four-week medication adherence rate	4 weeks	Each participant's observed medication adherence for the entire study was calculated by dividing the total medication doses taken correctly by the total doses in the study. The numerator, total medication doses taken correctly is calculated by subtracting from the total doses any missed or late doses as determined by the eDosette. Missed doses is defined as any dose still present on image data after the next daily scheduled dose time); late doses is defined as any dose taken outside the two-hour time window of the average time of dose administration - e.g. 08h00-10h00 for a 09h00 average dose time. The denominator, total doses, was defined as the total number of pills prescribed for a patient to take during the study.

Secondary Outcome Measures

Name	Time	Method
Thematic content of pharmacist-participant discussion during the study	4 weeks	Retrospective chart reviews were performed to extract content on these discussions.
Frequency of medication changes noted	4 weeks	Retrospective chart reviews were performed to extract content on these changes.
Change in MRCI score	4 weeks	Medication Regimen Complexity Index (MRCI) were calculated at baseline and 4 weeks by the pharmacist based on medication listed obtained from dispensing pharmacies.
Participant feedback	4 weeks	An exit-feedback survey was administered asking participants to rank their experience with the eDosette. The survey also asked participants to identify the three best and worst aspects of the eDosette.