The Use of an Electronic Medication Administration-monitoring Device to Improve Medication Adherence and Reduce Medication Regimen Complexity in Community Dwelling Seniors: A Prospective Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 57
- 主要终点
- Four-week medication adherence rate
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
eDosette
干预措施: eDosette (Other)
结局指标
主要结局
Four-week medication adherence rate
时间窗: 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.
次要结局
- Thematic content of pharmacist-participant discussion during the study(4 weeks)
- Frequency of medication changes noted(4 weeks)
- Change in MRCI score(4 weeks)
- Participant feedback(4 weeks)
研究者
Henry Siu
Assistant Professor
McMaster University