Could digital pills improve medication adherence in persons living with dementia? A qualitative study

Unintentional nonadherence in older adults, especially for people living with dementia (PLWD), can stem from forgetfulness, poor management of medications, and uncoordinated care.1-5 Traditional methods like pillboxes, blister packs, calendars, and caregiver assistance rely on individuals' memory and caregivers' capacity and accuracy.1, 3 Technology to indirectly measure adherence such as electronic pill boxes, SMS digital reminders, video-based technology, and motion sensors have also had varying levels of success.1, 3, 4, 6 A novel digital pill system (DPS), ID-Cap (https://etectrx.com/id-cap-system/), directly monitors ingestions (Figure 1)7 and has been shown to increase adherence without negatively impacting safety for PReP adherence in men who have sex with men.8, 9 The objective of this study was to examine the feasibility, acceptability, and usability of ID-Cap among PLWD and their caregivers.