A Study of Medication-Taking and Unobtrusive, Intelligent Reminding
Poor medication adherence is one of the major causes of illness and of treatment failure in the United States. The objective of this study was to conduct an initial evaluation of a context-aware reminder system, which generated reminders at an opportune time to take the medication. Ten participants...
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| Veröffentlicht in: | Telemedicine journal and e-health 2009-10, Vol.15 (8), p.77-776 |
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| creator | Hayes, Tamara L. Cobbinah, Kofi Dishongh, Terry Kaye, Jeffrey A. Kimel, Janna Labhard, Michael Leen, Todd Lundell, Jay Ozertem, Umut Pavel, Misha Philipose, Matthai Rhodes, Kevin Vurgun, Sengul |
| description | Poor medication adherence is one of the major causes of illness and of treatment failure in the United States. The objective of this study was to conduct an initial evaluation of a context-aware reminder system, which generated reminders at an opportune time to take the medication. Ten participants aged 65 or older, living alone and managing their own medications, participated in the study. Participants took a low-dose vitamin C tablet twice daily at times that they specified. Participants were considered adherent if they took the vitamin within 90 minutes (before or after) of the prescribed time. Adherence and activity in the home was measured using a system of sensors, including an instrumented pillbox. There were three phases of the study: baseline, in which there was no prompting; time-based, in which there was prompting at the prescribed times for pill-taking; and context-aware, in which participants were only prompted if they forgot to take their pills and were likely able to take their pills. The context-based prompting resulted in significantly better adherence (92.3%) as compared to time-based (73.5%) or no prompting (68.1%) conditions (
p
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| doi_str_mv | 10.1089/tmj.2009.0033 |
| format | Article |
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p
< 0.0002,
χ
2
= 17.0). In addition, subjects had better adherence in the morning than in the evening. We have shown in this study that a system that generates reminders at an opportune time to take the medication significantly improves adherence. This study indicates that context-aware prompting may provide improved adherence over standard time-based reminders.</description><identifier>ISSN: 1530-5627</identifier><identifier>EISSN: 1556-3669</identifier><identifier>DOI: 10.1089/tmj.2009.0033</identifier><identifier>PMID: 19780692</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Aged ; Aged, 80 and over ; Ascorbic Acid - administration & dosage ; Company systems management ; Female ; Health care industry ; Home Care Services ; Home health and nutrition software ; Home health software ; Humans ; Information management ; Male ; Original Research ; Patient Compliance ; Psychological aspects ; Reminder Systems - standards ; Technology application ; Telemedicine ; United States</subject><ispartof>Telemedicine journal and e-health, 2009-10, Vol.15 (8), p.77-776</ispartof><rights>2010, Mary Ann Liebert, Inc.</rights><rights>COPYRIGHT 2009 Mary Ann Liebert, Inc.</rights><rights>Copyright 2009, Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-3c22d7b4bc666d6b546714396714ecc21e854888332412f944e305957f0cf0f3</citedby><cites>FETCH-LOGICAL-c541t-3c22d7b4bc666d6b546714396714ecc21e854888332412f944e305957f0cf0f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19780692$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayes, Tamara L.</creatorcontrib><creatorcontrib>Cobbinah, Kofi</creatorcontrib><creatorcontrib>Dishongh, Terry</creatorcontrib><creatorcontrib>Kaye, Jeffrey A.</creatorcontrib><creatorcontrib>Kimel, Janna</creatorcontrib><creatorcontrib>Labhard, Michael</creatorcontrib><creatorcontrib>Leen, Todd</creatorcontrib><creatorcontrib>Lundell, Jay</creatorcontrib><creatorcontrib>Ozertem, Umut</creatorcontrib><creatorcontrib>Pavel, Misha</creatorcontrib><creatorcontrib>Philipose, Matthai</creatorcontrib><creatorcontrib>Rhodes, Kevin</creatorcontrib><creatorcontrib>Vurgun, Sengul</creatorcontrib><title>A Study of Medication-Taking and Unobtrusive, Intelligent Reminding</title><title>Telemedicine journal and e-health</title><addtitle>Telemed J E Health</addtitle><description>Poor medication adherence is one of the major causes of illness and of treatment failure in the United States. The objective of this study was to conduct an initial evaluation of a context-aware reminder system, which generated reminders at an opportune time to take the medication. Ten participants aged 65 or older, living alone and managing their own medications, participated in the study. Participants took a low-dose vitamin C tablet twice daily at times that they specified. Participants were considered adherent if they took the vitamin within 90 minutes (before or after) of the prescribed time. Adherence and activity in the home was measured using a system of sensors, including an instrumented pillbox. There were three phases of the study: baseline, in which there was no prompting; time-based, in which there was prompting at the prescribed times for pill-taking; and context-aware, in which participants were only prompted if they forgot to take their pills and were likely able to take their pills. The context-based prompting resulted in significantly better adherence (92.3%) as compared to time-based (73.5%) or no prompting (68.1%) conditions (
p
< 0.0002,
χ
2
= 17.0). In addition, subjects had better adherence in the morning than in the evening. We have shown in this study that a system that generates reminders at an opportune time to take the medication significantly improves adherence. This study indicates that context-aware prompting may provide improved adherence over standard time-based reminders.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ascorbic Acid - administration & dosage</subject><subject>Company systems management</subject><subject>Female</subject><subject>Health care industry</subject><subject>Home Care Services</subject><subject>Home health and nutrition software</subject><subject>Home health software</subject><subject>Humans</subject><subject>Information management</subject><subject>Male</subject><subject>Original Research</subject><subject>Patient Compliance</subject><subject>Psychological aspects</subject><subject>Reminder Systems - standards</subject><subject>Technology application</subject><subject>Telemedicine</subject><subject>United States</subject><issn>1530-5627</issn><issn>1556-3669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt-L1DAQx4Mo3t3qo6_SNxGua341TV6EZdHzYOVA1-eQptOas03OJj28_96UXdSFAwkkYfKZLzOTL0KvCF4TLNW7NN6uKcZqjTFjT9A5qSpRMiHU0-XOcFkJWp-hixhvMcac1PQ5OiOqllgoeo62m-JrmtuHInTFZ2idNckFX-7ND-f7wvi2-OZDk6Y5unu4LK59gmFwPfhUfIHR-TZjL9CzzgwRXh7PFdp__LDffip3N1fX282utBUnqWSW0rZueGOFEK1oKi5qwpladrCWEpAVl1IyRjmhneIcGK5UVXfYdrhjK_T-IHs3NyO0NtcwmUHfTW4004MOxunTF---6z7ca6qUpLXMAm-OAlP4OUNMenTR5n6MhzBHXTOOFaa5gBVaH8jeDKCd70IWtHm1uWcbPHQuxzeUEIk5piInvD1JyEyCX6k3c4xaXu1O2fIx1oZhgB50Htn25lHeTiHGCbo_LROsFw_o7AG9eEAvHsj863_n9Jc-fnoG2AFYwsb7wUEDU_qP7G8W-7sY</recordid><startdate>20091001</startdate><enddate>20091001</enddate><creator>Hayes, Tamara L.</creator><creator>Cobbinah, Kofi</creator><creator>Dishongh, Terry</creator><creator>Kaye, Jeffrey A.</creator><creator>Kimel, Janna</creator><creator>Labhard, Michael</creator><creator>Leen, Todd</creator><creator>Lundell, Jay</creator><creator>Ozertem, Umut</creator><creator>Pavel, Misha</creator><creator>Philipose, Matthai</creator><creator>Rhodes, Kevin</creator><creator>Vurgun, Sengul</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20091001</creationdate><title>A Study of Medication-Taking and Unobtrusive, Intelligent Reminding</title><author>Hayes, Tamara L. ; Cobbinah, Kofi ; Dishongh, Terry ; Kaye, Jeffrey A. ; Kimel, Janna ; Labhard, Michael ; Leen, Todd ; Lundell, Jay ; Ozertem, Umut ; Pavel, Misha ; Philipose, Matthai ; Rhodes, Kevin ; Vurgun, Sengul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-3c22d7b4bc666d6b546714396714ecc21e854888332412f944e305957f0cf0f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ascorbic Acid - administration & dosage</topic><topic>Company systems management</topic><topic>Female</topic><topic>Health care industry</topic><topic>Home Care Services</topic><topic>Home health and nutrition software</topic><topic>Home health software</topic><topic>Humans</topic><topic>Information management</topic><topic>Male</topic><topic>Original Research</topic><topic>Patient Compliance</topic><topic>Psychological aspects</topic><topic>Reminder Systems - standards</topic><topic>Technology application</topic><topic>Telemedicine</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hayes, Tamara L.</creatorcontrib><creatorcontrib>Cobbinah, Kofi</creatorcontrib><creatorcontrib>Dishongh, Terry</creatorcontrib><creatorcontrib>Kaye, Jeffrey A.</creatorcontrib><creatorcontrib>Kimel, Janna</creatorcontrib><creatorcontrib>Labhard, Michael</creatorcontrib><creatorcontrib>Leen, Todd</creatorcontrib><creatorcontrib>Lundell, Jay</creatorcontrib><creatorcontrib>Ozertem, Umut</creatorcontrib><creatorcontrib>Pavel, Misha</creatorcontrib><creatorcontrib>Philipose, Matthai</creatorcontrib><creatorcontrib>Rhodes, Kevin</creatorcontrib><creatorcontrib>Vurgun, Sengul</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Telemedicine journal and e-health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hayes, Tamara L.</au><au>Cobbinah, Kofi</au><au>Dishongh, Terry</au><au>Kaye, Jeffrey A.</au><au>Kimel, Janna</au><au>Labhard, Michael</au><au>Leen, Todd</au><au>Lundell, Jay</au><au>Ozertem, Umut</au><au>Pavel, Misha</au><au>Philipose, Matthai</au><au>Rhodes, Kevin</au><au>Vurgun, Sengul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Study of Medication-Taking and Unobtrusive, Intelligent Reminding</atitle><jtitle>Telemedicine journal and e-health</jtitle><addtitle>Telemed J E Health</addtitle><date>2009-10-01</date><risdate>2009</risdate><volume>15</volume><issue>8</issue><spage>77</spage><epage>776</epage><pages>77-776</pages><issn>1530-5627</issn><eissn>1556-3669</eissn><abstract>Poor medication adherence is one of the major causes of illness and of treatment failure in the United States. 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The context-based prompting resulted in significantly better adherence (92.3%) as compared to time-based (73.5%) or no prompting (68.1%) conditions (
p
< 0.0002,
χ
2
= 17.0). In addition, subjects had better adherence in the morning than in the evening. We have shown in this study that a system that generates reminders at an opportune time to take the medication significantly improves adherence. This study indicates that context-aware prompting may provide improved adherence over standard time-based reminders.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>19780692</pmid><doi>10.1089/tmj.2009.0033</doi><tpages>700</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1530-5627 |
| ispartof | Telemedicine journal and e-health, 2009-10, Vol.15 (8), p.77-776 |
| issn | 1530-5627 1556-3669 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2998278 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Ascorbic Acid - administration & dosage Company systems management Female Health care industry Home Care Services Home health and nutrition software Home health software Humans Information management Male Original Research Patient Compliance Psychological aspects Reminder Systems - standards Technology application Telemedicine United States |
| title | A Study of Medication-Taking and Unobtrusive, Intelligent Reminding |
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