Enhanced Adherence in Patients Using an Automated Home Medication Dispenser
| Autor: | Frederick Marshall, Jack Brown, Kelly M. Conn, Dallas Nelson, Charles Hoffmann, Richard Barbano, Anne Schweighardt |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty MEDLINE New York 030204 cardiovascular system & hematology Medication Adherence Cohort Studies 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Memory disorder 030212 general & internal medicine Dosing Prospective Studies Prospective cohort study Antihypertensive Agents Aged Aged 80 and over Medication Dispenser business.industry Health Policy Public Health Environmental and Occupational Health Middle Aged medicine.disease Self Care Pill Cohort Hypertension Female business Cohort study |
| Zdroj: | Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 40(4) |
| ISSN: | 1945-1474 |
| Popis: | Background Many factors contribute to medication nonadherence including psychological and memory disorders, aging, and pill burden. The Automated Home Medication Dispenser (AHMD) is a medication management system intended to help solve unintentional medication nonadherence. Objective The purpose of this study was to determine if use of the AHMD improved medication adherence. Methods We conducted a 6-month prospective, feasibility study assessing use of the AHMD in 21 patient-caregiver dyads. Patients were referred by their physician because of poor medication adherence and included if they resided in Rochester, NY and on at least two medications in pill form. Pill counts were performed at baseline to assess previous adherence. Prospective medication adherence was assessed using AHMD recorded dosing information. A paired t-test was used to compare previous and prospective adherence. Results The mean age of patients was 75.1 years. Fifteen patients (71.4%) and eight caregivers (38.1%) were women; half (47.6%) of caregivers lived with the patient. The most common patient comorbidities were hypertension (76.2%) and memory disorder (61.9%). Mean adherence increased from 49.0% at baseline to 96.8% after 6 months of AHMD use (p Conclusion In a cohort of unintentionally nonadherent patients, use of the AHMD for 6 months significantly improved medication adherence. |
| Databáze: | OpenAIRE |
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