Development of Textile Proximity Sensor for Medication Adherence Management System

Purpose: To identify the barriers perceived by student pharmacists to counseling on medication adherence in a supermarket community pharmacy chain. Methods: Online surveys were made available to 65 student pharmacists. Subjects completed the survey anonymously and indicated their opinions and perceptions on topics related to medication adherence through the use of a 5-point Likert-type scale. Results: Of the surveyed student pharmacists, 26 completed the survey (40%). All participants (100%) agreed that they have knowledge on the importance of medication adherence. Student pharmacists stated that they did not have the time to cover adherence in a counseling session (72.7%) nor did they have time to perform follow-up phone calls with the patient (54.5%). The majority of student pharmacists (81.8%) were comfortable bringing up the topic of adherence with the patient but thought that they did not have access to resources on adherence to provide to the patient (59%). Conclusions: Surveyed students indicated they were constrained for time to counsel patients on adherence and to perform continued follow-up with patients afterward. Factors cited as barriers to counseling patients on medication adherence include time, lack of specific training in adherence management, lack of resources to provide to the patient, and patient disinterest in the subject.

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PHP62 A MODEL TO ESTIMATE INCREASE IN REVENUE FROM IMPLEMENTING MEDICATION ADHERENCE MANAGEMENT SERVICES IN COMMUNITY PHARMACIES

Value in Health ◽

10.1016/s1098-3015(10)72442-6 ◽

2010 ◽

Vol 13 (3) ◽

pp. A93 ◽

Cited By ~ 1

Author(s):

BF Banahan ◽

ER Holmes

Keyword(s):

Medication Adherence ◽

Community Pharmacies ◽

Adherence Management ◽

Management Services

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The Application of Intelligent Keywords to Patient Adherence Management System

International Journal of E-Health and Medical Communications ◽

10.4018/ijehmc.2013100107 ◽

2013 ◽

Vol 4 (4) ◽

pp. 102-119 ◽

Cited By ~ 2

Author(s):

Yin-Pin Yang ◽

Tsai-Ya Lai

Keyword(s):

Health Behavior ◽

Behavior Change ◽

Treatment Planning ◽

Management System ◽

User Behavior ◽

Patient Adherence ◽

Health Behavior Change ◽

Healthcare Intervention ◽

Intervention Adherence ◽

Adherence Management

Health behavior change is the key challenge for healthcare intervention adherence management. For each treatment planning, patient adherence can be managed, audited, and improved by the Patient Adherence Management System applying Intelligent Keyword (PAMSIK) featuring the use of intelligent keywords, which has been design to navigate users to the target in-time knowledge and also leverage the collective power – peer learning to encourage patients. Three major components of PAMSIK are: an autonomous, intelligent, friendly User Behavior Collector to identify patient's personal adherence problems, a Patient Similarity Analyzer to dynamically cluster peers, and a Cure Service Dispatcher to recommend suitable cures and thus deliver prompt services and in-time contents to users.

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Effectiveness of a medication adherence management intervention in a community pharmacy setting: a cluster randomised controlled trial

BMJ Quality & Safety ◽

10.1136/bmjqs-2020-011671 ◽

2021 ◽

pp. bmjqs-2020-011671

Author(s):

Andrea Torres-Robles ◽

Shalom I Benrimoj ◽

Miguel Angel Gastelurrutia ◽

Fernando Martinez-Martinez ◽

Tamara Peiro ◽

...

Keyword(s):

Medication Adherence ◽

Community Pharmacist ◽

Controlled Trial ◽

Intervention Group ◽

Cluster Randomised Controlled Trial ◽

Control Group ◽

Management Intervention ◽

Cluster Randomised ◽

Randomised Controlled ◽

Adherence Management

BackgroundNon-adherence to medications continues to be a burden worldwide, with significant negative consequences. Community pharmacist interventions seem to be effective at improving medication adherence. However, more evidence is needed regarding their impact on disease-specific outcomes. The aim was to evaluate the impact of a community pharmacist-led adherence management intervention on adherence and clinical outcomes in patients with hypertension, asthma and chronic obstructive pulmonary disease (COPD).MethodsA 6-month cluster randomised controlled trial was conducted in Spanish community pharmacies. Patients suffering from hypertension, asthma and COPD were recruited. Patients in the intervention group received a medication adherence management intervention and the control group received usual care. The intervention was based on theoretical frameworks for changing patient behaviour. Medication adherence, disease-specific outcomes (Asthma Control Questionnaire (ACQ) scores, Clinical COPD Questionnaire (CCQ) scores and blood pressure levels) and disease control were evaluated. A multilevel regression model was used to analyse the data.ResultsNinety-eight pharmacies and 1186 patients were recruited, with 1038 patients completing the study. Patients receiving the intervention had an OR of 5.12 (95% CI 3.20 to 8.20, p<0.05) of being adherent after the 6 months. At the end of the study, patients in the intervention group had lower diastolic blood pressure levels (mean difference (MD) −2.88, 95% CI −5.33 to −0.43, p=0.02), lower CCQ scores (MD −0.50, 95% CI −0.82 to −0.18, p<0.05) and lower ACQ scores (MD −0.28, 95% CI −0.56 to 0.00, p<0.05) when compared with the control group.ConclusionsA community pharmacist-led medication adherence intervention was effective at improving medication adherence and clinical outcomes in patients suffering from hypertension, asthma and COPD. Future research should explore the implementation of these interventions in routine practice.Trial registration numberACTRN12618000410257.

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