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The effect of medical device dose-memory functions on patients' adherence to treatment, confidence, and disease self-management.

Hall RL, Willgoss T, Humphrey LJ, Kongsø JH - Patient Prefer Adherence (2014)

Bottom Line: A search of MEDLINE, Embase, and PsycINFO was performed to identify articles published in English from 2003-2013 that studied the effect of devices with dose-memory and combined dose-memory and dose-reminder functions on treatment adherence and users' (patients, health care professionals [HCPs], and caregivers) confidence, self-management behavior, and attitudes.The incorporation of dose-memory and combined dose-memory and dose-reminder functions in drug-delivery devices can improve patients' adherence, confidence, and self-management behavior.This review highlights the importance of conducting further qualitative and quantitative research to further understand the value and impact of these types of devices on patients' long-term adherence to, and self-management of treatment.

View Article: PubMed Central - PubMed

Affiliation: Adelphi Values, Adelphi Mill, Bollington, Cheshire, UK.

ABSTRACT

Background: Adherence to treatment is an important issue in chronic disease management and an indicator of patients' ability to self-manage their condition and treatment. Some drug-dispensing and drug-delivery devices have been designed to support patients' medication-taking behavior by including dose-memory and combined dose-memory and dose-reminder functions, which electronically store, and visually display dose-history information, enabling the patient to review, monitor, and/or be actively reminded about their medication doses.

Purpose: This literature review explored the role and impact of these devices on patients' treatment adherence, confidence with, and self-management of their condition and treatment.

Materials and methods: A search of MEDLINE, Embase, and PsycINFO was performed to identify articles published in English from 2003-2013 that studied the effect of devices with dose-memory and combined dose-memory and dose-reminder functions on treatment adherence and users' (patients, health care professionals [HCPs], and caregivers) confidence, self-management behavior, and attitudes.

Results: The database searches yielded 940 abstracts from which 13 articles met the inclusion criteria and were retained. Devices with dose-memory and combined dose-memory and dose-reminder functions were found to improve self-reported and electronically monitored treatment adherence in chronic conditions such as asthma, diabetes, and HIV. The ability of the devices to provide dose-history information and active medication reminders was considered valuable in disease management by patients, caregivers, and HCPs. The devices were found to enhance patients' confidence in, and motivation to manage their medication and condition, and help reduce forgotten or incorrect medication dosing.

Conclusion: The incorporation of dose-memory and combined dose-memory and dose-reminder functions in drug-delivery devices can improve patients' adherence, confidence, and self-management behavior. They can target non-intentional barriers to adherence and can provide a means of improving disease control and clinical outcomes, thereby offering clinical and economic value. This review highlights the importance of conducting further qualitative and quantitative research to further understand the value and impact of these types of devices on patients' long-term adherence to, and self-management of treatment.

No MeSH data available.


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Mentions: Searches in the electronic bibliographic databases returned a combined total of 940 abstracts; however, due to the niche area under investigation, 911 were excluded. Abstracts were excluded because they either failed to report on patient-used drug-dispensing or drug-delivery devices at all (eg, clinical guidelines, health service evaluation, and medication efficacy reviews) or reported on devices irrelevant to the current study (eg, MEMS, dose-reminder devices without dose-memory functions, clinician-used medical devices, and devices measuring physiological parameters [eg, high blood pressure or blood glucose monitors]). Abstracts were also excluded if they discussed general adherence and compliance monitoring, or non-medical content. A total of 29 articles were selected for full text review, and following review of their reference lists, a further eleven articles were selected for inclusion. Of the 40 articles identified for full text review, 27 were omitted as they did not contain relevant content to the concepts of interest as expected from their abstracts. A final total of 13 articles were selected for inclusion in this review and data extraction (Figure 1).34–46 Of the 13 included studies, eight (61.5%) utilized patient-used dose-memory function devices34,38–41,43,44,46 and five utilized combined dose-memory and dose-reminder functionalities (38.5%),35–37,42,45 which electronically store, and visually display dose-history information, enabling the patient to review, monitor, and/or be actively reminded about their medication doses.


The effect of medical device dose-memory functions on patients' adherence to treatment, confidence, and disease self-management.

Hall RL, Willgoss T, Humphrey LJ, Kongsø JH - Patient Prefer Adherence (2014)

Article selection flow diagram.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4043803&req=5

f1-ppa-8-775: Article selection flow diagram.
Mentions: Searches in the electronic bibliographic databases returned a combined total of 940 abstracts; however, due to the niche area under investigation, 911 were excluded. Abstracts were excluded because they either failed to report on patient-used drug-dispensing or drug-delivery devices at all (eg, clinical guidelines, health service evaluation, and medication efficacy reviews) or reported on devices irrelevant to the current study (eg, MEMS, dose-reminder devices without dose-memory functions, clinician-used medical devices, and devices measuring physiological parameters [eg, high blood pressure or blood glucose monitors]). Abstracts were also excluded if they discussed general adherence and compliance monitoring, or non-medical content. A total of 29 articles were selected for full text review, and following review of their reference lists, a further eleven articles were selected for inclusion. Of the 40 articles identified for full text review, 27 were omitted as they did not contain relevant content to the concepts of interest as expected from their abstracts. A final total of 13 articles were selected for inclusion in this review and data extraction (Figure 1).34–46 Of the 13 included studies, eight (61.5%) utilized patient-used dose-memory function devices34,38–41,43,44,46 and five utilized combined dose-memory and dose-reminder functionalities (38.5%),35–37,42,45 which electronically store, and visually display dose-history information, enabling the patient to review, monitor, and/or be actively reminded about their medication doses.

Bottom Line: A search of MEDLINE, Embase, and PsycINFO was performed to identify articles published in English from 2003-2013 that studied the effect of devices with dose-memory and combined dose-memory and dose-reminder functions on treatment adherence and users' (patients, health care professionals [HCPs], and caregivers) confidence, self-management behavior, and attitudes.The incorporation of dose-memory and combined dose-memory and dose-reminder functions in drug-delivery devices can improve patients' adherence, confidence, and self-management behavior.This review highlights the importance of conducting further qualitative and quantitative research to further understand the value and impact of these types of devices on patients' long-term adherence to, and self-management of treatment.

View Article: PubMed Central - PubMed

Affiliation: Adelphi Values, Adelphi Mill, Bollington, Cheshire, UK.

ABSTRACT

Background: Adherence to treatment is an important issue in chronic disease management and an indicator of patients' ability to self-manage their condition and treatment. Some drug-dispensing and drug-delivery devices have been designed to support patients' medication-taking behavior by including dose-memory and combined dose-memory and dose-reminder functions, which electronically store, and visually display dose-history information, enabling the patient to review, monitor, and/or be actively reminded about their medication doses.

Purpose: This literature review explored the role and impact of these devices on patients' treatment adherence, confidence with, and self-management of their condition and treatment.

Materials and methods: A search of MEDLINE, Embase, and PsycINFO was performed to identify articles published in English from 2003-2013 that studied the effect of devices with dose-memory and combined dose-memory and dose-reminder functions on treatment adherence and users' (patients, health care professionals [HCPs], and caregivers) confidence, self-management behavior, and attitudes.

Results: The database searches yielded 940 abstracts from which 13 articles met the inclusion criteria and were retained. Devices with dose-memory and combined dose-memory and dose-reminder functions were found to improve self-reported and electronically monitored treatment adherence in chronic conditions such as asthma, diabetes, and HIV. The ability of the devices to provide dose-history information and active medication reminders was considered valuable in disease management by patients, caregivers, and HCPs. The devices were found to enhance patients' confidence in, and motivation to manage their medication and condition, and help reduce forgotten or incorrect medication dosing.

Conclusion: The incorporation of dose-memory and combined dose-memory and dose-reminder functions in drug-delivery devices can improve patients' adherence, confidence, and self-management behavior. They can target non-intentional barriers to adherence and can provide a means of improving disease control and clinical outcomes, thereby offering clinical and economic value. This review highlights the importance of conducting further qualitative and quantitative research to further understand the value and impact of these types of devices on patients' long-term adherence to, and self-management of treatment.

No MeSH data available.


Related in: MedlinePlus