An Understanding of How Technology Can Assist in the Epidemic of Medicine Nonadherence with the Development of a Medicine Dispenser
DOI:
https://doi.org/10.14738/aivp.113.14878Keywords:
Medicine Dispenser, Technology Assistance, Low-Cost Health Support, Personalized CareAbstract
Background: Medication non-adherence is an ever-growing issue that if not dealt with, could have severe consequences. Methods to attempt to improve adherence in patients have been considered, including alternative treatment plans and medicine dispensers. The use of technology in the healthcare field has helped the field advance in many different ways. This paper aims to understand whether the use of technology could be a solution to non-adherence to medicine through the development of a medicine dispenser. Methodology: The project focuses on the design and development of a low-cost automatic medicine dispenser. The medicine dispenser is divided into two parts: the dispenser and the alarm system. The dispenser section stores and releases the medication, while the alarm section notifies the user when it is time to take their medication and which medication to take. The project works by the user first specifying precise times for each of their medications (for example, the first drug is due at 8 am and the second medication is due at 2 pm), and then the project stores this information in order to dispense the medication at these times each day. Validation: For the experiment, data was collected over a five-day period, with the three dispensing compartments and the alarm system being recorded each day. The alarm system is set to notify the user three times per day when medication is required. This alarm system was observed to see if the buzzer alerted at the time of medicine, as well as the correct LED of the dispensing compartment, and whether the LCD screen displayed the medication reminder message. The dispensing compartments were evaluated based on whether the sensor identified the user's hand and whether the medication was given appropriately in a timely manner. Conclusion: The primary conclusions are that technology, such as the usage of a medicine dispenser, can be demonstrated to be a valuable tool in combating medicine non-adherence through research and experimentation. The 5 days test with the medicine dispenser demonstrates the efficacy and feasibility of technological interventions. Every day, the device's alarm system could notify the user when it was time to take their medication (i.e. at 8 am, 2 pm, and 8 pm). The results of the project highlight how the medicine dispenser developed in this project has proven to have potential for combating non-adherence in relation to the factors of forgetfulness and complex regimens. Further investigation can be conducted to gain a more detailed an accurate insight, as well as future improvements to the device to help other factors of non-adherence.
References
Public Health England (2020) Prescribed medicines review: Summary. GOV.UK. Available at: https://www.gov.uk/government/publications/ (Accessed: April 2, 2023).
Public Health England (2020) Prescribed medicines review: What this report means for patients, GOV.UK. GOV.UK. Available at: https://www.gov.uk/government/publications/prescribed-medicinesreviewreport/prescribed-medicines-review-what-this-report-means-for-patients (Accessed: May 5, 2023).
Osterberg, L. and Blaschke, T. (2005) “Adherence to medication,” New England Journal of Medicine, 353(5), pp. 487–497. Available at: https://doi.org/10.1056/nejmra050100
DiMatteo, M.R. (2004) Social support and patient adherence to medical treatment: a meta-analysis. Health psychology, 23(2), p.207.
DiMatteo, M.R., Giordani, P.J., Lepper, H.S. and Croghan, T.W. (2002) Patient adherence and medical treatment outcomes a meta-analysis. Medical care, pp.794-811.
DiMatteo, M.R., Lepper, H.S. and Croghan, T.W. (2000) Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of internal medicine, 160(14), pp.2101-2107. 547
Bryant Howren, M., Van Liew, J.R. and Christensen, A.J. (2013) Advances in patient adherence to medical treatment regimens: The emerging role of technology in adherence monitoring and management. Social and Personality Psychology Compass, 7(7), pp.427-443.
Abasta, R. (2020) The 4 types of medication non-adherence, CuePath. Available at: https://cuepath.com/blog/the-4-types-of-medication-non-adherence/ (Accessed: April 5, 2023).
The Topol Review (2019) Preparing the Healthcare Workforce to Deliver the Digital Future. An Independent Report on Behalf of the Secretary of State for Health and Social Care. Published by Health Education England. https://topol.hee.nhs.uk/.
Vermeire, E., Hearnshaw, H., Van Royen, P. and Denekens, J. (2001) Patient adherence to treatment: three decades of research. A comprehensive review. Journal of clinical pharmacy and therapeutics, 26(5), pp.331-342.
Sabaté, E. (2003) Adherence to long-term therapies: Evidence for action. Geneva: World Health Organization.
Cutler, R. L., Fernandez-Llimos, F., Frommer, M., Benrimoj, C., & Garcia-Cardenas, V. (2018). Economic impact of medication non-adherence by disease groups: a systematic review. BMJ open, 8(1), e016982. https://doi.org/10.1136/bmjopen-2017-016982
Hagan, P. (2015) The true cost of medication non-adherence. Omnicell UK—Adherence Let’s Take Care of It Campaign.
World Health Organization (2003) Adherence to long-term therapies: evidence for action. World Health Organization.
Yap A.F., Thiumoorthy, T. and Kwan, Y.H. (2016) Medication adherence in the elderly. Journal of Clinical Gerontology and Geriatrics, 7(2), pp.64-67.
Gold, D.T., Alexander, I.M. and Ettinger, M.P. (2006) “How can osteoporosis patients benefit more from their therapy? adherence issues with bisphosphonate therapy,” Annals of Pharmacotherapy, 40(6), pp. 1143–1150. Available at: https://doi.org/10.1345/aph.1g534.
Kardas, P., Lewek, P. and Matyjaszczyk, M. (2013) “Determinants of patient adherence: A review of Systematic Reviews,” Frontiers in Pharmacology, 4. Available at: https://doi.org/10.3389/fphar.2013.00091.
Ingersoll, K.S. and Cohen, J. (2008) The impact of medication regimen factors on adherence to chronic treatment: a review of literature. Journal of behavioral medicine, 31, pp.213-224.
Unni, E.J. and Farris, K.B. (2011) Unintentional non-adherence and belief in medicines in older adults. Patient education and counseling, 83(2), pp.265-268.
Smith, D., Lovell, J., Weller, C., Kennedy, B., Winbolt, M., Young, C., & Ibrahim, J. (2017) A systematic review of medication non-adherence in persons with dementia or cognitive impairment. PloS one, 12(2), e0170651. https://doi.org/10.1371/journal.pone.0170651.
Alzheimer’s Society (2023) Mild cognitive impairment (MCI). Available at: https://www.alzheimers.org.uk/about-dementia/types-dementia/mild-cognitive-impairment-mci (Accessed: April 20, 2023).
Hudani, Z.K. and Rojas-Fernandez, C.H. (2016) A scoping review on medication adherence in older patients with cognitive impairment or dementia. Research in Social and Administrative Pharmacy, 12(6), pp.815-829.
Bulloch, A.G., Adair, C.E. and Patten, S.B. (2006) Forgetfulness: a role in noncompliance with antidepressant treatment. The Canadian Journal of Psychiatry, 51(11), pp.719-722.
Watson, K. (2021) ADHD and memory: Effects, tips, treatment & more, Healthline. Healthline Media. Available at: https://www.healthline.com/health/adhd/adhd-memory (Accessed: April 6, 2023).
Tolkof-Rubin N. (2008) Treatment of irreversible renal failure. Service of the US national library and the national institute. Transplantation 22: pp. 845-850.
Chapman, S.C. and Horne, R. (2013) Medication nonadherence and psychiatry. Current opinion in psychiatry, 26(5), p.446.
Montgomery, K. (2022) How technology is revolutionizing first Reponder services, Transpac Technology. Available at: https://www.transpactechnology.com/ (Accessed: April 1, 2023).
Hamet, P. and Tremblay, J. (2017) Artificial intelligence in medicine. Metabolism, 69, pp. S36-S40.
Pasha, S.N., Ramesh, D., Mohmmad, S. and Harshavardhan, A. (2020) Cardiovascular disease prediction using deep learning techniques. In IOP conference series: materials science and engineering (Vol. 981, No. 2, p. 022006). IOP Publishing.
Otoom, A.F., Abdallah, E.E., Kilani, Y., Kefaye, A. and Ashour, M. (2015) Effective diagnosis and monitoring of heart disease. International Journal of Software Engineering and Its Applications, 9(1), pp.143-156.
Greenhalgh, T., Vijayaraghavan, S., Wherton, J., Shaw, S., Byrne, E., Campbell-Richards, D., Bhattacharya, S., Hanson, P., Ramoutar, S., Gutteridge, C. and Hodkinson, I. (2016) Virtual online consultations: advantages and limitations (VOCAL) study. BMJ open, 6(1), p.e009388.
Bokolo, A.J. (2021) Exploring the adoption of telemedicine and virtual software for care of outpatients during and after COVID-19 pandemic. Irish Journal of Medical Science (1971-), 190(1), pp.1-10.
Galen Data (2011) The disadvantages of technology in Healthcare - Galen Data. Available at: https://galendata.com/disadvantages-of-technology-in-healthcare/ (Accessed: May 1, 2023).
Scalvini, S., Vitacca, M., Paletta, L., Giordano, A. and Balbi, B. (2004) Telemedicine: a new frontier for effective healthcare services. Monaldi Archives for chest disease, 61(4).
Taibanguay, N., Chaiamnuay, S., Asavatanabodee, P., & Narongroeknawin, P. (2019) Effect of patient education on medication adherence of patients with rheumatoid arthritis: a randomized controlled trial. Patient preference and adherence, pp. 119-129.
Baumgartner, A., Drame, K., Geutjens, S., & Airaksinen, M. (2020) Does the polypill improve patient adherence compared to its individual formulations? A systematic review. Pharmaceutics, 12(2), 190.
Baines, J. (2018) An interview with the developers of the ‘Medisafe’ app, steady health. Available at: https://www.steadyhealth.com/articles/an-interview-with-the-developers-of-the-medisafe-app. (Accessed: 02 May 2023).
intech (2021) Medisafe App Review, intech.media. Available at: https://intech.media/en/healthcaretech/medisafe-app-review/ (Accessed: 04 May 2023). 549
Pollard, A. (2023) The best pill organizers of 2023 from basic to modern, Verywell Health. Available at: https://www.verywellhealth.com/best-pill-organizers-4158598 (Accessed: 06 May 2023).
Alei (2023) Tablets sizes and shapes, AIPAK. Available at: https://www.icapsulepack.com/tabletssizesand-shapes/ (Accessed: 02 May 2023).
AdhereHealth (2021) Hero and AdhereHealth establish strategic partnership to improve medication adherence among vulnerable patients, PR Newswire: press release distribution, targeting, monitoring and marketing. Available at: https://www.prnewswire.com/news-releases/ (Accessed: 02 May 2023).
PharmaAdva (2023) Pharmadva MedaCubeTM automatic Pill Dispenser, MedaCube. Available at: https://www.medacube.com (Accessed: 06 May 2023).
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