A New Electronic Monitoring Device to Measure Medication Adherence: Usability of the Helping Hand™

Bleser, Leentje De; Vincke, Birgit; Dobbels, Fabienne; Happ, Mary Beth; Maes, Bart; Vanhaecke, Johan; Geest, Sabina De

doi:10.3390/s100301535

Cited by 22 publications

(22 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All participants carried an HH [54]—a medication dispenser that electronically recorded when the nicotine gum placard was removed from the container. Half of participants received a printout showing how much gum they used daily (as recorded by the HH) plus 10-minute adherence counseling sessions based on the printout (8 week medication group=3 in-person and 2 phone sessions; 26 week medication group=5 in-person and 4 phone sessions).…”

Section: Methodsmentioning

confidence: 99%

Comparative effectiveness of intervention components for producing long‐term abstinence from smoking: a factorial screening experiment

et al. 2015

View full text Add to dashboard Cite

Aims To identify promising intervention components that help smokers attain and maintain abstinence during a quit attempt. Design A 2×2×2×2×2 randomized factorial experiment. Setting Eleven primary care clinics in Wisconsin, USA. Participants 544 smokers (59% women, 86% White) recruited during primary care visits and motivated to quit. Interventions Five intervention components designed to help smokers attain and maintain abstinence: 1) extended medication (26 vs. 8 weeks of nicotine patch + nicotine gum); 2) maintenance (phone) counseling versus none; 3) medication adherence counseling versus none; 4) automated (medication) adherence calls versus none; and 5) electronic medication monitoring with feedback and counseling versus electronic medication monitoring alone. Measurements The primary outcome was 7-day self-reported point-prevalence abstinence 1 year after the target quit day. Findings Only extended medication produced a main effect. Twenty-six versus eight weeks of medication improved point-prevalence abstinence rates (43% vs. 34% at 6 months; 34% versus 27% at 1 year; p =.01 for both). There were four interaction effects at 1 year, showing that an intervention component’s effectiveness depended upon the components with which it was combined. Conclusions Twenty-six weeks of nicotine patch + nicotine gum (versus 8 weeks) and maintenance counseling provided by phone are promising intervention components for the cessation and maintenance phases of smoking treatment.

show abstract

Section: Methodsmentioning

confidence: 99%

Comparative effectiveness of intervention components for producing long‐term abstinence from smoking: a factorial screening experiment

et al. 2015

View full text Add to dashboard Cite

show abstract

“…20 Also, patients should be asked if they would be willing to pay for the device. For example, in the study of De Bleser et al 21 concerning the usability of the Helping Hand, a medication adherence monitor, four patients (36%) and four volunteers (40%) said they would like to use the Helping Hand in the future. Conversely, three patients (27%) and one volunteer (10%) ruled out ever using it again.…”

Section: Acceptabilitymentioning

confidence: 99%

“…Subjects from different cultural backgrounds should also be included to explore usability perceptions in these individuals. 21 …”

Section: Satisfaction and Acceptabilitymentioning

confidence: 99%

How to Test Electronic Adherence Monitoring Devices for Use in Daily Life

Bleser

Geest

Vincke

et al. 2011

CIN: Computers, Informatics, Nursing

Self Cite

View full text Add to dashboard Cite

Electronic monitoring devices are increasingly used in healthcare to monitor health behaviors on a day-to-day basis. As a prerequisite to their application in clinical studies or daily practice, the performance of those electronic monitoring devices should be tested. Such testing includes a demonstration of technically correct function and of correspondence between the recorded data and the actual patient behavior, that is, objective testing of reliability and validity. Furthermore, from the patient's perspective, the operation of these devices should be easy to learn and to perform, and their use should be acceptable. These aspects of usability need to be tested from a user's subjective point of view. We propose a conceptual framework that builds on existing literature, for example, the framework on "obtrusiveness" of Hensel et al [J Am Med Inform Assoc. 2006;13(4):428-431], the assumptions regarding valid electronic monitoring of Denhaerynck et al [BMC Med Res Methodol. 2008;8:5], and empirical evidence. The framework integrates an objective and a subjective dimension. The objective dimension encompasses both reliability (accuracy and precision) and internal and external validity. The subjective dimension describes the user's perspective on usability along subdimensions of user performance, satisfaction, and acceptability. This framework can be used as a road map to test existing and future electronic monitoring devices before their widespread application in clinical studies or daily practice.

show abstract

“…Satisfaction questions were based on the D-quest [37]. Acceptability questions were based on the acceptability concept described in De Bleser et al [26,38] Semi-structured interviews were audio-recorded.…”

Section: Methodsmentioning

confidence: 99%

Biofeedback in Partial Weight Bearing: Usability of Two Different Devices from a Patient’s and Physical Therapist’s Perspective

et al. 2016

View full text Add to dashboard Cite

BackgroundPartial weight bearing is frequently instructed by physical therapists in patients after lower-limb trauma or surgery. The use of biofeedback devices seems promising to improve the patient’s compliance with weight-bearing instructions. SmartStep and OpenGo-Science are biofeedback devices that provide real-time feedback. For a successful implementation, usability of the devices is a critical aspect and should be tested from a user’s perspective.AimTo describe the usability from the physical therapists’ and a patients’ perspective of Smartstep and OpenGo-Science to provide feedback on partial weight bearing during supervised rehabilitation of patients after lower-limb trauma or surgery.MethodsIn a convergent mixed-methods design, qualitative and quantitative data were collected. Usability was subdivided into user performance, satisfaction and acceptability. Patients prescribed with partial weight bearing and their physical therapists were asked to use SmartStep and OpenGo-Science during supervised rehabilitation. Usability was qualitatively tested by a think-aloud method and a semi-structured interview and quantitatively tested by the System-Usability-Scale (SUS) and closed questions. For the qualitative data thematic content analyses were used.ResultsNine pairs of physical therapists and their patients participated. The mean SUS scores for patients and physical therapists were for SmartStep 70 and 53, and for OpenGo-Science 79 and 81, respectively. Scores were interpreted with the Curved Grading Scale. The qualitative data showed that there were mixed views and perceptions from patients and physical therapists on satisfaction and acceptability.ConclusionThis study gives insight in the usability of two biofeedback devices from the patient’s and physical therapist’s perspective. The overall usability from both perspectives seemed to be acceptable for OpenGo-Science. For SmartStep, overall usability seemed only acceptable from the patient’s perspective.ImplicationThe study findings could help clinicians to decide which biofeedback device is appropriate for their given situation and provide information for future development of biofeedback devices.

show abstract

A New Electronic Monitoring Device to Measure Medication Adherence: Usability of the Helping Hand™

Cited by 22 publications

References 28 publications

Comparative effectiveness of intervention components for producing long‐term abstinence from smoking: a factorial screening experiment

Comparative effectiveness of intervention components for producing long‐term abstinence from smoking: a factorial screening experiment

How to Test Electronic Adherence Monitoring Devices for Use in Daily Life

Biofeedback in Partial Weight Bearing: Usability of Two Different Devices from a Patient’s and Physical Therapist’s Perspective

Contact Info

Product

Resources

About