Adherence measurement systems and technology for medications in older patient populations

Stegemann, Sven; Baeyens, Jean Pierre; Cerreta, Francesca; Chanie, Ermias Sisay; Löfgren, A.; Maio, Mario; Schreier, Günter; Thesing-Bleck, E.

doi:10.1016/j.eurger.2012.05.004

Cited by 31 publications

(29 citation statements)

References 36 publications

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“…) because some patients hide their untaken doses or forget to bring them to the appointment (Stegemann et al. ). Direct measures of adherence include observation of medication intake, with the risk that patients can fake swallow.…”

Section: Overview Of the Concept Of Medical Adherence And Tracking Symentioning

confidence: 99%

“…For instance, the fact that sometimes patients consciously misreport or fake medication intake (Farmer ; Stegemann et al. ; Arnet et al. ) suggests that they may fear being judged and may feel more comfortable pretending they are following the doctors’ recommendations rather than communicating their challenges taking the medication or expressing their decisions not to take the medication.…”

Section: The Literature On Medical Technologymentioning

confidence: 99%

“…Indirect measures such as reviewing pharmacy records or pill counting rely on patients' behavior (instead of self-report), but this system can become inconsistent and unreliable if patients receive medication at different pharmacies. Medication refill or pill counting also does not necessarily translate to actual medication intake (Farmer 1999;Shi et al 2010) because some patients hide their untaken doses or forget to bring them to the appointment (Stegemann et al 2012). Direct measures of adherence include observation of medication intake, with the risk that patients can fake swallow.…”

Section: Overview Of the Concept Of Medical Adherence And Tracking Symentioning

confidence: 99%

“…Only 50% of chronically ill patients adhere to their medications (Sabat e 2003). Identified factors related to low medication adherence include medical illiteracy, forgetfulness, low selfefficacy, side effects, poor doctor-patient communication and lack of social support (Kucukarslan 2012;Murphy et al 2012;Stegemann et al 2012).…”

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confidence: 99%

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Rethinking agency and medical adherence technology: applying Actor Network Theory to the case study of Digital Pills

2015

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Much literature surrounding medical technology and adherence posits that technology is a mechanism for social control. This assumes that the medical establishment can take away patients' agency. Although power relationships and social control can play a key role, medical technology can also serve as an agentive tool to be utilized. We (1) offer the alternative framework of Actor Network Theory to view medical technology, (2) discuss the literature on medication adherence and technology, (3) delve into the ramifications of looking at adherence as a network and (4) use Digital Pills as a case study of dispersed agency.

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Section: Overview Of the Concept Of Medical Adherence And Tracking Symentioning

confidence: 99%

Section: The Literature On Medical Technologymentioning

confidence: 99%

Section: Overview Of the Concept Of Medical Adherence And Tracking Symentioning

confidence: 99%

mentioning

confidence: 99%

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Rethinking agency and medical adherence technology: applying Actor Network Theory to the case study of Digital Pills

2015

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“…The "Fit for the Aged" (FORTA) is a system developed in Germany that appears to have some additional advantages in being easy to use in older persons (75). It also needs to be recognized that polypharmacy is a major cause of non-adherence to drug therapy (76). …”

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confidence: 99%

Frailty and polypharmacy

Rolland¹,

Morley

2016

The Journal of nutrition, health and aging

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Monitoring Technologies for Quantifying Medication Adherence

et al. 2022

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Medication non-adherence is a prevalent, complex problem. Failure to follow medication schedules may lead to major health complications, which could reduce quality of life. Proper medication adherence is thus required in order to gain the greatest possible drug benefit during a patient’s treatment. Interventions have been proven to improve medication adherence if deviations are detected. This review focuses on recent advances in the field of technology-based medication adherence approaches and pays particular attention to their technical monitoring aspects. The taxonomy space of this review spans multiple techniques including sensor systems, proximity sensing, vision systems, and combinations of these. As each technique has unique advantages and limitations, this work describes their trade-offs in accuracy, energy consumption, acceptability and user’s comfort, and user authentication.

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Adherence measurement systems and technology for medications in older patient populations

Cited by 31 publications

References 36 publications

Rethinking agency and medical adherence technology: applying Actor Network Theory to the case study of Digital Pills

Rethinking agency and medical adherence technology: applying Actor Network Theory to the case study of Digital Pills

Frailty and polypharmacy

Monitoring Technologies for Quantifying Medication Adherence

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