Medication adherence and activity patterns underlying uncontrolled hypertension: Assessment and recommendations by practicing pharmacists using digital health care

Noble, Kevin; Brown, Karl; Medina, María Guadalupe; Alvarez, F.; Young, Julian; S, Leadley; Kim, Yoona; DiCarlo, Lorenzo A.

doi:10.1016/j.japh.2016.01.005

Cited by 24 publications

(40 citation statements)

References 6 publications

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“…Almost every study (n = 16) was approved either by a REC or an IRB. One study [45] reported that in its case ethics approval was not needed. One study [49] did not report any information concerning ethical review or approval.…”

Section: Yesmentioning

confidence: 99%

“…Some (n = 11) mention how DP could improve prescribing practices and medication-taking. For example, one study [45] underscores that "the information that is collected [ …] can be used to determine the root cause for uncontrolled hypertension during existing antihypertensive treatment, thereby providing an evidence base for appropriate prescribing recommendations, and a means for avoiding the medicine wastage". Some others (n = 3) highlight that DP can help rationalise the use of healthcare resources.…”

Section: Society-relatedmentioning

confidence: 99%

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Digital pills: a scoping review of the empirical literature and analysis of the ethical aspects

et al. 2020

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Background: Digital Pills (DP) are an innovative drug-device technology that permits to combine traditional medications with a monitoring system that automatically records data about medication adherence as well as patients' physiological data. Although DP are a promising innovation in the field of digital medicine, their use has also raised a number of ethical concerns. These ethical concerns, however, have been expressed principally from a theoretical perspective, whereas an ethical analysis with a more empirically oriented approach is lacking. There is also a lack of clarity about the empirical evidence available concerning the application of this innovative digital medicine. Methods: To map the studies where DP have been tested on patients and discuss the ethically relevant issues evident therein, we performed a scoping review of the empirical literature concerning DP. Results: Our search allowed us to identify 18 papers reporting on studies where DP were tested on patients. These included studies with different designs and involving patients with a variety of conditions. In the empirical literature, a number of issues with ethical relevance were evident. At the patient level, the ethical issues include users' interaction with DP, personal sphere, health-related risks and patients' benefits. At the provider level, ethically relevant issues touch upon the doctor-patient relationship and the question of data access. At the societal level, they concern the benefits to society, the quality of evidence and the dichotomy device-medicine. Conclusions: We conclude that evidence concerning DP is not robust and that more research should be performed and study results made available to evaluate this digital medicine. Moreover, our analysis of the ethically relevant aspects within empirical literature underscores that there are concrete and specific open questions that should be tackled in the ethical discussion about this new technological solution.

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Section: Yesmentioning

confidence: 99%

Section: Society-relatedmentioning

confidence: 99%

Digital pills: a scoping review of the empirical literature and analysis of the ethical aspects

et al. 2020

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“…The findings from the rural primary practices that participated in this registry complement findings from those in 15 rural community pharmacies [14]. Approximately 30% of patients with uncontrolled baseline blood pressure met their blood pressure goals after 2 weeks with no changes in existing anti-hypertensive prescribing.…”

Section: Discussionmentioning

confidence: 66%

First Use of an Ingestible Sensor to Manage Uncontrolled Blood Pressure in Primary Practice: The UK Hypertension Registry

R¹,

Macey²,

Rj³

et al. 2017

J Community Med Health Educ

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Background: Primary care physicians used a CE-marked ingestible sensor in a real world setting to assess patients with persistent hypertension. The objectives were to (1) characterize the pattern of their medication use, (2) differentiate medication use from pharmacologic unresponsiveness as a potential underlying cause for uncontrolled hypertension; (3) categorize and summarize subsequent management decisions; and (4) assess the usability and acceptability of passive electronic monitoring for managing hypertension.

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“…With the changing face of pharmacy in the United States, the traditional dispensing as a predominant role for pharmacists may soon become obsolete . However, pharmacists’ skill sets are in high demand in the newly rising fields including medication and disease management, digital health and the pharmaceutical industry . The study objective is to describe a 3‐credit (45 classroom contact hours) semester‐long global pharmaceutical industry elective course, including content, assessment structure, student evaluations of the course and preliminary outcomes defined as self‐reported intention to explore careers in pharmaceutical industry through summer internships and postgraduation fellowships.…”

Section: Introductionmentioning

confidence: 99%

Pharmaceutical industry in a global context elective course: implementation and preliminary outcomes

Shcherbakova

2018

International Journal of Pharmacy Practice

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Medication adherence and activity patterns underlying uncontrolled hypertension: Assessment and recommendations by practicing pharmacists using digital health care

Cited by 24 publications

References 6 publications

Digital pills: a scoping review of the empirical literature and analysis of the ethical aspects

Digital pills: a scoping review of the empirical literature and analysis of the ethical aspects

First Use of an Ingestible Sensor to Manage Uncontrolled Blood Pressure in Primary Practice: The UK Hypertension Registry

Pharmaceutical industry in a global context elective course: implementation and preliminary outcomes

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