Mobile Technology Improves Therapy-Adherence Rates in Elderly Patients Undergoing Rehabilitation—A Crossover Design Study

Mertens, Alexander; Becker, Sven; Theis, Sabine; Rasche, Peter; Wille, Matthias; Bröhl, Christina; Finken, Lea; Schlick, Christopher

doi:10.1007/978-3-319-41652-6_28

Cited by 15 publications

(16 citation statements)

References 18 publications

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“…This threshold for a therapeutic dose was obtained from previous studies. In the study by Mertens et al, technology use was represented in relation to medication use, and users were therefore seen as adherent when the technology was used in accordance with the recommendations for medication use [ 77 ]. Carolan et al describe a protocol for a study to be conducted to understand the optimum adherence to the technology in relation to the outcomes [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

Clarifying the Concept of Adherence to eHealth Technology: Systematic Review on When Usage Becomes Adherence

Sieverink¹,

Kelders²,

2017

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BackgroundIn electronic health (eHealth) evaluations, there is increasing attention for studying the actual usage of a technology in relation to the outcomes found, often by studying the adherence to the technology. On the basis of the definition of adherence, we suggest that the following three elements are necessary to determine adherence to eHealth technology: (1) the ability to measure the usage behavior of individuals; (2) an operationalization of intended use; and (3) an empirical, theoretical, or rational justification of the intended use. However, to date, little is known on how to operationalize the intended usage of and the adherence to different types of eHealth technology.ObjectiveThe study aimed to improve eHealth evaluations by gaining insight into when, how, and by whom the concept of adherence has been used in previous eHealth evaluations and finding a concise way to operationalize adherence to and intended use of different eHealth technologies.MethodsA systematic review of eHealth evaluations was conducted to gain insight into how the use of the technology was measured, how adherence to different types of technologies was operationalized, and if and how the intended use of the technology was justified. Differences in variables between the use of the technology and the operationalization of adherence were calculated using a chi-square test of independence.ResultsIn total, 62 studies were included in this review. In 34 studies, adherence was operationalized as “the more use, the better,” whereas 28 studies described a threshold for intended use of the technology as well. Out of these 28, only 6 reported a justification for the intended use. The proportion of evaluations of mental health technologies reporting a justified operationalization of intended use is lagging behind compared with evaluations of lifestyle and chronic care technologies. The results indicated that a justification of intended use does not require extra measurements to determine adherence to the technology.ConclusionsThe results of this review showed that to date, justifications for intended use are often missing in evaluations of adherence. Evidently, it is not always possible to estimate the intended use of a technology. However, such measures do not meet the definition of adherence and should therefore be referred to as the actual usage of the technology. Therefore, it can be concluded that adherence to eHealth technology is an underdeveloped and often improperly used concept in the existing body of literature. When defining the intended use of a technology and selecting valid measures for adherence, the goal or the assumed working mechanisms should be leading. Adherence can then be standardized, which will improve the comparison of adherence rates to different technologies with the same goal and will provide insight into how adherence to different elements contributed to the outcomes.

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Section: Resultsmentioning

confidence: 99%

Clarifying the Concept of Adherence to eHealth Technology: Systematic Review on When Usage Becomes Adherence

Sieverink¹,

Kelders²,

2017

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“…Such lists have been included as part of a medication reconciliation toolkit 14. Previous research15–26 has suggested that many patients bring some form of medication list with them to hospital. In these studies, barriers to successfully using such lists included confusion over who was responsible for updating it, lack of understanding as to its purpose, practicalities such as whether it fits into a pocket and lack of space to record potentially important details such as patient preferences for administration.…”

Section: Introductionmentioning

confidence: 99%

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience

Garfield

Furniss²,

Husson

et al. 2020

BMJ Qual Saf

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BackgroundPatients often carry medication lists to mitigate information loss across healthcare settings. We aimed to identify mechanisms by which these lists could be used to support safety, key supporting features, and barriers and facilitators to their use.MethodsWe used a mixed-methods design comprising two focus groups with patients and carers, 16 semistructured interviews with healthcare professionals, 60 semistructured interviews with people carrying medication lists, a quantitative features analysis of tools available for patients to record their medicines and usability testing of four tools. Findings were triangulated using thematic analysis. Distributed cognition for teamwork models were used as sensitising concepts.ResultsWe identified a wide range of mechanisms through which carrying medication lists can improve medication safety. These included improving the accuracy of medicines reconciliation, allowing identification of potential drug interactions, facilitating communication about medicines, acting as an aide-mémoire to patients during appointments, allowing patients to check their medicines for errors and reminding patients to take and reorder their medicines. Different tools for recording medicines met different needs. Of 103 tools examined, none met the core needs of all users. A key barrier to use was lack of awareness by patients and carers that healthcare information systems can be fragmented, a key facilitator was encouragement from healthcare professionals.ConclusionOur findings suggest that patients and healthcare professionals perceive patient-held medication lists to have a wide variety of benefits. Interventions are needed to raise awareness of the potential role of these lists in enhancing patient safety. Such interventions should empower patients and carers to identify a method that suits them best from a range of options and avoid a ‘one size fits all’ approach.

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“…Data extraction was undertaken using a descriptive‐narrative approach . There were 35 selected articles . Tables were used to collate and summarise the data, and these data were shared within the research team.…”

Section: Methodsmentioning

confidence: 99%

Climate change and the health of older people in Australia: A scoping review on the role of mobile applications (apps) in ameliorating impact

2018

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Mobile Technology Improves Therapy-Adherence Rates in Elderly Patients Undergoing Rehabilitation—A Crossover Design Study

Cited by 15 publications

References 18 publications

Clarifying the Concept of Adherence to eHealth Technology: Systematic Review on When Usage Becomes Adherence

Clarifying the Concept of Adherence to eHealth Technology: Systematic Review on When Usage Becomes Adherence

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience

Climate change and the health of older people in Australia: A scoping review on the role of mobile applications (apps) in ameliorating impact

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