Older Adults with Alzheimer’s Disease Who Have Used an Automatic Medication Dispenser for 3 or More Years

Kamimura, Tomoko

doi:10.1080/07317115.2017.1347594

Cited by 19 publications

(37 citation statements)

References 19 publications

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“…Sleep Disorders inventoryYes 44Schulz R et al [39]2016USA512 – Spouses + Sons +Daughters + Other family members + Friends(251 men; 261 women)Incomplete = 7518–64SurveyEmergency response system; sensors;1. General technology attitudes −10-point scale.No 45Kamimura T [82]2017Japan5 – Spouse + Daughter + Daughter-in-law(Gender not reported)52–65SurveyAutomatic Medication Dispenser1. Carer Burden (1 = no burden; 2 = little burden; 3 = mild burden; 4 = moderate to severe burden).No 46Korchut A et al [83]2017Poland Spain81-(26 men; 54 women)incomplete = 1Not reportedSurveyRobotic assistants1.…”

Section: Resultsmentioning

confidence: 99%

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Informal carers’ experience of assistive technology use in dementia care at home: a systematic review

2019

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Background Dementia is a health and care priority globally. Caring for persons with dementia is a challenge and can lead to negative psychological, physiological and financial consequences for informal carers. Advances in technology have the potential to assist persons with dementia and their carers, through assistive technology devices such as electronic medication dispensers, robotic devices trackers and motion detectors. However, little is known about carers’ experience and the impact of these technologies on them. This review aims to investigate the outcomes and experience of carers of persons with dementia, who live at home and use assistive technology. Methods A systematic search in seven databases and manual searches were carried out using pre-defined inclusion and exclusion criteria to identify studies on carers of persons with dementia involving the use of assistive technology. The search identified 56 publications with quantitative, qualitative and mixed-method designs. Results The studies reported positive and negative findings and focused on a wide variety of assistive technology devices. There were large differences in the uses of assistive technology, outcome measures used and the quality of studies. Knowledge and acceptance, competence to use and ethical issues when using assistive technology were themes that emerged from the studies. Carers generally appreciated using assistive technology and their experience of use varied. Conclusions The intention of this systematic review is to list and classify the various types of assistive technology used by carers of persons with dementia and explores the positive and negative aspects, knowledge, acceptance and ethical issues in the use of assistive technology by carers of persons with dementia. We recommend the use of a standard and person-centred system of classifying and naming assistive technology devices and systems and for future research efforts in assistive technology to incorporate a family/carer centred model. Systematic review registration PROSPERO - CRD42017082268 . Electronic supplementary material The online version of this article (10.1186/s12877-019-1169-0) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…Electronic medication reminder [46, 47, 75, 88]; electronic pill dispensers [10, 35, 59, 69, 82]/ Medicine dispenser with alarm [48, 50]/Medication organiser [81]…”

Section: Resultsmentioning

confidence: 99%

Informal carers’ experience of assistive technology use in dementia care at home: a systematic review

2019

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“…The various functions of medication dispensing technologies have been shown to significantly improve medication adherence in community-dwelling older adults with chronic conditions. [12][13][14][15] Studies suggest these kinds of technologies are superior to pill organizers and self-management of medication in helping older adults adhere to their medication regimens. 12,15 Medication dispensing technologies have been shown to improve patient health outcomes, such as reduced frequency of physician visits and hospitalizations, and reduced prescribed medication overtime attributed to the stabilization of patients' conditions due to medication adherence.…”

Section: Introductionmentioning

confidence: 99%

<p>Users’ Perceptions of an in-Home Electronic Medication Dispensing System: A Qualitative Study</p>

Ahmad¹,

Chiu²,

Arain³

2020

MDER

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Background: Managing and taking multiple medications as prescribed can be a difficult task for older adults. In-home medication dispensing technologies could help enhance care. The objective of the study was to determine users' perspectives on a medication dispensing system (MDS) in supporting medication adherence of individuals living at home with chronic conditions. Methods: This analysis is a part of a randomized controlled trial on an MDS in a Western Canadian province. We interviewed participants who were recruited into the intervention group and started using an MDS. A maximum variation purposive sampling was used to select interview participants based on age, number of medications, and health conditions. Results: Thirteen participants were interviewed; most participants were females (n=11) and the average age was 63.7 (SD=8.2) years with an average of 8.9 (SD=3.6) prescribed medications. The most common health conditions were hypertension, diabetes, arthritis, and anxiety and depression. Four main themes emerged from thematic analysis: MDS acceptability, MDS patient support, need for the MDS, and areas of technology improvement. Most of the participants found the MDS to be acceptable and convenient, although privacy and security was an issue for some older adults. Audio and visual reminders and preorganized medication supported participants' medication adherence and independence in daily routines. The perceived necessity of the MDS was split among participants with cost being one of the main concerns. Areas of technology improvement included the hard-to-open plastic medication packets and the sometimes inexact recording of medication adherence by the MDS if medications were dispensed on behalf of the patients. Conclusion: The MDS is an acceptable tool for improving medication management and adherence in older adults. Increased medication adherence may lead to patient and systemlevel benefits.

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“…The ndings from this study, in addition to evidence of existing studies, show that medication dispensing technology can improve medication adherence in older adults within the rst week or month, and the high adherence is likely to be maintained over the six month period. 17,31, [33] , [34] Two studies have suggested the possibility of an even longer maintenance of medication adherence for community-dwelling older adults, at two to over three years of use. 18,32 In comparison, the control group had a consistently lower and wider range of medication adherence.…”

Section: Discussionmentioning

confidence: 99%

Medication Adherence Support of an In-home Electronic Medication Dispensing System for Individuals living with Chronic Conditions: A Pilot Randomized Controlled Trial

Arain

Ahmad

Chiu

et al. 2021

Preprint

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Background: Medication adherence is challenging for older adults due to factors such as the number of medications, dosing schedule, and the duration of drug therapy. The objective of this study was to examine the effectiveness of an in-home electronic medication dispensing system (MDS) on improving medication adherence and health perception in older adults with chronic conditions. Methods: A pilot Randomized Controlled Trial (RCT) was conducted using a two-arm parallel assignment model. The intervention group used an MDS as their medication management method. The control group continued to use their current methods of medication management. Block randomization was used to assign participants into the intervention or control group. The inclusion criteria included 1) English speaking 2) age 50 and over 3) diagnosed with one or more chronic condition(s) 4) currently taking five or more oral medications 5) City of Calgary resident. Participants were recruited from a primary care clinic in Alberta, Canada. The study was open label where knowledge about group assigned to participants after randomization was not withheld. Medication adherence was captured over a continuous, six-month period and analyzed using Intention-to-Treat (ITT) analysis. Results: A total of 91 participants were assessed for eligibility and 50 were randomized into the two groups. The number of participants analyzed for ITT was 23 and 25 in the intervention and control group, respectively. Most of the demographic characteristics were comparable in the two groups except mean age of the intervention group, which was higher compared to the control group (63.96±7.86 versus 59.52±5.93, p-value=0.03). The average recorded adherence over 26 weeks was significantly higher in the intervention group than the control group (98.35%±2.15% versus 91.17%±9.76%, p<0.01). The self-rated medication adherence in the intervention group also showed a significant increase from baseline to 6-month (7.63±1.63 versus 9.13±0.81, p<0.01). The control group showed a non-significant increase (7.20±1.74 versus 8.27±2.09, p=0.07). Conclusion: MDS can be an effective, long-term solution to medication non-adherence in older adults experiencing chronic conditions and taking multiple medications. The technology induces better consistency and improvement in medication taking behaviour than simple, non-technological intervention. Trial Registration: Registered with ClinicalTrials.gov on April 09, 2020 with identifier NCT04339296.

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Older Adults with Alzheimer’s Disease Who Have Used an Automatic Medication Dispenser for 3 or More Years

Cited by 19 publications

References 19 publications

Informal carers’ experience of assistive technology use in dementia care at home: a systematic review

Informal carers’ experience of assistive technology use in dementia care at home: a systematic review

<p>Users’ Perceptions of an in-Home Electronic Medication Dispensing System: A Qualitative Study</p>

Medication Adherence Support of an In-home Electronic Medication Dispensing System for Individuals living with Chronic Conditions: A Pilot Randomized Controlled Trial

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