Personal health records: a randomized trial of effects on elder medication safety

Abstract

PHRs can engage older adults for better medication self-management; however, features that motivate continued use will be needed. Longer-term studies of continued users will be required to evaluate the impact of these changes in behavior on patient health outcomes.

The Use and Effects of Electronic Health Tools for Patient Self-Monitoring and Reporting of Outcomes Following Medication Use: Systematic Review (Preprint)

“…One trial included only elderly patients (ages 65 and older); it focused on medication self-management and safety in this population [14]. The remaining five trials all included both adult and elderly participants.…”

“…Cho et al [13] compared an electronic blood glucose (BG) monitoring system to an informal paper-based monitoring system, with both groups receiving diabetes education and regular clinical visits. Chrischilles et al [14] utilized a conventional usual care group without supplementary information or resources.…”

“…Only three studies had a direct focus on medication use [14,20,22]. The other seven studies included either a medication-specific component or functionality within the ehealth tool (n = 6) [15][16][17][18][19][20]21], or reported on medication use and changes following tracking of symptoms, adverse effects, and clinical outcomes during the study period (n = 4) [13,[23][24][25].…”

“…Ten of the included articles were RCTs [13][14][15][16][17][18][19][20][21][22], and three were single-arm cohort studies [23][24][25]. Twelve studies were conducted in the United States [14][15][16][17][18][19][20][21][22][23][24][25], and one was conducted in South Korea [13].…”

“…Twelve studies were conducted in the United States [14][15][16][17][18][19][20][21][22][23][24][25], and one was conducted in South Korea [13]. Dates of publication ranged from 2005 to 2015.…”