Primary care provider perceptions and use of a novel medication
reconciliation technology

Lesselroth, Blake J.; Holahan, Patricia J.; Adams, Kathleen; Sullivan, Zhen Z.; Church, Victoria; Woods, Susan; Felder, Robert; Adams, Shawn; Dorr, David A.

doi:10.14236/jhi.v19i2.802

Cited by 17 publications

(30 citation statements)

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“…While hundreds of studies have evaluated interventions to improve adherence, 37,[41][42][43][44][45] many suffer from potentially important limitations, including small sample sizes and inconsistent approaches to adherence measurement, study design, intervention execution, and reporting. 11,46 For example, a meta-analysis of trials testing the effectiveness of adherence interventions found that many studies did not report the study subjects' baseline characteristics.…”

Section: ■■ Remedying Problems With Existing Evidence On the Effectivmentioning

confidence: 99%

“…41 However, the effectiveness and costeffectiveness of many of these system changes and new technologies have yet to be established. Given the potential savings from reduced nonadherence, the health consequences of nonadherence, and the evolving landscape for health care delivery and reimbursement, improving our understanding of adherence merits further exploration.…”

Section: Tablementioning

confidence: 99%

See 1 more Smart Citation

Understanding and Overcoming Barriers to Medication Adherence: A Review of Research Priorities

Seabury

Gupta²,

Philipson³

et al. 2014

JMCP

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Section: ■■ Remedying Problems With Existing Evidence On the Effectivmentioning

confidence: 99%

Section: Tablementioning

confidence: 99%

Understanding and Overcoming Barriers to Medication Adherence: A Review of Research Priorities

Seabury

Gupta²,

Philipson³

et al. 2014

JMCP

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“…The SUS (ten statements rated on a 5-point Likert scale, five positive and five negative) was selected because it has been successfully used in the medical domain, has been validated for a wide range of interface technologies is quick to complete and easy to interpret, and can be applied to small sample sizes [40][41][42][43][44] (Table 2). To further evaluate satisfaction (more specifically, user-friendliness) and usefulness, we developed a questionnaire based on previous publications [45][46][47]. The seven statements (Table 3) were rated on a 5-point Likert scale.…”

Section: Quantitative Measuresmentioning

confidence: 99%

“…advice [45][46][47]50], then reviewed by the research team, and finally tried out with one patient (Appendix 2). The interview addressed: (1) usability (effectiveness, efficiency, and satisfaction), including difficulties encountered with the app, (2) perceived usefulness, and (3) patient's usual medication organization (e.g.…”

Section: Qualitative Measuresmentioning

confidence: 99%

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study (Preprint)

Marien¹,

Legrand²,

Ramdoyal³

et al. 2017

Preprint

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Background: Medication discrepancies consist of unexplained differences between medication lists at different transition points of care; they are a threat to patient safety. These discrepancies can be solved through medication reconciliation (MedRec), a complex and time-consuming process. Several approaches to optimizing MedRec have been encouraged, including the development of information technology (IT) tools and patient engagement. The SEAMPAT project aims to develop a MedRec IT platform based on two applications (one for the patient, the "patient app", the other for healthcare professionals), which were developed using a three-iteration user-centered design. The patient app presents the patient with a medication list compiled from different medication resources. Objective: To evaluate the usability and usefulness of the third iteration of the patient app, from the perspective of different categories of users, with the aims of making recommendations for wider use and informing further research. Methods: We performed a four-month user-centered observational study. After a kick-off session, patients, identified through purposive sampling, were invited to use the patient app at home, to update their medication lists whenever required. Quantitative and qualitative data were collected at different time points to evaluate three dimensions of usability (efficiency, satisfaction, and effectiveness), as well as usefulness. Participants completed two questionnaires on satisfaction and usefulness (including the system usability scale, SUS) at the kick-off and the end of the study. Effectiveness was assessed by measuring the completeness and correctness (i.e. medication discrepancies) of the final medication list generated by the patient application. Qualitative data were collected from observations at different time points and from semi-structured interviews at the end of the study. Results: Forty-eight patients agreed to participate and 42 completed the study, of whom 32 connected at least once to the application at home. Sixty-nine percent of patients considered the patient app to be acceptable (SUS Score ≥ 70) and perceived usefulness was high. The medication list was complete for a quarter of the patients and there was a median of two discrepancies per patient. The main causes were technology-related. The qualitative data enabled the identification of several barriers and, thus, of approaches to optimizing usability and usefulness. These relate to both functional (e.g. access, on-screen display, additional functionalities) and non-functional aspects (e.g. patient awareness, concordance between patient and physician) of the application. For future adoption of the tool, it will be important to address these issues. Conclusions: Our findings highlight the importance and value of user-centered usability testing of a patient application implemented in "real-world" conditions. We believe our study also underlines the need to take patients' points of view into consideration. To achieve adoption and sustained use by...

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“…14 Concordance with therapy is an enormous problemfor example your editors own work has shown that in osteoporosis only just over half of people (58%) collect a script covering 80% or more of the days in the previous year, 15 and it is likely that not all of these medications are actually taken. Mabotuwana et al, 16 illustrated in our last issue that there is a gap between prescribing and dispensing of antidepressant medications.…”

mentioning

confidence: 99%

On-going technical advances, can we use them to deliver more personalised medicine?

Lusignan¹

2011

Journal of Innovation in Health Informatics

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Primary care provider perceptions and use of a novel medication reconciliation technology

Cited by 17 publications

References 50 publications

Understanding and Overcoming Barriers to Medication Adherence: A Review of Research Priorities

Understanding and Overcoming Barriers to Medication Adherence: A Review of Research Priorities

A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study (Preprint)

On-going technical advances, can we use them to deliver more personalised medicine?

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