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The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management

BACKGROUND: Adherence to treatment is an important issue in chronic disease management and an indicator of patients’ ability to self-manage their condition and treatment. Some drug-dispensing and drug-delivery devices have been designed to support patients’ medication-taking behavior by including do...

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Autores principales: Hall, Rebecca L, Willgoss, Thomas, Humphrey, Louise J, Kongsø, Jens Harald
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4043803/
https://www.ncbi.nlm.nih.gov/pubmed/24920889
http://dx.doi.org/10.2147/PPA.S61248
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author Hall, Rebecca L
Willgoss, Thomas
Humphrey, Louise J
Kongsø, Jens Harald
author_facet Hall, Rebecca L
Willgoss, Thomas
Humphrey, Louise J
Kongsø, Jens Harald
author_sort Hall, Rebecca L
collection PubMed
description BACKGROUND: Adherence to treatment is an important issue in chronic disease management and an indicator of patients’ ability to self-manage their condition and treatment. Some drug-dispensing and drug-delivery devices have been designed to support patients’ medication-taking behavior by including dose-memory and combined dose-memory and dose-reminder functions, which electronically store, and visually display dose-history information, enabling the patient to review, monitor, and/or be actively reminded about their medication doses. PURPOSE: This literature review explored the role and impact of these devices on patients’ treatment adherence, confidence with, and self-management of their condition and treatment. MATERIALS AND METHODS: A search of MEDLINE, Embase, and PsycINFO was performed to identify articles published in English from 2003–2013 that studied the effect of devices with dose-memory and combined dose-memory and dose-reminder functions on treatment adherence and users’ (patients, health care professionals [HCPs], and caregivers) confidence, self-management behavior, and attitudes. RESULTS: The database searches yielded 940 abstracts from which 13 articles met the inclusion criteria and were retained. Devices with dose-memory and combined dose-memory and dose-reminder functions were found to improve self-reported and electronically monitored treatment adherence in chronic conditions such as asthma, diabetes, and HIV. The ability of the devices to provide dose-history information and active medication reminders was considered valuable in disease management by patients, caregivers, and HCPs. The devices were found to enhance patients’ confidence in, and motivation to manage their medication and condition, and help reduce forgotten or incorrect medication dosing. CONCLUSION: The incorporation of dose-memory and combined dose-memory and dose-reminder functions in drug-delivery devices can improve patients’ adherence, confidence, and self-management behavior. They can target non-intentional barriers to adherence and can provide a means of improving disease control and clinical outcomes, thereby offering clinical and economic value. This review highlights the importance of conducting further qualitative and quantitative research to further understand the value and impact of these types of devices on patients’ long-term adherence to, and self-management of treatment.
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spelling pubmed-40438032014-06-11 The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management Hall, Rebecca L Willgoss, Thomas Humphrey, Louise J Kongsø, Jens Harald Patient Prefer Adherence Review BACKGROUND: Adherence to treatment is an important issue in chronic disease management and an indicator of patients’ ability to self-manage their condition and treatment. Some drug-dispensing and drug-delivery devices have been designed to support patients’ medication-taking behavior by including dose-memory and combined dose-memory and dose-reminder functions, which electronically store, and visually display dose-history information, enabling the patient to review, monitor, and/or be actively reminded about their medication doses. PURPOSE: This literature review explored the role and impact of these devices on patients’ treatment adherence, confidence with, and self-management of their condition and treatment. MATERIALS AND METHODS: A search of MEDLINE, Embase, and PsycINFO was performed to identify articles published in English from 2003–2013 that studied the effect of devices with dose-memory and combined dose-memory and dose-reminder functions on treatment adherence and users’ (patients, health care professionals [HCPs], and caregivers) confidence, self-management behavior, and attitudes. RESULTS: The database searches yielded 940 abstracts from which 13 articles met the inclusion criteria and were retained. Devices with dose-memory and combined dose-memory and dose-reminder functions were found to improve self-reported and electronically monitored treatment adherence in chronic conditions such as asthma, diabetes, and HIV. The ability of the devices to provide dose-history information and active medication reminders was considered valuable in disease management by patients, caregivers, and HCPs. The devices were found to enhance patients’ confidence in, and motivation to manage their medication and condition, and help reduce forgotten or incorrect medication dosing. CONCLUSION: The incorporation of dose-memory and combined dose-memory and dose-reminder functions in drug-delivery devices can improve patients’ adherence, confidence, and self-management behavior. They can target non-intentional barriers to adherence and can provide a means of improving disease control and clinical outcomes, thereby offering clinical and economic value. This review highlights the importance of conducting further qualitative and quantitative research to further understand the value and impact of these types of devices on patients’ long-term adherence to, and self-management of treatment. Dove Medical Press 2014-05-23 /pmc/articles/PMC4043803/ /pubmed/24920889 http://dx.doi.org/10.2147/PPA.S61248 Text en © 2014 Hall et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Hall, Rebecca L
Willgoss, Thomas
Humphrey, Louise J
Kongsø, Jens Harald
The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management
title The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management
title_full The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management
title_fullStr The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management
title_full_unstemmed The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management
title_short The effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management
title_sort effect of medical device dose-memory functions on patients’ adherence to treatment, confidence, and disease self-management
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4043803/
https://www.ncbi.nlm.nih.gov/pubmed/24920889
http://dx.doi.org/10.2147/PPA.S61248
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