Electronic Monitoring Devices Adherence

The pros identified included the possibility of emds improving adherence that the devices might help motivate patients through creating a sense of independence and accountability and that the data generated could help in building a trusting relationship between clinician and patient.

Electronic monitoring devices adherence.

We analyzed data from an intervention study of electronic inhaler monitoring devices comprising 211 patients yielding 35 161 person days of data. While electronic adherence monitoring devices eamds are the preferred and most objective medication adherence measurement strategy for many populations and research questions there is no comprehensive methodological framework for eamd use. The recent development of electronic monitoring devices emds for use with inhalers presents an exciting opportunity to easily and accurately measure inhaler adherence. As a prerequisite to their application in clinical studies or daily practice the performance of those electronic monitoring devices should be tested.

Pros and cons of electronic monitoring devices for. This article summarises the current devices available. 2 9 electronic monitoring tools such as mems have now replaced pill counts as the reference standard for measuring medication adherence. Electronic monitoring devices are increasingly used in healthcare to monitor health behaviors on a day to day basis.

The use of these devices however is not without costs and cautions including expense malfunctioning and interference with existing adherence routines. We hypothesised that electronic monitoring in children would identify nonadherence thus delineating the small number with true severe asthma asthmatic children already prescribed inhaled corticosteroids were prospectively recruited and persistence of adherence assessed using electronic monitoring devices. We sought to construct a data driven multi dimensional typology of medication non adherence in children with asthma. 3 1 adherence to ics and control of preschool wheeze symptoms.

Although 48 electronic monitoring devices were given to patients recruited only 36 out of 48 75 were returned. This was despite repeated reminder phone calls from the nurse and despite waiting for up to 6 months for the device to be returned. We synthesize recommendations from experts in adherence science and the scientific literature to create a temporal framework of eamd research methods. For each device features and limitations are considered followed by a review of both the current clinical literature and.

Electronic monitoring permits the evaluation of patterns of medication use and dose response relationship and may be a useful part of adherence promotion interventions.