A study of medication-taking and unobtrusive, intelligent reminding.

Tamara L. Hayes, Kofi Cobbinah, Terry Dishongh, Jeffrey A. Kaye, Janna Kimel, Michael Labhard, Todd Leen, Jay Lundell, Umut Ozertem, Misha Pavel, Matthai Philipose, Kevin Rhodes, Sengul Vurgun

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

Poor medication adherence is one of the major causes of illness and of treatment failure in the United States. The objective of this study was to conduct an initial evaluation of a context-aware reminder system, which generated reminders at an opportune time to take the medication. Ten participants aged 65 or older, living alone and managing their own medications, participated in the study. Participants took a low-dose vitamin C tablet twice daily at times that they specified. Participants were considered adherent if they took the vitamin within 90 minutes (before or after) of the prescribed time. Adherence and activity in the home was measured using a system of sensors, including an instrumented pillbox. There were three phases of the study: baseline, in which there was no prompting; time-based, in which there was prompting at the prescribed times for pill-taking; and context-aware, in which participants were only prompted if they forgot to take their pills and were likely able to take their pills. The context-based prompting resulted in significantly better adherence (92.3%) as compared to time-based (73.5%) or no prompting (68.1%) conditions (p < 0.0002, chi(2) = 17.0). In addition, subjects had better adherence in the morning than in the evening. We have shown in this study that a system that generates reminders at an opportune time to take the medication significantly improves adherence. This study indicates that context-aware prompting may provide improved adherence over standard time-based reminders.

Original languageEnglish (US)
Pages (from-to)770-776
Number of pages7
JournalTelemedicine journal and e-health : the official journal of the American Telemedicine Association
Volume15
Issue number8
DOIs
StatePublished - Oct 2009

ASJC Scopus subject areas

  • Health Informatics
  • Health Information Management

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    Hayes, T. L., Cobbinah, K., Dishongh, T., Kaye, J. A., Kimel, J., Labhard, M., Leen, T., Lundell, J., Ozertem, U., Pavel, M., Philipose, M., Rhodes, K., & Vurgun, S. (2009). A study of medication-taking and unobtrusive, intelligent reminding. Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 15(8), 770-776. https://doi.org/10.1089/tmj.2009.0033