Abstract：
BACKGROUND: Innovative digital technology systems that support and monitor real-time medication intake are now available commercially; however, there is limited knowledge of the use of such technology in patients\' homes. One such smart medication dispenser, spencer, provides alerts to patients to take their medications and allows for tracking and reporting real-time medication adherence data.
OBJECTIVE: The objectives of this study were to examine the use of a smart medication dispenser as a medication adherence and self-management support tool for community dwelling adults over a 6-month period, in addition to usability, usefulness, satisfaction, and impact on caregiver support.
METHODS: This prospective, observational study invited community-dwelling adults aged 45 years and older taking at least one chronic medication and their caregivers to use this smart medication dispenser for their medication administration for 6 months. Adherence was defined as a dose intake within 2 hours post scheduled time. Real-time adherence data were collected using the smart medication dispenser and the AdhereNet platform. Usability, usefulness, and satisfaction were measured using the System Usability Scale and the Usefulness, Satisfaction, and Ease of Use questionnaire, respectively. Caregiver burden was measured on a visual analog scale at baseline and at the end of the 6-month study period.
RESULTS: A total of 58 participants were recruited, of which 55% (32/58) were female with a mean age of 66.36 (SD 11.28; range 48-90) years. Eleven caregiver participants were recruited, of whom 91% (10/11) were female. The average monthly adherence over 6 months was 98% (SD 3.1%; range 76.5%-100%). The average System Usability score was 85.74 (n=47; SD 12.7; range 47.5-100). Of the 46 participants who provided data, 44 (96%) rated the product as easy, 43 (93%) as simple to use, and 43 (93%) were satisfied with the product. Caregiver burden prior to and following smart medication dispenser use for 6 months was found to be statistically significantly different (P<.001; CI 2.11-5.98).
CONCLUSIONS: Smart medication adherence products such as spencer, when connected and clinically monitored, can be a useful solution for medication management and have the potential to improve caregiver burden.
OBJECTIVE: The objectives of this study were to examine the use of a smart medication dispenser as a medication adherence and self-management support tool for community dwelling adults over a 6-month period, in addition to usability, usefulness, satisfaction, and impact on caregiver support.
METHODS: This prospective, observational study invited community-dwelling adults aged 45 years and older taking at least one chronic medication and their caregivers to use this smart medication dispenser for their medication administration for 6 months. Adherence was defined as a dose intake within 2 hours post scheduled time. Real-time adherence data were collected using the smart medication dispenser and the AdhereNet platform. Usability, usefulness, and satisfaction were measured using the System Usability Scale and the Usefulness, Satisfaction, and Ease of Use questionnaire, respectively. Caregiver burden was measured on a visual analog scale at baseline and at the end of the 6-month study period.
RESULTS: A total of 58 participants were recruited, of which 55% (32/58) were female with a mean age of 66.36 (SD 11.28; range 48-90) years. Eleven caregiver participants were recruited, of whom 91% (10/11) were female. The average monthly adherence over 6 months was 98% (SD 3.1%; range 76.5%-100%). The average System Usability score was 85.74 (n=47; SD 12.7; range 47.5-100). Of the 46 participants who provided data, 44 (96%) rated the product as easy, 43 (93%) as simple to use, and 43 (93%) were satisfied with the product. Caregiver burden prior to and following smart medication dispenser use for 6 months was found to be statistically significantly different (P<.001; CI 2.11-5.98).
CONCLUSIONS: Smart medication adherence products such as spencer, when connected and clinically monitored, can be a useful solution for medication management and have the potential to improve caregiver burden.
摘要：
背景：支持和监控实时药物摄入的创新数字技术系统现已商业化；但是，在患者家中使用这种技术的知识有限。一个这样的智能药物分配器，Spencer,向患者提供服用药物的警报，并允许跟踪和报告实时药物依从性数据。
目的：这项研究的目的是在6个月的时间内，研究智能药物分配器作为社区成年人的药物依从性和自我管理支持工具的使用。除了可用性，有用性,满意,以及对护理人员支持的影响。
方法：这种前瞻性，观察性研究邀请至少服用一种慢性药物的45岁及以上的社区居住成年人及其护理人员使用这种智能药物分配器进行药物管理6个月.坚持被定义为在预定时间后2小时内的剂量摄入。使用智能药物分配器和AdhereNet平台收集实时依从性数据。可用性,有用性,满意度使用系统可用性量表和有用性进行衡量，满意,和易用性问卷，分别。在基线和6个月研究期结束时，以视觉模拟量表测量护理人员负担。
结果：共招募了58名参与者，其中55％（32/58）为女性，平均年龄为66.36岁（SD11.28；范围48-90）。招募了11名护理人员参与者，其中91%（10/11）为女性。超过6个月的平均每月依从性为98％（SD3.1％；范围76.5％-100％）。平均系统可用性评分为85.74（n=47；SD12.7；范围47.5-100）。在提供数据的46名参与者中，44(96%)认为该产品很容易，43（93%）使用简单，43（93%）对产品感到满意。在使用智能药物分配器6个月之前和之后，护理人员的负担在统计学上有显著差异(P<.001;CI2.11-5.98)。
结论：斯宾塞等智能药物依从性产品，当连接和临床监测时，可以是药物管理的有用解决方案，并有可能改善护理人员的负担。
目的：这项研究的目的是在6个月的时间内，研究智能药物分配器作为社区成年人的药物依从性和自我管理支持工具的使用。除了可用性，有用性,满意,以及对护理人员支持的影响。
方法：这种前瞻性，观察性研究邀请至少服用一种慢性药物的45岁及以上的社区居住成年人及其护理人员使用这种智能药物分配器进行药物管理6个月.坚持被定义为在预定时间后2小时内的剂量摄入。使用智能药物分配器和AdhereNet平台收集实时依从性数据。可用性,有用性,满意度使用系统可用性量表和有用性进行衡量，满意,和易用性问卷，分别。在基线和6个月研究期结束时，以视觉模拟量表测量护理人员负担。
结果：共招募了58名参与者，其中55％（32/58）为女性，平均年龄为66.36岁（SD11.28；范围48-90）。招募了11名护理人员参与者，其中91%（10/11）为女性。超过6个月的平均每月依从性为98％（SD3.1％；范围76.5％-100％）。平均系统可用性评分为85.74（n=47；SD12.7；范围47.5-100）。在提供数据的46名参与者中，44(96%)认为该产品很容易，43（93%）使用简单，43（93%）对产品感到满意。在使用智能药物分配器6个月之前和之后，护理人员的负担在统计学上有显著差异(P<.001;CI2.11-5.98)。
结论：斯宾塞等智能药物依从性产品，当连接和临床监测时，可以是药物管理的有用解决方案，并有可能改善护理人员的负担。
