Audiovisual Reminders Research Articles

The Effect Of Audio-Visual Daily Reminder On Medicine Treatment Compliance In Tuberculosis Patients In Puskesmas Garuda, Bandung City.

Tuberculosis is an infectious disease caused by TB germs. Adherence to treatment requires the patient's active participation in self-care management and collaboration between the patient and the health care provider. One way that can be done to improve compliance is with a daily reminder using audio-visual media. To find out how the daily reminder audio-visual effect on medication adherence in patients with tuberculosis. This research is a Quasi Experimental two Group Pre-Posttest Design with control group in May 2021 with 60 respondents in the working area of ??the Garuda Puskesmas Bandung City. Medication adherence was measured using the MMAS (Morisky Medication Adherence Scale) questionnaire with 8 question items. The description of the level of adherence to taking medication in the intervention group before being given an audio-visual daily reminder showed a low level of adherence (score <6) as many as 28 respondents (93.3%) and after being given the daily audio-visual reminder it increased to moderate adherence as many as 12 respondents. (40.0%) and high compliance 12 respondents (40.0%). The level of adherence to taking medication in the control group before being given the intervention showed low adherence by 15 respondents (50.0%) and after being given the leaflet the level of adherence remained in the low category as many as 13 respondents (43.3%). The results of this study indicate that there is a significant effect of the results of the daily reminder audio-visual intervention on medication adherence in tuberculosis patients

Technology-based interventions to improve adherence to antihypertensive medications - An evidence-based review.

BackgroundPoor adherence to anti-hypertensive medications leads to poorly controlled blood pressure which is associated with worse cardiovascular outcomes. Emerging technologies may be utilised advantageously in interventions to improve adherence and reduce morbidity and mortality from poorly controlled hypertension.ObjectiveTo determine the efficacy of technology-based interventions in improving adherence to antihypertensive medications.MethodsPubMed and EMBASE databases were searched using keywords and MeSH terms. Included studies met the following criteria: randomized controlled trial (RCT); adults ≥ 18 years old taking anti-hypertensives; intervention delivered by or accessed using a technological device or process; intervention designed to improve adherence.Results12 papers met inclusion criteria for the current review: 5 studies significantly improved adherence when compared to usual care; of these 5 studies, 2 had corresponding significant improvement in blood pressure. Successful interventions were: electronic medication bottle cap with audio-visual reminder; short message service (SMS) containing educational information (2 studies); reporting of self-measured blood pressure to a telephone-linked computer system; sending a video of every drug ingestion to obtain monetary rewards.ConclusionRCTs on technological interventions to improve adherence and those showing significant effect are rare. Some of the interventions show potential to be applied to other populations, especially if targeted at patients with poor adherence at baseline.

The Effect of Connected "Smart" Inhalers on Medication Adherence.

Asthma and chronic obstructive pulmonary disease (COPD) are highly prevalent worldwide, and major sources of morbidity. Key barriers to reduce the harm from these conditions are the widespread and related issues of low use of prescribed inhaled therapy, use of medicines differently from that prescribed, suboptimal inhaler technique, and lack of adherence are the action plans. Connected smart inhalers show great potential to improve these issues, and thus outcomes from airways disease. In this mini-review, we considered the published evidence that the use of smart inhalers leads to more doses of preventative treatment being taken on time and with appropriate techniques. We found multiple trials across a variety of settings and age groups where smart inhalers were used with audio-visual reminders and healthcare professional feedback, which substantially improved the number of doses of preventative treatment taken. Trial evidence also supports the use of feedback from smart inhalers in improving true concordance (doses taken correctly and on time), though only for a single type of smart device. The relative lack of study is in contrast with the potential impact of smart inhalers. Major research questions remain unresolved, as who might fund future large-scale studies, how guideline committees may consider them, and how to implement effective solutions.

Electronic pill bottles to monitor and promote medication adherence for people with multiple sclerosis: A randomized, virtual clinical trial

ObjectiveWe perform a randomized trial to test the impact of electronic pill bottles with audiovisual reminders on oral disease modifying therapy (DMT) adherence in people with MS (PwMS). MethodsAdults with multiple sclerosis (MS) taking an oral DMT were randomized 1:1 for 90 days to remote smartphone app- and pill bottle-based (a) adherence monitoring, or (b) adherence monitoring with audiovisual medication reminders. Optimal adherence was defined as the proportion of doses taken ±3 h of the scheduled time. Numbers of missed pills and pills taken early, on time, late, and extra were recorded. A multivariable regression model tested possible associations between optimal adherence and age, MS duration, cognitive functioning, and number of daily prescription pills. Results85 participants (66 female; mean age 44.9 years) took dimethyl/diroximel fumarate (n = 49), fingolimod (n = 26), or teriflunomide (n = 10). Optimal adherence was on average higher in the monitoring with reminders arm (71.4%) than the monitoring only arm (61.6%; p = 0.033). In a multivariable model, optimal adherence was less likely in younger participants (p < 0.001) and those taking more daily prescription pills (p < 0.001). In the monitoring only arm, 4.0% of doses were taken early, 61.6% on time, 5.6% late, 4.4% in excess, and 24.4% were missed. In the reminders arm, these proportions were 3.4%, 71.4%, 3.7%, 8.7%, and 12.8%, respectively. ConclusionWe map real-world oral DMT adherence patterns using mHealth technology. PwMS who received medication reminders had higher optimal adherence. Nonadherence was more nuanced than simply missing pills. Developing strategies to improve adherence remains important in longitudinal MS care.

The Effect of an Electronic Monitoring Device With Audiovisual Reminder Function on Adherence to Inhaled Corticosteroids and School Attendance in Children With Asthma: A Randomised Controlled Trial (Australian New Zealand Clinical Trials Registry # ACTRN12613001353785)

AHY Chan, AW Stewart, J Harrison, CA Camargo Jr, PN Black, EA Mitchell. Lancet Respir Med. 2015;3(3):210–219 To investigate whether using inhalers with audiovisual reminders leads to improved asthma medication adherence and asthma outcomes among school-age children who have had emergency department visits for asthma exacerbations. Patients aged 6 to 15 years who presented to the regional emergency department in Auckland, New Zealand, with an asthma exacerbation and who were discharged on inhaled corticosteroid controller treatment. Patients were discharged on twice-daily inhaled fluticasone with …

The Role of Technology in Home-Based Medication Adherence for Preventive Cardiac Self-Care: A Human Factors and Usability Perspective

The purpose of this study is to evaluate the role of persuasive technology in home-based medication adherence in a cardiovascular disease patient population. Cardiovascular disease is the leading cause of death in the United States (Mozaffarian et al., 2015), which is why prevention is increasingly important in this national epidemic. Several medical conditions put people at a higher risk for developing cardiovascular disease, such as diabetes, obesity, hypertension, and hyperlipidemia (Mozaffarian et al., 2015). Because of the numerous co-morbidities that accompany heart disease, patients frequently are tasked with taking several different medications to treat these conditions, which can lead to issues related to medication non-compliance. Research studies show that medication compliance is directly linked to improved patient outcomes (Ho et al., 2009). For example, one study with self-reported measures of medication compliance showed that non-adherent patients had nearly double the cardiovascular events compared to adherent patients and independently predicted adverse cardiovascular events (Gehi et al., 2007). A literature search was conducted to learn more about the many contributing factors leading to medication non-adherence, and to gather data on current methods of measuring and increasing medication adherence. This information was useful in informing our decisions to develop a preliminary survey on potential technology p reference for medication adherence for cardiac patients. The survey was administered to twenty patients at the University of Maryland Medical Center. All patients had a history of either cardiovascular disease resulting in revascularization, myocardial infarction, and/or stroke. This survey, which was given to patients with the aim of learning about current behaviors, current technology use, and desires for technology to manage their medication and disease, will eventually be used to tailor a non-invasive technology intervention (in the form of an audio-visual reminder or a similar system) for this population. We predict that those with the technology will have improved outcomes of medication adherence and a better quality of life. We hope to also develop a set of human-computer interaction guidelines that will render the technology more usable to the specific population.

The effect of an electronic monitoring device with audiovisual reminder function on adherence to inhaled corticosteroids and school attendance in children with asthma: a randomised controlled trial

Suboptimum adherence to preventive asthma treatment is associated with substantial morbidity and mortality, yet adherence often remains poor. We aimed to investigate whether use of an inhaler with audiovisual reminders leads to improved adherence and asthma outcomes in school-aged children who presented to the emergency department with an asthma exacerbation. We did a randomised controlled trial in patients aged 6-15 years who attended the regional emergency department in Auckland, New Zealand with an asthma exacerbation and were on regular inhaled corticosteroids. Using a simple, unrestricted block randomisation with block sizes of 200, we randomly assigned patients to receive an electronic monitoring device for use with their preventer inhaler with the audiovisual reminder functions either enabled to support adherence to inhaled corticosteroids (intervention group) or disabled (control group). Participants were followed up every 2 months for 6 months. The primary outcomes were adherence to preventive inhaled corticosteroids and number of days absent from school for any reason. Asthma control was assessed as a secondary outcome. All analyses were done in the intention-to-treat population. This trial is registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12613001353785. The study took place between May 10, 2010, and Feb 26, 2012. We randomly assigned 220 patients, 110 to the intervention group and 110 to the control group. Median percentage adherence was 84% (10th percentile 54%, 90th percentile 96%) in the intervention group, compared with 30% (8%, 68%) in the control group (p<0·0001). The proportion of days absent from school for any reason was 1·9% (10th percentile 0·0%, 90th percentile 7·9%) in the intervention group and 1·7% (0·0%, 8·6%) in the control group. The change in asthma morbidity score from baseline to 6 months was significantly greater in the intervention group than in the control group (p=0·008), with a reduction of 2·0 points from a mean baseline score of 9·3 (SD 2·2) to 7·3 (2·1) in the intervention group, compared with a reduction of 1·2 points from a baseline of 9·2 (2·5) to 8·0 (2·2) in the control group. Use of an electronic monitoring device with an audiovisual reminder led to significant improvements in adherence to inhaled corticosteroids in school-aged children with asthma. This intervention could be beneficial for the improvement of asthma control in patients for whom poor asthma control is related to poor adherence. Health Research Council of New Zealand and Cure Kids.

Monitoring and adherence in asthma management

Adherence is a major problem in asthma management.1,2 Devices have been developed to help to improve adherence, but these have been used mainly in research settings. In The Lancet Respiratory Medicine, Amy Chan and colleagues3 report the effect of an electronic monitoring device with audiovisual function to support adherence for asthma controller drugs in children aged 6–15 years who came into an emergency department in Auckland, New Zealand with an asthma exacerbation. In their randomised controlled trial, Chan and colleagues randomly assigned 220 children to receive an electronic monitoring device with the audiovisual reminder functions to remind children to take their preventer treatment of inhaled corticosteroids either enabled (intervention group) or disabled (control group).

Electronic Medication Packaging Devices and Medication Adherence

Medication nonadherence, which has been estimated to affect 28% to 31% of US patients with hypertension, hyperlipidemia, and diabetes, may be improved by electronic medication packaging (EMP) devices (adherence-monitoring devices incorporated into the packaging of a prescription medication). To investigate whether EMP devices are associated with improved adherence and to identify and describe common features of EMP devices. Systematic review of peer-reviewed studies testing the effectiveness of EMP systems in the MEDLINE, EMBASE, PsycINFO, CINAHL, International Pharmaceutical Abstracts, and Sociological Abstracts databases from searches conducted to June 13, 2014, with extraction of associations between the interventions and adherence, as well as other key findings. Each study was assessed for bias using the Cochrane Handbook for Systematic Reviews of Interventions; features of EMP devices and interventions were qualitatively assessed. Thirty-seven studies (32 randomized and 5 nonrandomized) including 4326 patients met inclusion criteria (10 patient interface-only "simple" interventions and 29 "complex" interventions integrated into the health care system [2 qualified for both categories]). Overall, the effect estimates for differences in mean adherence ranged from a decrease of 2.9% to an increase of 34.0%, and the those for differences in the proportion of patients defined as adherent ranged from a decrease of 8.0% to an increase of 49.5%. We identified 5 common EMP characteristics: recorded dosing events and stored records of adherence, audiovisual reminders to cue dosing, digital displays, real-time monitoring, and feedback on adherence performance. Many varieties of EMP devices exist. However, data supporting their use are limited, with variability in the quality of studies testing EMP devices. Devices integrated into the care delivery system and designed to record dosing events are most frequently associated with improved adherence, compared with other devices. Higher-quality evidence is needed to determine the effect, if any, of these low-cost interventions on medication nonadherence and to identify their most useful components.

A simple inexpensive audio-visual reminder of infection control procedures on entry to a neonatal intensive care unit

A novel audio-visual computerized infection control initiative was designed, installed and tested in the neonatal intensive care unit at a busy teaching hospital, with the primary aim of improving visitors' adherence to hand hygiene and infection control procedures. The system has proved to be reliable, self-administering, inexpensive, requires no prior education or training, is rapidly deployable and can be used immediately. A measurable improvement in visitors' handwashing technique and recall of infection control instructions was seen after introduction of this initiative. This system provides a new opportunity to educate and promote infection control measures to visitors.

The effectiveness of interventions using electronic reminders to improve adherence to chronic medication: a systematic review of the literature

Many patients experience difficulties in adhering to long-term treatment. Although patients' reasons for not being adherent are diverse, one of the most commonly reported barriers is forgetfulness. Reminding patients to take their medication may provide a solution. Electronic reminders (automatically sent reminders without personal contact between the healthcare provider and patient) are now increasingly being used in the effort to improve adherence. To examine the effectiveness of interventions using electronic reminders in improving patients' adherence to chronic medication. A comprehensive literature search was conducted in PubMed, Embase, PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials. Electronic searches were supplemented by manual searching of reference lists and reviews. Two reviewers independently screened all citations. Full text was obtained from selected citations and screened for final inclusion. The methodological quality of studies was assessed. Thirteen studies met the inclusion criteria. Four studies evaluated short message service (SMS) reminders, seven audiovisual reminders from electronic reminder devices (ERD), and two pager messages. Best evidence synthesis revealed evidence for the effectiveness of electronic reminders, provided by eight (four high, four low quality) studies showing significant effects on patients' adherence, seven of which measured short-term effects (follow-up period <6 months). Improved adherence was found in all but one study using SMS reminders, four studies using ERD and one pager intervention. In addition, one high quality study using an ERD found subgroup effects. This review provides evidence for the short-term effectiveness of electronic reminders, especially SMS reminders. However, long-term effects remain unclear.

The effect of reminder systems on patients' adherence to treatment.

BackgroundPatient adherence is an important component of the treatment of chronic disease. An understanding of patient adherence and its modulating factors is necessary to correctly interpret treatment efficacy and barriers to therapeutic success.PurposeThis meta-analysis aims to systematically review published randomized controlled trials of reminder interventions to assist patient adherence to prescribed medications.MethodsA Medline search was performed for randomized controlled trials published between 1968 and June 2011, which studied the effect of reminder-based interventions on adherence to self-administered daily medications.ResultsEleven published randomized controlled trials were found between 1999 and 2009 which measured adherence to a daily medication in a group receiving reminder interventions compared to controls receiving no reminders. Medication adherence was measured as the number of doses taken compared to the number prescribed within a set period of time. Meta- analysis showed a statistically significant increase in adherence in groups receiving a reminder intervention compared to controls (66.61% versus 54.71%, 95% CI for mean: 0.8% to 22.4%). Self-reported and electronically monitored adherence rates did not significantly differ (68.04% versus 63.67%, P = 1.0). Eight of eleven studies showed a statistically significant increase in adherence for at least one of the reminder group arms compared to the control groups receiving no reminder intervention.LimitationsThe data are limited by imperfect measures of adherence due to variability in data collection methods. It is also likely that concomitant educational efforts in the study populations, such as instructions regarding proper administration and importance of correct dosing schedules, contributed to improved patient adherence, both in reminder and control arms. The search strategy could have missed relevant studies which were categorized by disease rather than adherence.ConclusionsReminder-based interventions may improve adherence to daily medications. However, the interventions used in these studies, which included reminder phone calls, text messages, pagers, interactive voice response systems, videotelephone calls, and programmed electronic audiovisual reminder devices, are impractical for widespread implementation, and their efficacy may be optimized when combined with alternative adherence-modifying strategies. More practical reminder-based interventions should be assessed to determine their value in improving patient adherence and treatment outcomes.

A randomised controlled crossover trial evaluating Television Assisted Prompting (TAP) for adults with acquired brain injury

Assistive technologies for cognition (ATC) provide an effective means to compensate for prospective memory failures among adults with acquired brain injury (ABI; de Joode, van Heugten, Verhey, & van Boxtel, 2010; Sohlberg et al., 2007). This study evaluated a novel ATC device, the Television Assisted Prompting (TAP) system, which provides audiovisual reminders at scheduled prospective times on a person's home television. A randomised, controlled crossover design evaluated task completion for two preferred, two non-preferred, and two structured experimental tasks among 23 adults with ABI between two conditions: TAP prompting or typical (TYP) practice, without TAP reminders. Main outcomes showed a significant advantage of prospective memory prompting (72% completion) over no prompting (43% completion) and higher task completion with TAP prompting for researcher-assigned experimental tasks (81%) compared to self-selected preferred (68%) or non-preferred (68%) tasks. Results are discussed in the context of ATC efficacy to support prospective memory prompting following ABI, with contributions and future directions for continued investigation of customisation of prompts to maximise task completion.

An audiovisual reminder function (AVRF) improves adherence to inhaled corticosteroid therapy in patients with asthma,

An audiovisual reminder function (AVRF) improves adherence to inhaled corticosteroid therapy in patients with asthma,

An audiovisual reminder function improves adherence with inhaled corticosteroid therapy in asthma

Adherence to medication regimens is poor in the management of chronic diseases, including asthma. To determine whether an audiovisual reminder device improves adherence with inhaled corticosteroid (ICS) therapy in adult asthma. A randomized open-label parallel group study of 110 adult or adolescent subjects with asthma was undertaken. Subjects were randomized to receive 24 weeks of fluticasone propionate 250 microg, 1 actuation twice daily via a metered dose inhaler (MDI) with or without an audiovisual reminder function (AVRF). All MDIs had electronic covert adherence monitors. The primary outcome variable was adherence, defined as the proportion of medication taken as prescribed over the final 12 weeks of the study. Adherence was also assessed as the proportion of subjects who took >50%, >80%, or >90% of prescribed medication. The proportion of medication taken in the last 12 weeks was greater in the AVRF group (93%) compared with the control group (74%), with a difference of 18% (95% confidence interval [CI] 10-26%; P < .0001). The proportion of subjects taking >50%, >80%, or >90% of their medication was greater in the AVRF group, with a ratio of proportions adherent of 1.33 (95% CI, 1.10-1.61; P = .003), 2.27 (95% CI, 1.56-3.3; P < .0001), and 3.25 (95% CI, 1.74-6.1%; P < .0001), respectively. An audiovisual reminder function can significantly improve adherence with ICS therapy in adult asthma. An audiovisual reminder function has potential to improve adherence with medication regimens across a wide spectrum of diseases, in both research and clinical practice.