Digital Reminders Research Articles

The eACT study design and methods: A sequential, multiple assignment, randomized trial of A novel adherence intervention for youth with epilepsy

BackgroundEpilepsy is a common, chronic pediatric neurological condition predominately treated with anti-seizure medications (ASMs) to control or reduce seizures. Approximately 60 % of youth with epilepsy demonstrate suboptimal adherence to their ASM. This paper describes the methodology, recruitment, design, and baseline participant characteristics of a sequential, multiple assignment, randomized trial (SMART) designed to test the effectiveness of a behavioral health intervention to improve adherence in families of young children with epilepsy. MethodsUsing a two-stage SMART, youth ages 2–12 years old with newly diagnosed epilepsy and their families were enrolled. Following an 8-week run-in phase, families with ≤95 % adherence were randomized to control (education + automated digital reminders) or intervention (education + automated digital reminders + individualized feedback) arms. After three months, families in the intervention group who remained non-adherent (i.e., ≤ 95 %) were re-randomized to 1) continue with same intervention or 2) receive two telehealth problem-solving sessions with an interventionist over the next two months. Study measures were completed at baseline, 8-, 14-, and 20-months post-baseline. ResultsOf the n = 466 ethnically and racially diverse study participants, n = 268 participants were non-adherent and were randomized. The primary outcome was electronically monitored ASM adherence at post-intervention, while secondary outcomes included seizure freedom, health care utilization, and epilepsy-specific health-related quality of life. ConclusionsNovel aspects of the trial design (e.g., sequential, recruitment of racial and ethnic diverse youth), modifications to the protocol related to the COVID-19 pandemic and evolving socio-political and medical climate, as well as recruitment and retention challenges are discussed.ClinicalTrials.gov Number: NCT03817229

IoT based Medicine Box Assistance for Elderly People

This system addresses the issue of medication adherence by providing timely reminders for patients to take their prescribed medication and ensuring only authorized users access the medication box. Combining physical and digital reminders, it offers a solution suitable for individuals of all ages, particularly on aiding elderly individuals who are prone to forgetting their medication schedules. Emphasizing ease of use and cost-effectiveness, the system integrates microcontroller technology, IoT systems, Facial recognition and an alarm system to prompt patients to take their medication as per their prescription. Designed to be portable and affordable, this smart medicine box is especially beneficial for elderly and illiterate patients, relieving family members of the burden of ensuring medication adherence. This paper describes an overview of a smart medicine box, which acts as an assistive device to avoid non-compliance with medicine. It consists of a hardware box with compartments for a week (three times a day), as well as an Android application for reminding the respective patient and informing the family members (caregiver) whether the patient has taken the medicines or not.

Use of Technology to Improve Adherence in Allergy/Immunology

The integration of technology into health care has shown significant promise in enhancing patient adherence, particularly in the field of allergy/immunology. This article explores the multifaceted approaches through which digital health interventions can be used to improve adherence rates among patients with allergic diseases and immunologic disorders. By reviewing recent advancements in telemedicine, mobile health applications, wearable devices, and digital reminders, as well as smart inhalers, we aim to provide a comprehensive overview of how these technologies can support patients in managing their conditions. The analysis highlights the role of personalized digital health plans, which, through the use of artificial intelligence and machine learning algorithms, can offer tailored advice, monitor symptoms, and adjust treatment protocols in real time. Moreover, the article discusses the impact of electronic health records and patient portals in fostering a collaborative patient-provider relationship, thereby enhancing communication and adherence. The integration of these technologies has been shown to not only improve clinical outcomes but also increase patient satisfaction and engagement.

NeighboAR: Efficient Object Retrieval using Proximity- and Gaze-based Object Grouping with an AR System

Humans only recognize a few items in a scene at once and memorize three to seven items in the short term. Such limitations can be mitigated using cognitive offloading (e.g., sticky notes, digital reminders). We studied whether a gaze-enabled Augmented Reality (AR) system could facilitate cognitive offloading and improve object retrieval performance. To this end, we developed NeighboAR, which detects objects in a user's surroundings and generates a graph that stores object proximity relationships and user's gaze dwell times for each object. In a controlled experiment, we asked N=17 participants to inspect randomly distributed objects and later recall the position of a given target object. Our results show that displaying the target together with the proximity object with the longest user gaze dwell time helps recalling the position of the target. Specifically, NeighboAR significantly reduces the retrieval time by 33%, number of errors by 71%, and perceived workload by 10%.

Understanding Attitudes and Perceptions Towards Blood Donation in Greece: An Analysis Aligned with the Health Belief Model

IntroductionThis study explores attitudes toward blood donation in Greece, where maintaining an adequate supply is challenging. Using the Health Belief Model, we examine factors like perceived severity, vulnerability, and self-efficacy.ObjectivesThe main aims of this study are to assess public perceptions and barriers concerning blood shortage in Greece, and to identify motivators and self-efficacy levels for regular blood donation.MethodsA cross-sectional study was conducted using a self-administered questionnaire distributed to a sample of Greek adults. The questionnaire was designed based on the constructs of the Health Belief Model and included questions related to perceived severity, vulnerability, self-efficacy, and barriers and facilitators to blood donation. Descriptive statistics were used to analyse the responses, calculating means and standard deviations (SDs) for each variable.ResultsPerceived Severity and VulnerabilityParticipants in our study show a heightened awareness of the severity of blood shortages, especially in summer months and during increased surgical interventions. They also acknowledge Greece’s dependency on more than just voluntary donations to meet blood supply needs. These findings align with the Health Belief Model’s constructs of perceived severity and vulnerability, suggesting avenues for promoting donation.Perceived Benefits and BarriersA significant 74% of participants believe they can regularly donate blood and plan to do so in the next six months. However, fear of needles, health concerns, and fears of transmissible diseases act as barriers. According to the Health Belief Model, targeting these barriers could facilitate blood donation.Self-EfficacyA high percentage (74%, SD=5) of participants displayed strong self-efficacy, suggesting they are likely to engage in blood donation if encouraged. This aligns with the Health Belief Model’s emphasis on self-efficacy as a motivator for health actions.Cues to ActionParticipants identified informational campaigns, digital reminders, and social encouragement as cues to action, with a disfavor for financial incentives. These cues could serve as triggers for blood donation, consistent with the Health Belief Model.ConclusionsBy aligning these findings with the Health Belief Model, it becomes evident that there are strong perceptions of severity and vulnerability, but also considerable barriers to overcome. The high self-efficacy among participants and the cues to action identified could serve as bases for targeted interventions to improve blood donation rates.Disclosure of InterestNone Declared

The Impact of new Social Media Strategies on Vaccine Uptake and Coverage_ Do they Really Make a Difference?

Objective: The information available about the use and effectiveness of new social media strategies remains ungauged. The objective of this systematic review is to gather and summarize the data available about the utility of new social media strategies and their impact on vaccine uptake and coverage. In addition, our aim is to give appropriate suggestions to the concerned authorities relating to the use of such social media strategies to cope with the rising incidences of myriads of diseases. Methodology: The review considered articles from global sources. PRISMA guidelines were followed. PubMed and Google Scholar were queried. Inclusion and exclusion criteria about the new social media strategies in relation to vaccination were applied, and data extraction included author details, publication specifics, study populations, exposure measures, and outcomes. Results: Out of 470 records, five studies met inclusion criteria, conducted between 2018 and 2022, focusing on different vaccines. Study designs encompassed randomized controlled trials, cohort studies, and mixed methods research, with interventions ranging from Facebook campaigns to web-based information and digital reminders. Social media interventions generally exhibited a positive influence on vaccine uptake and coverage, though outcomes varied based on specific interventions and target populations. Conclusions: The data available is meagre. More research in this domain should be encouraged. However, we can conclude that social media can effectively increase vaccine uptake and coverage. To combat vaccine hesitancy and misinformation, government agencies and organizations should leverage social media's reach.

Nurse-led Interventions to Enhance Adherence to Chronic Medications

Introduction: Chronic diseases require long-term medication adherence to achieve optimal health outcomes, yet non-adherence remains a significant challenge. Nurse-led interventions have been proposed as a strategy to enhance adherence. This systematic review aimed to evaluate the effectiveness of nurse-led interventions in improving medication adherence among patients with chronic conditions. Methods: A comprehensive literature search was conducted across several databases, including PubMed, Embase, CINAHL, Cochrane Library, and PsycINFO, for studies published up to 2022. Only interventional studies and clinical trials led by nurses focusing on chronic medication adherence were included. The selection process involved screening for relevance, assessing methodological quality, and extracting data on adherence rates, intervention types, and patient outcomes. Results: Eight studies met the inclusion criteria, revealing a variety of nurse-led interventions, such as personalized counseling, telehealth follow-ups, educational workshops, and digital reminders. Sample sizes ranged from 30 to over 500 participants. The interventions demonstrated a significant improvement in medication adherence, with increases ranging from 15% to 25%. Specific interventions, like personalized care plans and technology-enhanced strategies, showed particular promise. Comparative analysis with other non-nurse-led interventions in the literature suggested that nurse-led approaches are at least as effective, with some evidence indicating superior outcomes in certain contexts. Conclusions: Nurse-led interventions are effective in enhancing medication adherence among patients with chronic diseases. The review highlights the importance of personalized and technology-enhanced approaches within these interventions. Despite limitations such as study heterogeneity and potential publication bias, the findings support the integration of nurse-led strategies into clinical practice to improve chronic disease management. Future research should focus on identifying the most effective components of these interventions across diverse patient populations.

Movable Automatic Medicine Reminder and Indicator Using Arduino

The management of complex medication is required for avoiding it before it seriously affects the health of the aged people. Due to physical and mental decline, they need to take a number of drugs. In such a scenario, forgetting to take prescribed medicine is one of the problems. In hospitals there are many patients and it is difficult to remind every patient to take medicine on time. The traditional ways require human efforts to remind them to take medicines on time. The digital era doesn’t follow that and we can use machines to do that. can introduce in a solution a movable automatic medicine reminder and indicator this system will remind medicine. It can set an alarm on their dosage timings The alarm can be set for multiple medicines and timings including date. The system can be moved from one place to another place by using a mobile to control the entire unit. It is a combination of physical and digital reminders that will be helpful for people of any age, but is especially helpful to old people who forget to take their medications.

Digital Reminders for Everyday Activity Memory (DREAM): Initial results from a needs assessment study

Digital Reminders for Everyday Activity Memory (DREAM): Initial results from a needs assessment study

Short- and long-term effects of reminders on panellists’ survey participation in a probability-based panel study with a sequential mixed-mode design

In recent panel studies, besides other methods such as sequential mixed-mode design, push-to-web method, and prepaid monetary incentives, follow-up contacts such as personalised electronic mails (e-mails) or short message service are often used to motivate nonrespondents to complete the questionnaire, increase the response rate within a limited fieldwork period, and minimise panel attrition. Since it is still unclear when and how often non-complying panellists should be reminded to take part in a survey, this contribution analyses the short- and long-term effects of digital reminders across the fieldwork period. For this purpose, longitudinal data and statistical procedures of event history analysis are applied to reveal the effects of reminders on the likelihood, timing, and social structure of Swiss juveniles’ survey participation. On the one hand, there are short-term and long-term effects of multiple early reminders on the response of panellists receiving reminders. On the other hand, there are no cumulative effects across the fieldwork period or overlapping effects of reminders across the mixed survey modes. Considering the social structure of nonrespondents who receive reminders, it appears plausible that there may be a selective response in terms of the panellists’ social origin, educational level, and language proficiency.

Consent for orthopaedic trauma surgery during the COVID-19 pandemic

IntroductionThe COVID-19 pandemic has brought a series of new challenges to the management of surgical patients. The consent process relies on a foundation of open and non-coerced discussion between clinician...

Constructing evidence-based clinical intrapartum care algorithms for decision-support tools.

To describe standardised iterative methods used by a multidisciplinary group to develop evidence-based clinical intrapartum care algorithms for the management of uneventful and complicated labours. Singleton, term pregnancies considered to be at low risk of developing complications at admission to the birthing facility. Health facilities in low- and middle-income countries. Literature reviews were conducted to identify standardised methods for algorithm development and examples from other fields, and evidence and guidelines for intrapartum care. Searches for different algorithm topics were last updated between January and October 2020 and included a combination of terms such as 'labour', 'intrapartum', 'algorithms' and specific topic terms, using Cochrane Library and MEDLINE/PubMED, CINAHL, National Guidelines Clearinghouse and Google. Nine algorithm topics were identified for monitoring and management of uncomplicated labour and childbirth, identification and management of abnormalities of fetal heart rate, liquor, uterine contractions, labour progress, maternal pulse and blood pressure, temperature, urine and complicated third stage of labour. Each topic included between two and four case scenarios covering most common deviations, severity of related complications or critical clinical outcomes. Intrapartum care algorithms provide a framework for monitoring women, and identifying and managing complications during labour and childbirth. These algorithms will support implementation of WHO recommendations and facilitate the development by stakeholders of evidence-based, up to date, paper-based or digital reminders and decision-support tools. The algorithms need to be field tested and may need to be adapted to specific contexts. Evidence-based intrapartum care clinical algorithms for a safe and positive childbirth experience.

Development of the DREAM System: Digital Reminders for Everyday Activity Memory

Prospective memory, the ability to remember to execute an intention in the future, is crucial for the performance of many everyday tasks important for independent living. Prospective memory abilities decline with age, and older adults living with mild cognitive impairment (MCI), cognitive impairment due to traumatic brain injury (TBI), and cognitive impairment due to stroke are especially susceptible to prospective memory failures. The goal of the Digital Reminders for Everyday Activity Memory (DREAM) project is first to establish proof of concept for an adaptive cognitive aid to support the prospective memory of older adults with various cognitive impairments, and then establish proof of product in studies examining the use of a working prototype within the lab and within participants’ homes. Data will be presented from initial work verifying product requirements through engagement with stakeholders, including subject matter experts, older adults with cognitive impairments, and their care partners.

EP.FRI.835 5 Years, 4 F1s, 3 Registrars, 2 Pandemic Waves, 1 VTE audit: Half a decade of VTE prophylaxis on a surgical ward

Abstract Aim Venous thromboembolism(VTE) is a preventable complication of hospital admission. This audit aims to compare VTE prophylaxis over 5 years in one surgical assessment unit and identify areas for improvement. Methods This was a snapshot, 5-cycle audit of the analysis of VTE risk, prescribing practice and prophylactic therapies offered at admission. We prospectively reviewed notes of patients admitted under general surgery over a snapshot period annually. Data was compared to figures collected over four previous years. Induction VTE prophylaxis teaching was introduced after the first cycle, HCA VTE champions were introduced after the second, digital reminders were introduced after the third, and monthly email reminders sent after the fourth cycle. Results VTE risk was documented for 92% of patients in 2017, 65% in 2018, 57% in 2019, 76% in 2020 and 53% in 2021. In the years 2017, 2018, 2019, 2020, 2021, Enoxaparin was prescribed for 96%, 68%, 75%, 55% and 73% of patients respectively. In 2017, 2018, 2019, 2020 and 2021, TED stockings were prescribed for 96%, 68%, 62%, 50% and 73% of patients respectively. Conclusions We utilised a multidisciplinary and digital approach against the issue of VTE prophylaxis on surgical wards. Despite best efforts, compliance was highly fluctuant with a drop during the first wave of the pandemic. This has demonstrated that with redistribution of regular nursing and medical staff, new patient filtering systems and increased healthcare pressures, previous mechanisms cannot be relied upon. We have began the process of electronic prescriptions with mandatory VTE prophylaxis checklists.

Maximizing Participant Engagement, Participation, and Retention in Cohort Studies Using Digital Methods: Rapid Review to Inform the Next Generation of Very Large Birth Cohorts.

BackgroundMany current research needs can only be addressed using very large cohorts. In such studies, traditional one-on-one phone, face-to-face, or paper-based engagement may not be feasible. The only realistic mechanism for maintaining engagement and participation at this scale is via digital methods. Given the substantial investment being made into very large birth cohort studies, evidence for optimal methods of participant engagement, participation, and retention over sustained periods without in-person contact from researchers is paramount.ObjectiveThis study aims to provide an overview of systematic reviews and meta-analyses evaluating alternative strategies for maximizing participant engagement and retention rates in large-scale studies using digital methods.MethodsWe used a rapid review method by searching PubMed and Ovid MEDLINE databases from January 2012 to December 2019. Studies evaluating at least 1 e-engagement, participation, or retention strategy were eligible. Articles were screened for relevance based on preset inclusion and exclusion criteria. The methodological quality of the included reviews was assessed using the AMSTAR-2 (Assessing the Methodological Quality of Systematic Reviews 2) measurement tool, and a narrative synthesis of the data was conducted.ResultsThe literature search yielded 19 eligible reviews. Overall, 63% (n=12) of these reviews reported on the effectiveness of e-engagement or participation promotion strategies. These evaluations were generally not conducted within very large observational digital cohorts. Most of the contributing reviews included multipurpose cohort studies (with both observational and interventional elements) conducted in clinical and research settings. Email or SMS text message reminders, SMS text messages or voice notifications, and incentives were the most commonly used design features to engage and retain participants. For parental outcomes, engagement-facilitation interventions influenced uptake and behavior change, including video feedback, goal setting, and intensive human facilitation and support. Participant-stated preferences for content included new knowledge, reminders, solutions, and suggestions about health issues presented in a clear, short, and personalized way. Perinatal and postpartum women valued self-monitoring and personalized feedback. Digital reminders and multiple SMS text messages were specific strategies that were found to increase adherence to medication and clinic attendance, respectively.ConclusionsThis review adds to the growing literature evaluating methods to optimize engagement and participation that may apply to large-scale studies using digital methods; it is promising that most e-engagement and participation promotion strategies appear to be effective. However, these reviews canvassed relatively few strategies, suggesting that few alternative strategies have been experimentally evaluated. The reviews also revealed a dearth of experimental evidence generated within very large observational digital cohort studies, which may reflect the small number of such studies worldwide. Thus, very large studies may need to proactively build in experimental opportunities to test engagement and retention approaches to enhance the success of their own and other large digital contact studies.

HPV Vaccine Experiences and Preferences Among Young Adult Cancer Survivors and Caregivers of Childhood Cancer Survivors.

Cancer survivors are at higher risk of developing HPV-associated cancers later in life, yet their HPV vaccination rates remain lower than the general population. Improving HPV vaccination uptake among survivors is essential to preventing second malignancies. We interviewed HPV vaccine eligible adolescent and young adult (AYA) cancer survivors (18-26 years) and caregivers of HPV vaccine eligible childhood cancer survivors approaching the AYA age range (9-17 years) about their HPV vaccine experiences and preferences as informed by the HPV Vaccination Roundtable Best Practices. Interviews (N = 20) were recorded, transcribed, and analyzed using interpretive description. Of AYA survivors (n = 10), 50% had received at least one HPV vaccine dose. Of caregivers (n = 10), 30% reported their child had received at least one HPV vaccine dose. Three distinct categories emerged including (1) HPV vaccine knowledge, (2) HPV vaccination recommendation preferences, and (3) HPV vaccination reminder preferences. The first two categories were oncology focused. Participants lacked knowledge regarding HPV vaccine safety and applicability due to their complex cancer history. Most participants strongly preferred that their oncologist provide an HPV vaccine recommendation. The third category was mixed, with some participants preferring oncology-based HPV vaccine reminders while others preferred primary care-based reminders. Almost all participants preferred digital reminders (e.g., text messages). Our results suggest that oncologists play an essential role in recommending the HPV vaccine and providing information to assist survivors and caregivers with vaccine decision-making. Additionally, HPV vaccination uptake among pediatric and childhood and AYA survivors could be improved through the use of tailored, electronically delivered vaccine reminders.

Reminders as a Tool for Behavior Change

In a world where everyone wants our attention, reminders and notifications are omnipresent. It is evident that reminders work. They steer our attention towards a particular decision, and in many cases, they can be a powerful tool for motivation and behavior change. However, reminders also have a dark side – they distract us and turn our into time confetti by pulling our attention away from what we are currently focusing on. I will draw on my research on reminders as well as the many great experiments done by colleagues. First, I will give insights into why reminders work to change behavior. Then, I will discuss whether pure reminders can be improved upon with framing or other types of nudges. I will briefly discuss the difference between physical and digital reminders. Next, I will discuss the optimal timing of reminders and what happens when they are used repeatedly. That leads me to the challenge of annoyance costs that reminders create and present evidence on how reminders can backfire. Lastly, I summarize what we have learned about designing reminders so far and what we need to investigate further.

Feasibility and success rates of response enhancing strategies in a stepwise prevention program for cardiometabolic diseases in primary care

BackgroundPrevention programs for cardiometabolic diseases (CMD), including cardiovascular disease, diabetes mellitus and chronic kidney disease are feasible, but evidence for the cost-effectiveness of selective CMD prevention programs is lacking. Response rates have an important role in effectiveness, but methods to increase response rates have received insufficient attention. The aim of the current study is to determine the feasibility and the success rate of a variety of response enhancing strategies to increase the participation in a selective prevention program for CMD.MethodsThe INTEGRATE study is a Dutch randomised controlled trial to assess the effectiveness and cost-effectiveness of a stepwise program for CMD prevention. During the INTEGRATE study we developed ten different response enhancing strategies targeted at different stages of non-response and different patient populations and evaluated these in 29 general practices.ResultsA face-to-face reminder by the GP increased the response significantly. Digital reminders targeted at patients with an increased CMD risk showed a positive trend towards participation. Sending invitations and reminders by e-mail generated similar response rates, but at lower costs and time investment than the standard way of dissemination. Translated materials, information gatherings at the practice, self-management toolkits, reminders by telephone, information letters, local media attention and SMS text reminders did not increase the response to our program.ConclusionsInviting or reminding patients by e-mail or during GPs consultation may enhance response rates in a selective prevention program for CMD. Different response-enhancing strategies have different patient target populations and implementation issues, therefore practice characteristics need to be taken into account when implementing such strategies.Trial registrationDutch trial Register number NTR4277. Registered 26 November 2013.

Organization of Bone Sarcoma Care: A Cross-Sectional European Study.

ObjectiveTo assess organization of care in several bone sarcoma centers in Europe affiliated with the European Musculoskeletal Oncology Society (EMSOS) for comparison and to identify potential improvements in organization of care.MethodsData for this observational cross‐sectional study was obtained through healthcare professionals affiliated to EMSOS. The authors formulated 10 questions regarding organization of care. The questions were focused on guidance, multidisciplinary decision‐making, and data storage. A digital questionnaire was synthesized and included quality control. The digital questionnaire was sent to 54 representative members of EMSOS. We did not receive responses from 29 representative countries (53.7%) after one digital invitation and two digital reminders.ResultsWe received data from 25 representatives of bone sarcoma centers from 17 countries across Europe (46.3%). Authorization to perform oncological care in a bone sarcoma center was government issued in 41.2% of cases and based on expertise without governmental influence in 52.9% of cases. In 64.7% of the countries, a national bone tumor guideline regarding for diagnosis and treatment is used in oncological care. A national bone tumor board for extensive case evaluation including classification and advice for treatment is available for 47.1% of the countries. All participating bone sarcoma centers have a mandatory local multidisciplinary meeting before the start of treatment; in 84.0% this meeting takes place once a week. During this multidisciplinary meeting a median of 15 cases (range, 4–40 cases) are discussed. In terms of storage of oncological data, a local registry is used in eight countries (47.1%). A national registry is used in eight countries (47.1%).ConclusionsA national bone tumor board gives bone sarcoma centers with little adherence the opportunity to gain knowledge from a more experienced team. Centralization of care in a bone sarcoma center is important to lower incidences. The optimal size for a bone sarcoma center in terms of patient adherence is not known at present.

Feasibility and acceptability of an innovative adherence intervention for young adults with childhood-onset systemic Lupus Erythematosus

BackgroundIn Childhood-Onset Systemic Lupus Erythematosus (cSLE), poor medication adherence rates are very high. Interventions targeting this problem in cSLE are limited thus effective interventions are needed. The objective of this study is to examine the feasibility and acceptability an intervention (automated digital reminders + personalized prescribed treatment plan (pPTP)) to improve medication adherence in young adults with cSLE over 3 months.MethodThis is a proof-of-concept randomized controlled study. All participants received SimpleMed+ pillboxes that track adherence. The treatment group received a pPTP, and in month 2, preselected digital reminders for missed doses. Reminders were discontinued after 30 days and adherence data collected. Data analysis was done using t-tests.ResultsTwenty-one participants were approached and nineteen consented to participate, yielding a recruitment rate of 86%. Participants were on average 20.5 years, mostly black (58%) and female (84%). Of the nineteen consented, eleven were randomized to control (57%) and eight to treatment (42%) groups respectively. All participants in the treatment group rated the pillbox as easy to use, notably; none reported boredom with the pillbox or reminders. Also, 88% of participants in the treatment group rated the pillbox as helpful, however, only 50% reported the pPTP taught them new information about lupus or made them more interested in their lupus management.ConclusionsThis is the first use of an electronic pillbox to track adherence to multiple medications in cSLE. The high rating of the pillbox makes it an acceptable method of measuring adherence. Feasibility and acceptability ratings for the intervention were mixed suggesting a there is a subset of cSLE patients for whom this intervention would be beneficial. Future research should focus on a larger trial.