Feasibility of Customized Pillboxes to Enhance Medication Adherence: A Randomized Controlled Trial.
Arch Phys Med Rehabil
; 103(12): 2288-2295, 2022 12.
Article
en En
| MEDLINE
| ID: mdl-35430239
ABSTRACT
OBJECTIVE:
To test the (1) feasibility of an assistive technology based pillbox intervention on medication adherence; (2) feasibility of trial procedures; and (3) preliminary effectiveness of the pillbox intervention on medication adherence.DESIGN:
A single-blinded randomized controlled clinical trial was conducted during 2-4 weeks.SETTING:
Researchers recruited a convenience sample to participate in this university laboratory-based study.PARTICIPANTS:
English-speaking consumers of 2 or more daily medications (N=15) participated in the study. Individuals with cognitive impairment or who did not manage their own medications were excluded.INTERVENTIONS:
Participants were randomized to 1 of 3 pillboxinterventions:
(1) standard-of-care pillbox; (2) customized off-the-shelf pillbox; or (3) customized 3-dimensional (3D) printed pillbox. MAIN OUTCOMEMEASURES:
Outcome measures were divided among the 3 goals of the study. In addition to feasibility metrics, the Adherence to Refills and Medications Scale was used to measure the primary outcome measure, medication adherence. The Quebec User Evaluation of Satisfaction with Assistive Technology was used to measure pillbox satisfaction.RESULTS:
Researchers successfully administered 6 standard-of-care, 5 custom off-the-shelf, and 4 custom 3D printed pillboxes. Compared with the standard-of-care pillboxes, customized 3D printed pillboxes had large (d=1.04) and customized off-the-shelf pillboxes had medium (d=0.67) effects on medication adherence.CONCLUSIONS:
Prescription of customized pillboxes using a manualized and novel assistive technology approach that leverages 3D printing is feasible.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Dispositivos de Autoayuda
/
Cumplimiento de la Medicación
Tipo de estudio:
Clinical_trials
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2022
Tipo del documento:
Article