Dataset Information

[Study on the use of a smart pillbox to improve treatment compliance].

ABSTRACT:

Objective

To assess the usefulness of the Practidose individualised dispensing and dosing pillbox system in improving treatment compliance (TC).

Design

Open-labelled, randomised, clinical trial.

Setting

Cordoba province from April to September 2005.

Participants and context

A total of 220 patients 70 years diagnosed with ineffective management of treatment regime, polymedicated with no cognitive deterioration or limited mobility. Enrolment was carried out by block random assignment. Each district linking nurse was assigned 10 interviews, 5 from the intervention group and 5 from a control group.

Intervention

To give a smart pillbox with instructions. MEASUREMENTS AND PRIMARY OUTCOMES: The response variable was the TC measured using the Morisky-Green questionnaire at the beginning and at 2 months. The independent variables were: age, sex, education level, number of people living in the home and mean age, diabetes, hypertension, heart disease, COPD, number of medications, number of daily and weekly doses self-medication, and interest in the patient information leaflet. A descriptive analysis and a multiple logistic regression were performed on the data. A total of 182 patients finished the study. The TC improved by 6.74% in the intervention group and by 2.15% in the control group. To look after the medications and suffer from COPD lead to better TC, and was less so when there was interest in the patient information leaflet.

Conclusions

The improvement in treatment compliance with the Practidose Pillbox was not statistically significant, although a positive tendency was observed.

SUBMITTER: Morales Suarez-Varela MT

PROVIDER: S-EPMC7665107 | biostudies-literature | 2009 Apr

REPOSITORIES: biostudies-literature

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Publications

[Study on the use of a smart pillbox to improve treatment compliance].

Morales Suárez-Varela María Teresa MT

Atencion primaria 20090328 4

<h4>Objective</h4>To assess the usefulness of the Practidose individualised dispensing and dosing pillbox system in improving treatment compliance (TC).<h4>Design</h4>Open-labelled, randomised, clinical trial.<h4>Setting</h4>Cordoba province from April to September 2005.<h4>Participants and context</h4>A total of 220 patients 70 years diagnosed with ineffective management of treatment regime, polymedicated with no cognitive deterioration or limited mobility. Enrolment was carried out by block ra ...[more]

PMID: 19328598

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Project description:BackgroundSmart pump technology is relatively new, and uncertainty exists regarding best practices for development and management of the drug libraries in these devices. In Canadian hospitals, IV smart pumps and their drug libraries are created and maintained according to recommendations from Accreditation Canada and guidelines from the US Institute for Safe Medication Practices (ISMP). Current compliance with these standards in Canada is unknown. However, neither organization provides specific operational steps detailing how to effectively create and manage a drug library, which leaves significant room for interpretation. Furthermore, the human resources dedicated to creation and management of these libraries in accordance with guidelines and standards are unknown.ObjectivesTo describe current compliance with standards and guidelines for smart pump drug libraries; the processes used for drug library set-up, management, training, and support; and the resources currently used for these activities in Canadian hospitals.MethodsA 43-question online survey was made available in spring 2021 to multidisciplinary team members involved in implementation of IV smart pumps and/or management of drug libraries in Canadian hospitals.ResultsA total of 55 complete or partial responses were received. Most responses indicated that standards set by Accreditation Canada and ISMP were not being met, with only 30% (14/47) updating their libraries at least quarterly and 47% (20/43) performing quality reviews at least every 6 months. Although the majority of respondents reported regular monitoring of compliance, 30% (11/37) did not perform such monitoring. Results further indicated variation across Canadian hospitals in set-up, management, training, and support related to drug libraries, as well as variation in the human resources available for these activities.ConclusionsCanadian health authorities and organizations are not meeting current ISMP and Accreditation Canada standards for smart pumps. Variation exists in terms of strategies for creating and managing drug libraries, as well as in the training and resources needed to support these initiatives. Canadian health authorities and organizations should prioritize meeting these standards and should closely review the resources required to do so.

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Dataset Information

[Study on the use of a smart pillbox to improve treatment compliance].

Objective

Design

Setting

Participants and context

Intervention

Conclusions

Publications

[Study on the use of a smart pillbox to improve treatment compliance].

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