![]() ![]() The study found that most respondents appreciated that the smartphone apps could remind them to take their medication at the correct time, and they found the function very useful. A mixed method study on patients with coronary heart disease also supported the acceptability of the technology-based intervention to improve mediation adherence. A study among HIV-positive patients in the United States found that nearly 70% of the respondents would like to use a technology-based intervention to help with HIV medication adherence. Ī few studies have been conducted to specifically explore patients’ acceptability of new technology to enhance medication adherence. The use of smart pillboxes is an alternative to improve medication compliance among non-adherent patients. Smart pillboxes can keep track of patients’ schedules and remind them to take the right medication, while some can even send alert notifications to caregivers. Advances in technology have enabled the development of smart pillboxes that may help prevent unintended non-adherence. These include patient education and traditional devices such as weekly pill boxes. There are a variety of strategies to improve mediation adherence. A study in the United States found that in the preceding six months 62.4% of participants had forgotten to take medication, while 23.0% had been careless at times about taking medication. Non-adherence can be intentional (i.e., an active decision on the part of patients to eschew prescribed treatments) or unintentional (i.e., a passive process whereby patients fail to adhere to the regimen through forgetfulness or carelessness). Non-adherence can lead to adverse outcomes such as failure to control blood pressure among patients with hypertension, increased risk of mortality in diabetes patients and greater risk of cardiovascular mortality among patients with coronary artery disease. Adherence to medication regimens according to the recommendations of patients’ clinicians is of paramount importance in ensuring optimal patient outcomes. ![]() The treatment of such diseases commonly includes the long-term use of medication. It is estimated that approximately one in three Chinese adults in Hong Kong have chronic diseases such as hypertension, diabetes and heart disease, with 59% of those being less than 60 years old. ![]() Further studies such as those evaluating the willingness to pay for smart pillboxes and randomised control trials to evaluate the effectiveness of smart pillboxes in enhancing medication adherence should be conducted to provide more evidence about the implementation potential of such devices. Primary care patients who reported missing a dose by accident were 2.4 times as likely to want to use a smart pillbox while those with heart disease were almost 4 times as likely to want to use a smart pillbox. Patients who needed to take a greater number of daily medications (aOR: 1.16), who had previously missed a dose by accident (aOR: 2.44), with heart disease (aOR: 3.67) and with a high monthly income (aOR: 2.30) were more willing to use a smart pillbox, while older patients (aOR: 0.95) were less willing to do so. A multiple logistic regression model found that male patients (adjusted odds ratio (aOR): 0.59) and patients with hypertension (aOR: 0.56) were less likely to have previously missed a dose by accident. Out of the 344 participants included in the analysis who needed to take daily oral medication, 49.1% reported having previously missed a dose by accident, and 70.6% were willing to use a smart pillbox for free. #Display pilot smart reminder for freePatients were asked (i) if they needed to take medication daily, (ii) how many daily oral medications they needed to take on average, (iii) if they had ever missed a dose by accident, and (iv) if they were willing to use a smart pillbox for free to remind them to take medication. Five-hundred primary care patients aged 40 years or older were randomly recruited from a government-funded primary care clinic in Hong Kong. To better understand the implementation potential of smart pillboxes among patients with chronic diseases, this study aimed to explore patients’ acceptability to use such devices and its associated factors. Smart pillboxes that remind patients to take medication may help avoid unintended non-adherence to medication regimens. ![]()
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