My presentation at the Healthcare Unbound conference in San Diego, July 2010
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Effect of Medication Telemonitoring on Adherence and Behavior
• Up to 80% of cancer patients don’t follow prescriptions • 20% hospital admissions related to medications
• 23% nursing home admissions related to medications
• Self-efficacy important in influencing adherence
Sources: Osterberg, L. and Blaschke, T. Adherence to Medication.” New England Journal of Medicine. August 4, 2005 Partridge, A, et al. “Adherence to Therapy with Oral Antineoplastic Agents.” JNCI Vol 94 (9): 652-661.
“Drugs don’t work in people who don’t take them” —C. E. Koop, MD
eMedonline engages the patient, creates a touchpoint between the patient and prescription, and establishes a relationship between the patient and the service.
• The patient gets the right information in the right way at the right time through structured messaging databases and other media.
• The messages help set patient expectations and illness representation.
• The patient’s cellphone becomes a technological aid to help them manage their therapy.
• The patients feel more confident about their ability to manage their medication and disease.
• The patients feel that it is important to others that they do this.
• Consistent, clinically significant improvement in self efficacy • 3-month and 6-month randomized control studies • Funded by NIH and industry sponsors • Cancer, CHF, and chronic disease patients, age 50 to 88,
taking up to 22 meds daily
Patients who use eMedonline report that they are better able to take their medication as prescribed, get refills on time, and can better manage their medication and disease.
“It kept me on task with the medication compliance and I felt a noticeable difference.” (age 55)
“I was already pretty good at taking morning meds but it really helped me get compliant with the evening dose. Also, it may be more timely…same time every day.” (age 43)
“I like the phone call method. Too quick of a reminder for me is easy to forget shortly after. The phone got me more active in the process.” (age 56)
100%
98.2%
90%
85%
Easy to use
Drug compliance rate
Found it useful and used the system daily
Would recommend the system
User Experience Results from Patients (n=80) in a Recent Study
• Validated by independent third part at NCI’s User-Centered Informatics Research Lab
• Usability and workload evaluated using the System Usability Scale (SUS) and Cooper-Harper Rating
• SUS score 84.7 indicating optimal usability • Cooper-Harper Rating 9.4 indicating minimal mental workload • Patients reported that the technology makes them feel more
confident that they will be able to manage their medications • Clinicians called the technology “a great boon for the nurse or