SIMPLE FRAMEWORK based Medication Adherence: Challenges and Opportunities (Preprint)

2021 ◽  
Author(s):  
Sweta Sneha ◽  
Hossain Shahriar ◽  
Evbusogie Sogbesan

BACKGROUND This paper reviews literature on medication adherence measures and expands upon Atreja, Bellam, and Levy's SIMPLE framework to close gaps in medication adherence [1]. The criteria for literary analysis is based on the application of support- and technology-based interventions. This extensive study pulled research from Google Scholar, PubMed, MedSpace, Sage, and Science Direct to update the SIMPLE framework and further outline opportunities and challenges in medication adherence. OBJECTIVE The application of support- and technology-based interventions are a necessary aspect of the SIMPLE framework. Support-based interventions focus on the relationship between providers and patients. Technology-based interventions discuss the adherence-improving opportunities available in health information technology and the Internet of Things. METHODS The mnemonic SIMPLE represents six guidelines that healthcare professionals may use to encourage patient compliance in pharmacotherapy: Simplify medication regimens, Impart knowledge, Modify patient beliefs, Patient communication, Leave the bias, and Evaluate adherence. This paper expands upon the SIMPLE guidelines and proposes challenges and opportunities that must be overcome when considering the interventions utilized in the framework. RESULTS Utilizing the SIMPLE framework in conjunction with support-based interventions and technology-based interventions will go far in improving medication adherence and, by extension, overall health outcomes. However, challenges such as patient health literacy and the costs of technological advancements must be overcome before adherence can be attained. CONCLUSIONS The SIMPLE framework, along with the support- and technology-based interventions, will be incredibly helpful in encouraging patients to take their medications and adhere to their treatment plans as set by their physicians. However, it is also important to remember that there are still challenges to overcome, such as clinicians' and patients’ willingness (or lack thereof) to change or adapt to all that the enhanced SIMPLE framework has to offer. CLINICALTRIAL Not applicable.

Author(s):  
Jyh-Jeng Wu ◽  
Yueh-Mei Chen ◽  
Paul C. Talley ◽  
Kuang-Ming Kuo

Effectively improving the medication adherence of patients is crucial. Past studies focused on treatment-related factors, but little attention has been paid to factors concerning human beliefs such as trust or self-efficacy. The purpose of this study is to explore the following aspects of patients with chronic diseases: (1) The relationship between emotional support, informational support, self-efficacy, and trust; (2) the relationship between self-efficacy, trust, and medication adherence; and, (3) whether chronic patients’ participation in different types of online communities brings about significant statistical differences in the relationships between the abovementioned variables. A questionnaire survey was conducted in this study, with 452 valid questionnaires collected from chronic patients previously participating in online community activities. Partial Least Squares-Structural Equation Modeling analysis showed that emotional support and informational support positively predict self-efficacy and trust, respectively, and consequently, self-efficacy and trust positively predict medication adherence. In addition, three relationships including the influence of emotional support on trust, the influence of trust on medication adherence, and the influence of self-efficacy on medication adherence, the types of online communities result in significant statistical differences. Based on the findings, this research suggests healthcare professionals can enhance patients’ self-efficacy in self-care by providing necessary health information via face-to-face or online communities, and assuring patients of demonstrable support. As such, patients’ levels of trust in healthcare professionals can be established, which in turn improves their medication adherence.


2021 ◽  
Vol 22 (1) ◽  
pp. 35
Author(s):  
Zulfan Taufik ◽  
Muhammad Taufik

This article examines how Tarekat Qadiriyah wa Naqshabandiyah (TQN) utilizes online media to strengthen its existence. As an integral part of the Islamic revival in Indonesia, Sufi orders (tarekat) are facing remarkable challenges and opportunities in maintaining their existence in the digital era. Nevertheless, previous studies observed Sufi orders as a traditional community that would be exterminated by the pace of modernization and globalization. This article argues that Sufi orders may survive in the internet of things era, contrary to preceding discourses. Based on ethnography research, both online and offline, the authors found out that the vitality of the Sufi order can adapt, develop, and innovate using online media. TQN's use of online media through various platforms proves Sufi order’s adaptive efforts to the internet-based era. TQN’s online media provide informations on Islamic  and Sufism teachings, news, schedule of activities, and fundraising. Even though TQN members’ being active in cyber-Islamic environments, they resist online asceticism thus leverage the vertical-personal obedience, conservative authorities, and sacred rituals. These practices done by TQN members illuminate its identity as an authentic online sufism. Premises shown in this paper may enrich the scope of study within the relationship of Sufi orders and Islamic-cyber environment, especially in Indonesian context.


2019 ◽  
Author(s):  
Xunbing Shen

Microexpressions do exist, and they are regarded as valid cues to deception by many researchers, furthermore, there is a lot of empirical evidence which substantiates this claim. However, some researchers don’t think the microexpression can be a way to catch a liar. The author elucidates the theories predicting that looking for microexpressions can be a way to catch a liar, and notes that some data can support for the utilization of microexpressions as a good way to detect deception. In addition, the author thinks that the mixed results in the area of investigating microexpressions and deception detection may be moderated by the stake. More empirical studies which employ high-stake lies to explore the relationship between microexpressions and deception detection are needed.


Author(s):  
Tatsiana Shaban

The European Union’s neighbourhood is complex and still far from being stable. In Ukraine, significant progress has occurred in many areas of transition; however, much work remains to be done, especially in the field of regional development and governance where many legacies of the Soviet model remain. At the crossroads between East and West, Ukraine presents an interesting case of policy development as an expression of European Union (EU) external governance. This paper asks the question: why was the relationship between the EU and Ukraine fairly unsuccessful at promoting stability in the region and in Ukraine? What was missing in the European Neighbourhood Policy (ENP) in Ukraine that rendered the EU unable to prevent a conflict on the ground? By identifying security, territorial, and institutional challenges and opportunities the EU has faced in Ukraine, this paper underlines the most important factors accounting for the performance of its external governance and crisis management in Ukraine.   Full text available at: https://doi.org/10.22215/rera.v12i2.1310


Author(s):  
Donghui Zhang ◽  
Ruijie Liu

Abstract Orienteering has gradually changed from a professional sport to a civilian sport. Especially in recent years, orienteering has been widely popularized. Many colleges and universities in China have also set up this course. With the improvement of people’s living conditions, orienteering has really become a leisure sport in modern people’s life. The reduced difficulty of sports enables more people to participate, but it also exposes a series of problems. As the existing positioning technology is relatively backward, the progress in personnel tracking, emergency services, and other aspects is slow. To solve these problems, a new intelligent orienteering application system is developed based on the Internet of things. ZigBee network architecture is adopted in the system. ZigBee is the mainstream scheme in the current wireless sensor network technology, which has many advantages such as convenient carrying, low power consumption, and signal stability. Due to the complex communication environment in mobile signal, the collected information is processed by signal amplification and signal anti-interference technology. By adding anti-interference devices, video isolators and other devices, the signal is guaranteed to the maximum extent. In order to verify the actual effect of this system, through a number of experimental studies including the relationship between error and traffic radius and the relationship between coverage and the number of anchor nodes, the data shows that the scheme studied in this paper has a greater improvement in comprehensive performance than the traditional scheme, significantly improving the accuracy and coverage. Especially the coverage is close to 100% in the simulation experiment. This research has achieved good results and can be widely used in orienteering training and competition.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Dana Drzayich Antol ◽  
Adrianne Waldman Casebeer ◽  
Raya Khoury ◽  
Todd Michael ◽  
Andrew Renda ◽  
...  

An amendment to this paper has been published and can be accessed via the original article.


Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4194
Author(s):  
Fulvio Babich ◽  
Giulia Buttazzoni ◽  
Francesca Vatta ◽  
Massimiliano Comisso

This study proposes a set of novel random access protocols combining Packet Repetition (PR) schemes, such as Contention Resolution Diversity Slotted Aloha (CRDSA) and Irregular Repetition SA (IRSA), with Non Orthogonal Multiple Access (NOMA). Differently from previous NOMA/CRDSA and NOMA/IRSA proposals, this work analytically derives the energy levels considering two realistic elements: the residual interference due to imperfect Interference Cancellation (IC), and the presence of requirements on the power spent for the transmission. More precisely, the energy-limited scenario is based on the relationship between the average available energy and the selected code modulation pair, thus being of specific interest for the implementation of the Internet of Things (IoT) technology in forthcoming fifth-generation (5G) systems. Moreover, a theoretical model based on the density evolution method is developed and numerically validated by extensive simulations to evaluate the limiting throughput and to explore the actual performance of different NOMA/PR schemes in energy-constrained scenarios.


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