Aplikasi Pengingat Minum Obat Di Desa Sumbersuko Kecamatan Wagir Kabupaten Malang

The people of Sumbersuko village in Wagir sub-district, Malang district, on average, already have an Android-based smartphone. The medication reminder application found on the smartphone is not yet known and used. The training program for 12 health cadres is expected that they understand and are able to use the medication reminder application well. Training is given to health cadres so that they can disseminate information to the community. The methods used in the training were lectures, discussions and trials with smartphones by health cadres. Beginning with the introduction of medication reminder applications, techniques for downloading applications and filling in drug data. The medication reminder application is important for people who are undergoing treatment for chronic diseases such as diabetes mellitus, tuberculosis, hypertension and other diseases who must take medication uninterruptedly. Medication reminder applications can improve adherence. Compliance with taking medication is one of the factors that affect the success of treatment, so the presence of this application is appropriate when applied. The alarm in the medication reminder application will help especially the elderly in Sumbersuko village. The presence of a medication reminder application is expected to improve people's quality of life and reduce mortality and morbidity

Understanding Older Adults Motivations and Preferences for a Medication Adherence App

As the percentage of older adults with hypertension continues to increase, medication adherence remains low. However, medication adherence can potentially be improved through the use of medication reminder apps. Medication reminder apps contain numerous features that enable older adults to remember to take their medication, such as providing alerts to take their medication, reminding them when to refill their prescription, and more. Despite being aware of these apps, many older adults lack the motivation needed to use them continuously. We recruited 9 participants (60 years or older) who currently take medication for a chronic condition. Using a mixed-methods approach, we gathered quantitative survey data using the TechSAge Demographic Background, Motivation, and Behavior Change Technique Questionnaires). Qualitative data were gathered through a semi-structured interview that asked questions about general motivations and preferences in addition to engaging participants in co-designing a medication adherence app. Results from the interview were analyzed through a thematic analysis that identified comprehension and preferences of older adults in medication reminder app usage. We tested five different intrinsic motivation factors, and results indicate older adults are most motivated intrinsically due to perceived choice, perceived competence, value/usefulness, effort/importance, and pressure/tension. We also tested five factors of extrinsic motivation, and results indicate older adults are most motivated extrinsically due to introjected regulation, reward-driven, external regulation, compliance, and identification. These data provide insights to guide the design of medication reminder apps to support older adults in the self-management of their chronic conditions.

The Effect of Calendarized Drug Package on Patients Compliance with Antibiotics

BACKGROUND: Patients’ compliance with antibiotics has been one of the global challenges in combating antibiotics resistance. Patients will tend to forget their antibiotics, especially when they feel better. Related to this phenomenon, the development of medication reminder media is essential. AIM: This experimental study was aimed to develop and apply calendarized package as a medication reminder media in patients with short-course antibiotics to improve their compliance. METHODS: Calendarized package was prepared from the labeling of the original package of antibiotics with stickers. Patients above 18 years old who were prescribed short-course oral antibiotics (not more than 7 days) during the study period were asked to participate in this study. Patients were grouped into two groups (control and intervention group). Patients’ demographical data, medications prescribed, and the last antibiotics course day was recorded. Patients were then contacted for compliance evaluation on the latest antibiotics course day. RESULTS: A total of 150 patients who met the inclusion criteria were recruited in this study. Seventy-six patients were grouped into the intervention group, while the remaining 74 patients were the control group. The results showed that the number of compliant patients in the intervention group was higher (72.37%) than those in the control group (45.95%), respectively (p < 0.000). CONCLUSION: The application of the calendar on the package indicates the positive impact on the patients’ compliance with antibiotics. However, in this study, the compliance measurement was conducted indirectly because of the coronavirus disease 2019 pandemic. However, several limitations should be considered. Future research using a bigger sample size and stricter compliance measurement method is needed to confirm this finding.

Smart Medicine Reminder and Vending Machine

In this project a Smart Medicine Reminder and Vending Machine has been developed. Many old people have the tendency of missing the medicines or taking the medicines at wrong time. Often, they require someone to give them the medicines. Hence it is required to design a Medication Reminder Device that can help old people and many other patients to take medication on schedule. In situations like the CoVid-19 pandemic there is a physical contact between the patient and the caretakers, doctors. So, the devicedeveloped is capable of delivering medicine at prescribed time in which care-taker of the patient can store medicine in small boxes which will drop out according the time entered. Arduino IDE software platform and Arduino Mega along with RTC, servo motors, LCD, MP3 player, LED, Rotary Encoder with push button, IR sensor as hardware are used to build this project.

Assessment of the impact of medPlan®, a medication reminder mobile application, in glaucoma patients in Benin City, Nigeria

Purpose: To assess the impact of medPlan®, a medication reminder mobile application in glaucoma patients in Benin City, Nigeria.Methods: In a randomized control trial with 2 months follow-up period, 200 patients receiving drug therapy for glaucoma were randomized into either into a control or study group. The study group comprised participants who made use of a medication reminder mobile application, medPlan®, while the control group consisted of those patients who did not use the application. Adherence to medication was measured for all the patients in both groups. Data was collected using a carefully designed questionnaire and statistically analyzed.Results: This study recorded 100 % response rate from the participants. In the study group, 56 % were very adherent while 18 % were moderately adherent, and 26 % were non-adherent respondents as against 45 % very adherent, 13 % moderately adherent and 42 % non-adherent respondents from the control group. In addition, 78 % of those in the study group agreed that there was improvement in their medication adherence since they started using the medication reminder application. This showed a significant positive impact of the medication reminder application (p = 0.0110) on adherence to medication.Conclusion: Medication adherence was improved in glaucoma patients who used medPlan®, a smartphone medication reminder application. This study lays a foundation for further research on medication reminder mobile applications. Keywords: Glaucoma, Smartphone, Medication adherence, Impact, Medication reminder, medPlan®

Medication Adherence Reminder System for Virtual Home Assistants: Mixed Methods Evaluative Study (Preprint)

BACKGROUND Medication non-adherence is a global public health challenge that results in sub-optimal health outcomes and increases healthcare costs. Forgetting to take medicines is one of the most common reasons for unintentional non-adherence. Research findings indicate that voice-activated virtual home assistants (VHAs), such as Amazon Echo and Google Home devices, may be useful in promoting medication adherence. OBJECTIVE Create a medication adherence app (skill) for Amazon Echo devices and measure the use, usability, and usefulness of that skill. METHODS A single-group mixed methods cohort feasibility study was conducted with females who took oral contraceptives (n=25). Participants were undergraduate students (mean age = 21.8, SD 6.2) at an urban university in the Southeast United States. Participants were given an Amazon Echo Dot with MedBuddy, a new medication reminder skill for Echo devices created by our team, attached to their study account, which they used for 60 days. Participants self-reported baseline and post-study medication adherence. MedBuddy use was objectively evaluated by tracking the participants’ interaction with MedBuddy through Amazon Alexa. The usability and usefulness of MedBuddy were evaluated through a post-study interview with participants responding to both quantitative and qualitative questions. RESULTS Participants’ interactions with MedBuddy, as tracked through Amazon Alexa, only occurred on half of the study days (mean of 50.97, SD 29.5). Compared to baseline, at study end participants reported missing their medication less in the past one and six months (χ 2 = .884 and .420 respectively, McNemar’s test p < .001 for both). However, there was no significant difference in participants’ reported adherence to consistently taking medication within the same two-hour time frame each day the past one or six months at the end of the study compared to baseline (χ 2 = 3.544 and 5.526 respectively, McNemar’s test p = .63 and p = .13 respectively). Overall feedback about usability was positive, and participants provided constructive feedback about features of the skill that could be improved. Participants’ evaluation of the usefulness of Medbuddy was overwhelmingly positive. Most participants (65.2%, n=15) said they would continue to use MedBuddy as a medication reminder in the future if provided the opportunity and the majority (91.3%, n=21) said they would recommend it to others. MedBuddy features that participants enjoyed were an external prompt separate from their phone, being able to hear the reminder prompt from a separate room, multiple reminders, and verbal responses as prompts. CONCLUSIONS The results of this feasibility study indicate the MedBuddy medication reminder skill may be useful in promoting medication adherence, but the skill could benefit from further usability enhancements.

Design and Build Reminder for Arduino Based Drug Schedule Consumption System

The medication reminder system is designed to set the patient's daily drug consumption schedule. This system uses RTC DS1302 as a time saver and as an alarm, while the output is in the form of a buzzer and LED. Schedule of drug consumption can be arranged morning, afternoon, and evening according to patient needs. On the device there is a DVD motor drive that is used to extract the drug automatically. There is also a temperature sensor in the form of DHT11 to monitor the temperature of the device, so that the quality of the drug is maintained. The system was tested using 3 drug slots in it. The device is set using a keypad to make it easier for patients to manage medication consumption schedules. After being tested, the results of the alarm output sound in the form of a buzzer. and the output of a medicine container that uses a DVD motor automatically. After the device is tested, an alarm in accordance with what is set schedule indicates the tool is running in accordance with the destination.