Electronic Monitoring Devices Adherence

We analyzed data from an intervention study of electronic inhaler monitoring devices comprising 211 patients yielding 35 161 person days of data.

Electronic monitoring devices adherence.

Despite these drawbacks electronic monitoring is believed by many authorities to provide the most accurate and valuable data on adherence especially in difficult clinical situations. As a prerequisite to their application in clinical studies or daily practice the performance of those electronic monitoring devices should be tested. While electronic adherence monitoring devices eamds are the preferred and most objective medication adherence measurement strategy for many populations and research questions there is no comprehensive methodological framework for eamd use. The use of these devices however is not without costs and cautions including expense malfunctioning and interference with existing adherence routines.

Pros and cons of electronic monitoring devices for. We hypothesised that electronic monitoring in children would identify nonadherence thus delineating the small number with true severe asthma asthmatic children already prescribed inhaled corticosteroids were prospectively recruited and persistence of adherence assessed using electronic monitoring devices. The recent development of electronic monitoring devices emds for use with inhalers presents an exciting opportunity to easily and accurately measure inhaler adherence. Electronic monitoring devices are increasingly used in healthcare to monitor health behaviors on a day to day basis.

Electronic monitoring has been used in clinical settings as part of adherence promoting interventions54 55 to provide accurate objective and detailed information on adherence patterns without significant disruption to patients natural medication taking behavior 56 57 when used appropriately emd data can be a powerful tool to engage. Although 48 electronic monitoring devices were given to patients recruited only 36 out of 48 75 were returned. 2 9 electronic monitoring tools such as mems have now replaced pill counts as the reference standard for measuring medication adherence. Electronic monitoring permits the evaluation of patterns of medication use and dose response relationship and may be a useful part of adherence promotion interventions.

Such testing includes a demonstration of technically correct function and of correspondence between the recorded data and the. This was despite repeated reminder phone calls from the nurse and despite waiting for up to 6 months for the device to be returned. The pros identified included the possibility of emds improving adherence that the devices might help motivate patients through creating a sense of independence and accountability and that the data generated could help in building a trusting relationship between clinician and patient. We sought to construct a data driven multi dimensional typology of medication non adherence in children with asthma.

For each device features and limitations are considered followed by a review of both the current clinical literature and.