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Conf Proc IEEE Eng Med Biol Soc. 2011;2011:1523-7. doi: 10.1109/IEMBS.2011.6090367.

A collaborative awareness system for chronic disease medication adherence applied to HIV infection.

Author information

1
MIT Media Lab, Cambridge, MA 02139, USA. jom@mit.edu

Abstract

Electronic reminder systems have been available for decades, yet medication adherence remains poor. Most systems rely on simple alarms and do not address other determinants of health-related behavior. This paper describes a collaborative awareness system for chronic disease medication adherence that relies on patient self-reflection and clinician support. Visualizations of adherence performance, including estimated plasma concentration graphs and a dynamic, personalized, disease-state simulation, are available to the patient (cell phone and internet media display) and clinician (computer) in real-time. The clinician can send asynchronous video messages of advice and encouragement to the patient regularly. A pilot was conducted with four HIV positive patients for four weeks. Three patients who started with suboptimal adherence improved (93.0% to 99.1%, 83.0% to 96.3%, and 63.9% to 81.3%). One patient who started with optimal medication adherence (>95%) maintained this level. All four patients appreciated the rich feedback and wanted to continue using the system.

PMID:
22254610
DOI:
10.1109/IEMBS.2011.6090367
[Indexed for MEDLINE]

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