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Technologies for Medication Adherence Monitoring and Technology Assessment Criteria: Narrative Review.

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Accurate medication adherence monitoring is challenging due to a lack of gold standards. This review proposes technology assessment criteria to guide the development and adoption of effective monitoring solutions.

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Area of Science:

  • Health Informatics
  • Pharmaceutical Sciences
  • Biomedical Engineering

Background:

  • Accurate patient medication adherence measurement is a global challenge, lacking gold standard methods.
  • Technological solutions offer continuous tracking but vary in features, data capture, and possess limitations.
  • A need exists for criteria to assess medication adherence monitoring technologies for optimal adoption.

Purpose of the Study:

  • To conduct a narrative review of current medication adherence monitoring technologies.
  • To propose a set of technology assessment criteria to support development and adoption.

Main Methods:

  • Literature search across PubMed, Scopus, CINAHL, and ProQuest (2010-present).
  • Keywords: medication adherence, measurement technology, monitoring technology.
  • Extraction of technological features, data capture methods, advantages, limitations, and data use for adherence monitoring.

Main Results:

  • 98 studies reviewed, detailing technologies like electronic pill bottles, ingestible sensors, and video-based systems.
  • Technologies offer real-time monitoring but often rely on proxy measures; clinical implementation is rare.
  • 28 technology assessment criteria identified across five categories: development, features, data management, feasibility, and acceptability.

Conclusions:

  • A comprehensive summary of medication adherence monitoring technologies, their features, and limitations is provided.
  • Proposed assessment criteria can guide technology development and selection for improved medication adherence.
  • Further validation of criteria and development of an assessment framework are recommended.