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Formative Perceptions of a Digital Pill System to Measure Adherence to Heart Failure Pharmacotherapy: Mixed Methods
Peter R Chai1,2,3,4, Jenson J Kaithamattam1, Michelle Chung1
1Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, United States.
JMIR Cardio
|February 15, 2024
Summary
Digital pill systems (DPSs) show promise for monitoring heart failure (HF) medication adherence. Patients found DPS acceptable, but barriers like cost and privacy need addressing for improved HF management.
Area of Science:
- Cardiology
- Digital Health
- Pharmacotherapy Adherence
Background:
- Heart failure (HF) impacts millions, with pharmacotherapy adherence crucial for management.
- Current adherence measures (refill data, self-report) have limitations in detecting suboptimal adherence.
- Digital Pill Systems (DPSs) offer real-time ingestion monitoring, a novel approach for HF.
Purpose of the Study:
- To explore patient facilitators and barriers regarding DPS technology for HF pharmacotherapy adherence.
Main Methods:
- Semistructured qualitative interviews and quantitative assessments with 20 HF patients.
- Exploration of acceptability, willingness to use DPS, and perceived barriers.
- Thematic analysis of qualitative data using NVivo software.
Main Results:
- 60% of participants were willing to use DPS for HF medication adherence.
- DPS perceived as useful for accountability; barriers include technology, cost, and privacy.
- Patients desired data sharing with providers and customizable reminders.
Conclusions:
- HF patients find DPS acceptable and useful for monitoring medication adherence.
- Real-time ingestion data can enhance adherence counseling and behavioral interventions.
- Addressing barriers is key to optimizing DPS for HF adherence management.
Keywords:
behavioral interventionscardiac treatmentdigital pill systemheart failureheart failure medicationingestible sensorsmedication adherenceMore Related Videos
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