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Medication Dispensing Patterns Among Individuals With Serious Mental Illness Using a Remote Medication Dispensing and
George Unick1, Nicole Mattocks2, Cheuk Yui Yeung3
1School of Social Work, University of Maryland, Baltimore, 525 W Redwood St, Baltimore, US.
JMIR Mental Health
|April 23, 2026
Summary
Remote medication dispensing devices show high adherence rates (92.9%) in individuals with serious mental illness (SMI). These tools can improve medication adherence, with tailored interventions addressing dose timing and disparities.
Area of Science:
- Mental Health Technology
- Digital Therapeutics
- Medication Adherence Research
Background:
- Serious mental illness (SMI) is associated with significant challenges in medication adherence.
- Few studies have evaluated the effectiveness of remote medication dispensing and adherence monitoring interventions for SMI populations.
Purpose of the Study:
- To assess medication dispensing rates using a remote monitoring device in individuals with SMI.
- To identify demographic and clinical factors associated with medication dispensing adherence.
Main Methods:
- A cohort study involving 99 participants with SMI, aged 18-64, using a remote medication dispensing and adherence monitoring device.
- Dispensing records were collected from January 2019 to June 2023.
- Hierarchical Bayesian logistic regression was used to analyze adherence rates and associated factors.
Main Results:
- The average dispensing rate was 92.9%, with most participants exceeding 80% adherence.
- Adherence was higher for evening doses, weekdays, and increased with longer device use.
- Adherence decreased during the COVID-19 pandemic, and African Americans showed lower dispensing rates compared to whites.
Conclusions:
- Remote medication dispensing and adherence monitoring devices show significant potential for improving adherence in SMI populations.
- Interventions should consider dose timing, contextual factors like weekends, and address racial disparities.
- Integrating digital adherence monitoring into community-based mental health services is recommended.
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