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What does the literature say about using electronic pillboxes for older adults? A systematic literature review

dc.creatorMiguel-Cruz A.spa
dc.creatorFelipe Bohórquez A.spa
dc.creatorAya Parra P.A.spa
dc.date.accessioned2020-05-26T00:06:05Z
dc.date.available2020-05-26T00:06:05Z
dc.date.created2019spa
dc.description.abstractPurpose: The purpose of this study is to answer two research questions: (1) What is the clinical evidence for the reported outcomes in studies on electronic pillboxes for older adults? and (2) What is the technology readiness level (TRL) of the electronic pillboxes used, or intended to be used, for older adults? Methods: The scholarly literature was systematically searched and analyzed. Articles were included if they reported results about electronic pillboxes that were used or intended to be used for older adults’ medication. Results: Clinical studies used commercially well-established electronic pillboxes with a high TRL. New electronic pillboxes in development had a low TRL. The discovered outcome was mainly adherence to medication. The overall mean adherence to medication regimens for all the studies using an electronic pillbox was higher than the gold standard of a good adherence level cut-off point (mean adherence 88.8%>80%). However, we found a large variation in this variable (SD = 10.7). With regard to an older adult population’s adherence to medication regimens, for the outcome variable of those who had undergone a kidney transplant, the clinical evidence that electronic pillboxes have a positive impact was strong (1b); for those with a chronic hepatitis C medical condition, the clinical evidence was medium (3), and for those with arterial hypertension and multiple chronic (diabetes and hypertension) medical conditions, the clinical evidence was weak (5). Conclusion: More research is needed in this area using designs that provide greater validity.Implications for Rehabilitation Electronic pillboxes with multiple reminders such as the “voice of a friend” or relative, which implies that electronic pillboxes which adopt “a social role” are advisable. An unequal level of clinical evidence that electronic pillboxes have a positive impact on the adherence outcome variable was found. For new electronic pillboxes still in development that specifically take into account older adults’ needs, the TRL is still low; as a result, they could not be tested in real settings. © 2018, © 2018 Informa UK Limited, trading as Taylor and Francis Group.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1080/17483107.2018.1508514
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23856
dc.language.isoengspa
dc.publisherTaylor and Francis Ltdspa
dc.relation.citationEndPage787
dc.relation.citationIssueNo. 8
dc.relation.citationStartPage776
dc.relation.citationTitleDisability and Rehabilitation: Assistive Technology
dc.relation.citationVolumeVol. 14
dc.relation.ispartofDisability and Rehabilitation: Assistive Technology, Vol.14, No.8 (2019); pp. 776-787spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85075498039&doi=10.1080%2f17483107.2018.1508514&partnerID=40&md5=6f2011075d3c29944a8b68d1bfa45cf3spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordCentered design approachspa
dc.subject.keywordElectronic pillboxspa
dc.subject.keywordOlder adultsspa
dc.titleWhat does the literature say about using electronic pillboxes for older adults? A systematic literature reviewspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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