11 research outputs found
Smart Interventions for Effective Medication Adherence
In this research we present a model for medication adherence from information systems and technologies (IS/IT) perspective. Information technology applications for healthcare have the potential to improve cost-effectiveness, quality and accessibility of healthcare. To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice. IS/IT perspective helps in leveraging the technology advancements to develop a health IT system for effectively measuring medication adherence and administering interventions.
Majority of medication adherence studies have focused on average medication adherence. Average medication adherence is the ratio of the number of doses consumed and the number of doses prescribed. It does not matter in which order or pattern patients consume the dose. Patients with enormously diverse dosing behavior can achieve the same average levels of medication adherΒence. The same outcomes with different levels of adΒherence raise the possibility that patterns of adherence affect the effectiveness of medication adherence. We propose that medication adherence research should utilize effective medication adherence (EMA), derived by including both the pattern and average medication adherence for a patient.
Using design science research (DSR) approach we have developed a model as an artifact for smart interventions. We have leveraged behavior change techniques (BCTs) based on the behavior change theories to design smart intervention. Because of the need for real time requirements for the system, we are also focusing on hierarchical control system theory and reference model architecture (RMA). The benefit of using this design is to enable an intervention to be administered dynamically on a need basis. A key distinction from existing systems is that the developed model leverages probabilistic measure instead of static schedule. We have evaluated and validated the model using formal proofs and by domain experts.
The research adds to the IS knowledge base by providing the theory based smart interventions leveraging BCTs and RMA for improving the medication adherence. It introduces EMA as a measurement of medication adherence to healthcare systems. Smart interventions based on EMA will further lead to reducing the healthcare cost by improving prescription outcomes
Smart Interventions for Effective Medication Adherence
In this research we present a model for medication adherence from information systems and technologies (IS/IT) perspective. Information technology applications for healthcare have the potential to improve cost-effectiveness, quality and accessibility of healthcare. To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice. IS/IT perspective helps in leveraging the technology advancements to develop a health IT system for effectively measuring medication adherence and administering interventions.
Majority of medication adherence studies have focused on average medication adherence. Average medication adherence is the ratio of the number of doses consumed and the number of doses prescribed. It does not matter in which order or pattern patients consume the dose. Patients with enormously diverse dosing behavior can achieve the same average levels of medication adherΒence. The same outcomes with different levels of adΒherence raise the possibility that patterns of adherence affect the effectiveness of medication adherence. We propose that medication adherence research should utilize effective medication adherence (EMA), derived by including both the pattern and average medication adherence for a patient.
Using design science research (DSR) approach we have developed a model as an artifact for smart interventions. We have leveraged behavior change techniques (BCTs) based on the behavior change theories to design smart intervention. Because of the need for real time requirements for the system, we are also focusing on hierarchical control system theory and reference model architecture (RMA). The benefit of using this design is to enable an intervention to be administered dynamically on a need basis. A key distinction from existing systems is that the developed model leverages probabilistic measure instead of static schedule. We have evaluated and validated the model using formal proofs and by domain experts.
The research adds to the IS knowledge base by providing the theory based smart interventions leveraging BCTs and RMA for improving the medication adherence. It introduces EMA as a measurement of medication adherence to healthcare systems. Smart interventions based on EMA will further lead to reducing the healthcare cost by improving prescription outcomes
Quantifying Quality of Life
Describes technological methods and tools for objective and quantitative assessment of QoL Appraises technology-enabled methods for incorporating QoL measurements in medicine Highlights the success factors for adoption and scaling of technology-enabled methods This open access book presents the rise of technology-enabled methods and tools for objective, quantitative assessment of Quality of Life (QoL), while following the WHOQOL model. It is an in-depth resource describing and examining state-of-the-art, minimally obtrusive, ubiquitous technologies. Highlighting the required factors for adoption and scaling of technology-enabled methods and tools for QoL assessment, it also describes how these technologies can be leveraged for behavior change, disease prevention, health management and long-term QoL enhancement in populations at large. Quantifying Quality of Life: Incorporating Daily Life into Medicine fills a gap in the field of QoL by providing assessment methods, techniques and tools. These assessments differ from the current methods that are now mostly infrequent, subjective, qualitative, memory-based, context-poor and sparse. Therefore, it is an ideal resource for physicians, physicians in training, software and hardware developers, computer scientists, data scientists, behavioural scientists, entrepreneurs, healthcare leaders and administrators who are seeking an up-to-date resource on this subject
Quantifying Quality of Life
Describes technological methods and tools for objective and quantitative assessment of QoL Appraises technology-enabled methods for incorporating QoL measurements in medicine Highlights the success factors for adoption and scaling of technology-enabled methods This open access book presents the rise of technology-enabled methods and tools for objective, quantitative assessment of Quality of Life (QoL), while following the WHOQOL model. It is an in-depth resource describing and examining state-of-the-art, minimally obtrusive, ubiquitous technologies. Highlighting the required factors for adoption and scaling of technology-enabled methods and tools for QoL assessment, it also describes how these technologies can be leveraged for behavior change, disease prevention, health management and long-term QoL enhancement in populations at large. Quantifying Quality of Life: Incorporating Daily Life into Medicine fills a gap in the field of QoL by providing assessment methods, techniques and tools. These assessments differ from the current methods that are now mostly infrequent, subjective, qualitative, memory-based, context-poor and sparse. Therefore, it is an ideal resource for physicians, physicians in training, software and hardware developers, computer scientists, data scientists, behavioural scientists, entrepreneurs, healthcare leaders and administrators who are seeking an up-to-date resource on this subject
ΠΠ½Π³Π»ΠΈΠΉΡΠΊΠΈΠΉ ΡΠ·ΡΠΊ Π΄Π»Ρ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Ρ: Π±Π°ΠΊΠ°Π»Π°Π²ΡΠΎΠ² ΠΈ ΠΌΠ°Π³ΠΈΡΡΡΠΎΠ²
Π’Π΅ΡΠΌΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΡ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΡΡΠΊΠΎΡΠ΅Π½ΠΈΡ Π½Π°ΡΡΠ½ΠΎ-ΡΠ΅Ρ
Π½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΎΠ³ΡΠ΅ΡΡΠ° ΠΏΡΠΈΠΎΠ±ΡΠ΅ΡΠ°Π΅Ρ ΠΎΡΠΎΠ±ΠΎΠ΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅. ΠΠ½Π° ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΈΡΡΠΎΡΠ½ΠΈΠΊΠΎΠΌ ΠΏΠΎΠ»ΡΡΠ΅Π½ΠΈΡ ΠΈΠ½ΡΠΎΡΠΌΠ°ΡΠΈΠΈ, ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠΎΠΌ ΠΎΡΠ²ΠΎΠ΅Π½ΠΈΡ ΡΠΏΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΡΡΠΈ. ΠΡΠ±Π°Ρ ΠΎΠ±Π»Π°ΡΡΡ Π½Π°ΡΠΊΠΈ ΠΈ ΡΠ΅Ρ
Π½ΠΈΠΊΠΈ Π½Π°Ρ
ΠΎΠ΄ΠΈΡ ΡΠ²ΠΎΡ Π²ΡΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ Π² ΡΠ΅ΡΠΌΠΈΠ½Π°Ρ
. ΠΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ Π½Π΅Ρ Π½ΠΈ ΠΎΠ΄Π½ΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ Π·Π½Π°Π½ΠΈΡ, ΠΊΠΎΡΠΎΡΠ°Ρ ΠΈΠ·ΡΡΠ°Π΅ΡΡΡ, Π½Π΅ Π²Π»Π°Π΄Π΅Ρ ΡΠ΅ΡΠΌΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ. ΠΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ°Ρ ΡΠ΅ΡΠΌΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΡ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠ»Π°ΡΡΠΎΠ² Π»Π΅ΠΊΡΠΈΠΊΠΈ, ΠΊΠΎΡΠΎΡΠ°Ρ Π² ΡΠΈΠ»Ρ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ ΡΡΡΡΠΊΡΡΡΠ½ΠΎ-ΡΠ΅ΠΌΠ°Π½ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ, ΡΠ»ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°ΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈ ΡΡΠΈΠ»ΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠ° ΠΎΡΠ»ΠΈΡΠ°Π΅ΡΡΡ ΠΎΡ ΠΎΠ±ΡΠ΅ΡΠΏΠΎΡΡΠ΅Π±ΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΡΠ»ΠΎΠ² ΠΈ Π·Π°Π½ΠΈΠΌΠ°Π΅Ρ ΠΎΡΠΎΠ±ΠΎΠ΅ ΠΌΠ΅ΡΡΠΎ Π² Π»Π΅ΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΠ΅ ΡΠ·ΡΠΊΠ°. ΠΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠ°Ρ ΡΠ΅ΡΠΌΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΡ β ΡΡΠΎ ΠΏΠ»Π°ΡΡ Π»Π΅ΠΊΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠΎΠ½Π΄Π° ΡΠΎ ΡΠ²ΠΎΠΈΠΌΠΈ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΡΠΌΠΈ, ΠΈΠ±ΠΎ Π² ΠΊΠ°ΠΆΠ΄ΠΎΠΌ ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎΠΌ ΠΏΠΎΠ΄ΡΡΠ·ΡΠΊΠ΅ ΡΡΡΠ΅ΡΡΠ²ΡΠ΅Ρ Π½ΠΎΠΌΠ΅Π½ΠΊΠ»Π°ΡΡΡΠ½Π°Ρ Π»Π΅ΠΊΡΠΈΠΊΠ°, ΡΠΎΠΎΡΠ½ΠΎΡΠΈΠΌΠ°Ρ Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π½ΡΠΌΠΈ ΡΠ΅Π°Π»ΠΈΡΠΌΠΈ ΠΈ ΠΎΠ±ΡΠ΅ΠΊΡΠ°ΠΌΠΈ. ΠΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΡ ΡΠ»ΠΎΠ²Π°ΡΠ½ΠΎΠ³ΠΎ ΡΠΎΡΡΠ°Π²Π° ΡΠ΅ΡΠΌΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΠΈ Π·Π°ΠΊΠ»ΡΡΠ°Π΅ΡΡΡ Π² ΡΠΎΠΌ, ΡΡΠΎ Π΅Ρ Π½ΠΎΠΌΠ΅Π½Ρ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ Π² Π½Π΅ΠΉ ΡΠΈΡΠ΅, ΠΌΠ½ΠΎΠ³ΠΎΠΎΠ±ΡΠ°Π·Π½Π΅Π΅, ΡΠ΅ΠΌ Π² Π΄ΡΡΠ³ΠΈΡ
Π»Π΅ΠΊΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠΎΠ΄ΡΠΈΡΡΠ΅ΠΌΠ°Ρ
. ΠΡΠ±ΠΎΡ Π°Π½Π³Π»ΠΈΠΉΡΠΊΠΎΠ³ΠΎ ΡΠ·ΡΠΊΠ° Π² ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ Π²ΡΠΎΡΠΎΠ³ΠΎ ΡΠ·ΡΠΊΠ° ΡΠΎΠΏΠΎΡΡΠ°Π²ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»Π΅Π½ Π΅Π³ΠΎ Π²ΡΠ΅ Π²ΠΎΠ·ΡΠ°ΡΡΠ°ΡΡΠ΅ΠΉ ΠΊΠΎΠΌΠΌΡΠ½ΠΈΠΊΠ°ΡΠΈΠ²Π½ΠΎΠΉ ΡΠΎΠ»ΡΡ Π² ΠΌΠΈΡΠΎΠ²ΠΎΠΌ ΡΠΎΠΎΠ±ΡΠ΅ΡΡΠ²Π΅, ΠΏΠΎΠΏΡΠ»ΡΡΠ½ΠΎΡΡΡΡ, ΡΠ΅Π³ΠΎΠ΄Π½ΡΡΠ½Π΅ΠΉ ΠΆΠΈΠ·Π½Π΅Π½Π½ΠΎΠΉ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡΡ. Π£ΡΠ΅Π±Π½ΠΈΠΊ ΠΏΡΠ΅Π΄Π½Π°Π·Π½Π°ΡΠ΅Π½ Π΄Π»Ρ Π±Π°ΠΊΠ°Π»Π°Π²ΡΠΎΠ² ΠΈ ΠΌΠ°Π³ΠΈΡΡΡΠΎΠ² Π² ΡΡΠ΅ΡΠ΅ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Ρ. ΠΠ½ ΡΠΎΡΡΠΎΠΈΡ ΠΈΠ· 4 Π³Π»Π°Π² ΠΈ ΠΏΠ°ΡΠ°Π³ΡΠ°ΡΠΎΠ². Π ΠΊΠ°ΠΆΠ΄ΠΎΠΉ Π³Π»Π°Π²Π΅ Π΄Π°Π΅ΡΡΡ ΡΠ΅Π»ΡΠΉ ΡΡΠ΄ ΠΎΡΠ½ΠΎΠ²Π½ΡΡ
Π»Π΅ΠΊΡΠΈΡΠ΅ΡΠΊΠΈΡ
Π½ΠΎΠΌΠ΅Π½ΠΎΠ², ΠΏΠΎΠΌΠΎΠ³Π°ΡΡΠΈΠ΅ ΠΏΠΎΠ½ΡΡΡ ΡΠ»ΠΎΠΆΠ½ΡΠ΅ ΡΠ΅ΠΊΡΡΡ ΠΈΠ· Π½Π΅Π°Π΄Π°ΠΏΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
ΠΈΡΡΠΎΡΠ½ΠΈΠΊΠΎΠ² ΡΡΠΎΠΉ ΡΡΠ΅ΡΡ. Π’Π°ΠΊΠΆΠ΅ ΠΏΡΠΈΠ»Π°Π³Π°Π΅ΡΡΡ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΎ Π΄Π΅ΡΡΡΠΊΠΎΠ² ΡΠΏΡΠ°ΠΆΠ½Π΅Π½ΠΈΠΉ Π΄Π»Ρ Π»ΡΡΡΠ΅Π³ΠΎ ΠΏΠΎΠ½ΠΈΠΌΠ°Π½ΠΈΡ ΠΈ ΡΡΠ²ΠΎΠ΅Π½ΠΈΡ Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Π°. ΠΡΠ°ΡΠΎΡΠ½ΡΠ΅ ΠΈΠ»Π»ΡΡΡΡΠ°ΡΠΈΠΈ Π½Π°Π³Π»ΡΠ΄Π½ΠΎ Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΡΡΡ ΠΎΡΠ½ΠΎΠ²Π½ΡΠ΅ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΡ ΠΈ ΠΏΠΎΠ½ΡΡΠΈΡ Π² ΡΡΠ΅ΡΠ΅ Π±ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½Ρ
Bowdoin Orient v.133, no.1-25 (2001-2002)
https://digitalcommons.bowdoin.edu/bowdoinorient-2000s/1002/thumbnail.jp
Bowdoin Orient v.137, no.1-25 (2007-2008)
https://digitalcommons.bowdoin.edu/bowdoinorient-2000s/1008/thumbnail.jp