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Unobtrusive Sensing of Medication Intake ("USE-MI")
Investigator (PI): Saver, Barry G; Marquard, Jenna Louise
Performing Organization (PO): (Current): Swedish Medical Center, First Hill Campus / (206) 386-6000
Supporting Agency (SA): National Institutes of Health (NIH), National Institute of Allergy and Infectious Diseases (NIAID) || National Institutes of Health (NIH), National Institute of Mental Health (NIMH)
Initial Year: 2015
Final Year: 2020
Record Source/Award ID: RePorter/R01MH109319
Funding: 2015 Award Amount: $668,709
2016 Award Amount: $763,207
2017 Award Amount: $732,011
2018 Award Amount: $749,942
Award Type: Grant
Abstract: Here, we seek to combine smartphone, "wearable device" and near-field communication technologies in a novel, integrated, unobtrusive system to improve individual adherence to anti-retroviral therapy (ART) and pre-exposure prophylaxis (PrEP) for the treatment and prevention, respectively, of HIV infection. HIV treatment and PrEP require high levels of medication adherence sustained over many years to achieve optimal outcomes. Research on interventions to improve medication adherence, to date, has produced at best modest improvements with expensive interventions that are not sustainable outside of the research setting. The need for affordable, sustainable treatments is not confined to HIV care; it has been estimated that adherence to medications for chronic diseases averages about 50% in the developed world, while 80% or better is needed to obtain most of the benefits--and 95% or better for ART. If successful, this approach can be used to improve the management and outcomes of many chronic health conditions, such as heart disease, asthma, diabetes, and cancer. This system, referred to as USE-MI (Unobtrusive Sensing of Medication Intake), builds upon the broad social acceptance of "wearable" electronic devices used by millions of Americans to establish individual health goals and provide real-time monitoring and feedback of individual performance. In this project, patients undergoing ART and PrEP will utilize the USE-MI platform to (1) provide unobtrusive reminders to patients by using the combination of smartphone and wearable device alarms--the system will flexibly provide discreet medication reminders without drawing undo attention to the individual or the action; (2) unobtrusively detect medication intake--motion sensing and near-field communication technology will allow real-time confirmation of taking medications and provision of alerts in the event of medication error(s) due to the wrong drug or the wrong timing, without requiring any special action by the patient; (3) provide patient feedback--the smartphone application will give patients direct reports of their medication adherence and enable delivery of targeted behavioral interventions to enhance adherence; (4) improve communication between patients and care teams by offering clinicians and patients shared access to a medication scheduling application utilizing a mobile device platform to unambiguously establish medication regimen and to make immediate changes to the regimen as needed; and (5) enhance and monitor medication adherence--a simple "dashboard" function will be made available to the patient and the treatment team to enable discussions about adherence, side-effect minimization strategies, and improvements and adjustments to medication regimens based on accurate data.
MeSH Terms:
  • Anti-Retroviral Agents /*therapeutic use
  • Chronic Disease
  • Communication
  • Drug Monitoring /methods
  • * Drug Therapy
  • Feedback
  • Health Behavior
  • HIV Infections /*drug therapy
  • Humans
  • Medication Adherence
  • Medication Errors
  • Monitoring, Ambulatory /methods
  • Outcome Assessment, Health Care
  • * Post-Exposure Prophylaxis
  • Smartphone
  • United States
Keywords:
  • HIV
  • HIV infections
  • adherence
  • anti-retroviral agents
  • antiretroviral therapy
  • attention
  • behavior
  • behavior therapy
  • behavioral
  • cellular phone
  • communication
  • dashboard
  • devices
  • electronics
  • feedback
  • handheld equipment
  • handheld mobile device
  • ingestion
  • intake
  • intervention
  • medication compliance
  • medication errors
  • medication management
  • monitor
  • motion
  • movement
  • patient care team
  • patients
  • pharmaceutical preparations
  • pill
  • prevent
  • prevention
  • prophylactic treatment
  • provider
  • schedule
  • sensor
  • targeted delivery
  • technology
Country: United States
State: Washington
Zip Code: 98122
UI: 20173325
Project Status: Completed
Record History: ('Project extended to 2020, 5/30/19. ',) ('NIAID contributed funding in 2018 and provided full funding 2015-2017.',)