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

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Cruz, Antonio Miguel
Bohorquez, Andrés Felipe
Aya Parra, Pedro Antonio
Abstract (Spanish)
Propósito: El propósito de este estudio es responder dos preguntas de investigación: (1) ¿Cuál es la evidencia clínica? ¿Cuáles son los resultados informados en los estudios sobre pastilleros electrónicos para adultos mayores? y (2) ¿Cuál es el nivel de preparación tecnológica (TRL) de los pastilleros electrónicos utilizados, o que se pretende utilizar, para adultos mayores? Métodos: Se buscó y analizó sistemáticamente la literatura académica. Se incluyeron artículos si informaron resultados sobre pastilleros electrónicos que se usaron o estaban destinados a ser usados ​​por personas mayores medicación de adultos. Resultados: Los estudios clínicos utilizaron pastilleros electrónicos comercialmente bien establecidos con un TRL alto. Nuevo Los pastilleros electrónicos en desarrollo tenían un TRL bajo. El resultado descubierto fue principalmente el cumplimiento de medicamento. La adherencia media general a los regímenes de medicación para todos los estudios que utilizaron un dispositivo electrónico pastillero fue más alto que el estándar de oro de un buen punto de corte para el nivel de adherencia (cumplimiento medio 88,8%>80%). Sin embargo, encontramos una gran variación en esta variable (DE¼ 10,7). Con respecto a una persona mayor adherencia de la población adulta a los regímenes de medicación, para la variable de resultado de aquellos que se habían sometido a un trasplante de riñón, la evidencia clínica de que los pastilleros electrónicos tienen un impacto positivo fue fuerte (1b); para aquellos con una condición médica crónica de hepatitis C, la evidencia clínica fue media (3), y para aquellos con una condición médica crónica de hepatitis C, la evidencia clínica fue media (3), y para aquellos con hipertensión arterial y múltiples condiciones médicas crónicas (diabetes e hipertensión), el la evidencia clínica fue débil (5). Conclusión: Se necesita más investigación en esta área utilizando diseños que aporten mayor validez.
Abstract (English)
Purpose: 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 (SD¼ 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.
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13 páginas
URI: https://repositorio.escuelaing.edu.co/handle/001/3364
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