TY - JOUR
T1 - Designing a wrist-worn sensor to improve medication adherence
T2 - Accommodating diverse user behaviors and technology preferences
AU - Marquard, Jenna L.
AU - Saver, Barry
AU - Kandaswamy, Swaminathan
AU - Martinez, Vanessa I.
AU - Simoni, Jane M.
AU - Stekler, Joanne D.
AU - Ganesan, Deepak
AU - Scanlan, James
N1 - Publisher Copyright:
© The Author(s) 2018. Published by Oxford University Press on behalf of the American Medical Informatics Association.
PY - 2018
Y1 - 2018
N2 - Objectives: High medication adherence is important for HIV suppression (antiretroviral therapy) and pre-exposure prophylaxis efficacy. We are developing sensor-based technologies to detect pill-taking gestures, trigger reminders, and generate adherence reports. Materials and Methods: We collected interview, observation, and questionnaire data from individuals with and at-risk for HIV (N = 17). We assessed their medication-taking practices and physical actions, and feedback on our initial design. Results: While participants displayed diverse medication taking practices and physical actions, most (67%) wanted to use the system to receive real-time and summative feedback, and most (69%) wanted to share data with their physicians. Participants preferred reminders via the wrist-worn device or mobile app, and summative feedback via mobile app or email. Discussion: Adoption of these systems is promising if designs accommodate diverse behaviors and preferences. Conclusion: Our findings may help improve the accuracy and adoption of the system by accounting for user behaviors, physical actions, and preferences.
AB - Objectives: High medication adherence is important for HIV suppression (antiretroviral therapy) and pre-exposure prophylaxis efficacy. We are developing sensor-based technologies to detect pill-taking gestures, trigger reminders, and generate adherence reports. Materials and Methods: We collected interview, observation, and questionnaire data from individuals with and at-risk for HIV (N = 17). We assessed their medication-taking practices and physical actions, and feedback on our initial design. Results: While participants displayed diverse medication taking practices and physical actions, most (67%) wanted to use the system to receive real-time and summative feedback, and most (69%) wanted to share data with their physicians. Participants preferred reminders via the wrist-worn device or mobile app, and summative feedback via mobile app or email. Discussion: Adoption of these systems is promising if designs accommodate diverse behaviors and preferences. Conclusion: Our findings may help improve the accuracy and adoption of the system by accounting for user behaviors, physical actions, and preferences.
KW - Gestures
KW - HIV infections
KW - Human engineering
KW - Medication adherence
KW - Smartphone
UR - http://www.scopus.com/inward/record.url?scp=85060157302&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85060157302&partnerID=8YFLogxK
U2 - 10.1093/jamiaopen/ooy035
DO - 10.1093/jamiaopen/ooy035
M3 - Article
AN - SCOPUS:85060157302
SN - 2574-2531
VL - 1
SP - 153
EP - 158
JO - JAMIA Open
JF - JAMIA Open
IS - 2
ER -
