Health> Vol.5 No.12A, December 2013

A descriptive study about the use of pillboxes by older adults

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ABSTRACT

The goal of this research was to observe which features, according to the users’ point of view, might influence the use of pillboxes. Older adults were surveyed in order to test different pillboxes and report their observations about their difficulties. Both the individuals and the pillboxes themselves have characteristics that might influence successful use, such as difficulty remembering medication names and lack of hand strength and the complexity of the pillboxes’ alarm system and opening mechanism. Pillboxes can be effective in helping older adults take their medication provided they are designed according to both dosage prescription and the user’s functional capacity.

 

Cite this paper

Defanti e Souza, F. and da Silva Santana, C. (2013) A descriptive study about the use of pillboxes by older adults. Health, 5, 103-109. doi: 10.4236/health.2013.512A014.

References

[1] Leendertse, A.J., Egberts, A.C., Stoker, L.J. and van den Bemt, P.M. (2008) Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Archives of Internal Medicine, 168, 1890-1896. http://dx.doi.org/10.1001/archinternmed.2008.3
[2] Stegemann, S., Ecker, F., Maio, M., Kraahs, K., Wohlfart, R., Breitkreutz, J., Zimmer, A., Bar-Shalom, D., Hettrich, P. and Broegmann, B. (2010) Geriatric drug therapy: Neglecting the inevitable majority. Ageing Research Reviews, 9, 384-398. http://dx.doi.org/10.1016/j.arr.2010.04.005
[3] Coons, S.J., Sheahan, S.L., Martin, S.S., Hendricks, J., Robbins, C.A. and Johnson, J.A. (1994) Predictors of medication noncompliance in a sample of older adults. Clinical Therapeutics, 16, 110-117.
[4] Leendertse, A.J., Visser, D., Egberts, A.C. and van den Bemt, P.M. (2010) The relationship between study characteristics and the prevalence of medication-related hospitalizations: A literature review and novel analysis. Drug Safety, 33, 233-244.
http://dx.doi.org/10.2165/11319030-000000000-00000
[5] Zed, P.J., Abu-Laban, R.B., Balen, R.M., Loewen, P.S., Hohl, C.M., Brabacher, J.R., Wilbur, K., Wiens, M.O., Samoy, L.J., Lacaria, K. and Purssell, R.A. (2008) Incidence, severity and preventability of medication-related visits to the emergency department: A prospective study. Canadian Medical Association Journal, 178, 1563-1569.
http://dx.doi.org/10.1503/cmaj.071594
[6] Binkley, K.N., McConnell, K.J., Slater, A.R. and Walden, G.B. (2007) Adverse drug reaction reduction and medication tracking system. Proceedings of ENGG 3100: Design III projects, Guelph, 37-38.
[7] Field, T.S., Mazor, K.M., Briesacher, B., Debellis, K.R. and Gurwitz, J.H. (2007) Adverse drug events resulting from patient errors in older adults. Journal of the American Geriatrics Society, 55, 271-276.
http://dx.doi.org/10.1111/j.1532-5415.2007.01047.x
[8] Vaur, L., Vaisse, B., Genes, N., Elkik, F., Legrand, C. and Poggi, L. (1999) Use of electronic pill boxes to assess risk of poor treatment compliance: Results of a largescale trial. American Journal of Hypertension, 12, 374-380. http://dx.doi.org/10.1016/S0895-7061(98)00274-X
[9] Hayes, T.L., Larimer, N., Adami, A. and Kaye, J.A. (2009) Medication adherence in healthy elders: Small cognitive changes make a big difference. Journal of Aging and Health, 21, 567-580.
http://dx.doi.org/10.1177/0898264309332836
[10] Ho, M., Bryson, C.L. and Rumsfeld, J.S. (2009) Medication adherence: Its importance in cardiovascular outcomes. Circulation, 119, 3028-3035.
http://dx.doi.org/10.1161/CIRCULATIONAHA.108.768986
[11] Zartman, A.L., Hilsabeck, R.C., Guarnaccia, C.A. and Houtz, A. (2013) The pillbox test: An ecological measure of executive functioning and estimate of medication management abilities. Archives of Clinical Neuropsychology, 28, 307-319.
http://dx.doi.org/10.1093/arclin/act014
[12] Hayes, T.L., Cobbinah, K., Dishongh, T., Kaye, J.A., Kimel, J., Labhard, M., Leen, T., Lundell, J., Ozertem, U., Pavel, M., Philipose, M, Rhodes, K. and Vurgun, S. (2009) A study of medication-taking and unobtrusive, intelligent reminding. Telemedicine Journal and E-Health, 15, 770-776. http://dx.doi.org/10.1089/tmj.2009.0033
[13] Duca, G.F.D., Silva, M.C. and Hallal, P.C. (2009) Disability relating to basic and instrumental activities of daily living among elderly subjects. Revista de Saúde Pública, 43, 796-805.
http://dx.doi.org/10.1590/S0034-89102009005000057
[14] Lima, M.G., Barros, M.B., César, C.L., Goldbaum, M., Carandina, L. and Ciconelli, R.M. (2009) Impact of chronic disease on quality of life among the elderly in the state of Sao Paulo, Brazil: A population-based study. Revista Panamericana de Salud Pública, 25, 314-321.
http://dx.doi.org/10.1590/S1020-49892009000400005
[15] Hubbard, T. and McNeill, N. (2012) Thinking outside the pillbox—Improving medication adherence and reducing readmissions. New England Health Institute, Cambridge.
http://www.nehi.net/publications/76/thinking_outside_the_pillbo
x_improving_medication_adherence_and_reducing_readmissions
[16] Mizokani, F., Koide, Y., Noro, T. and Furuta, K. (2012) Polypharmacy with common diseases in hospitalized elderly patients. American Journal of Geriatric Pharmacotherapy, 10, 123-128.
http://dx.doi.org/10.1016/j.amjopharm.2012.02.003
[17] Watson, R. (2008) Research into ageing and older people. American Journal of Nursing Management, 16, 99-104.
http://dx.doi.org/10.1111/j.1365-2834.2007.00834.x
[18] O’Connor, D.M., Savageau, J.A., Centerbar, D.B., Wamback, K.N., Ingle, J.S. and Lomerson, N.J. (2009) Lesson in a pill box: Teaching about the challenges of medication adherence. Family Medicine Journal, 41, 99-104.
[19] Insel, K., Morrow, D., Brewer, B. and Figueredo, A. (2006) Executive function, working memory, and medication adherence among older adults. The Journals of Gerontology: Series B, 61, 102-107.
http://dx.doi.org/10.1093/geronb/61.2.P102
[20] Corsonello, A., Pedone, C. and Incalzi, R.A. (2010) Agerelated pharmacokinetic and pharmacodynamic changes and related risk of adverse drug reactions. Current Medicinal Chemistry, 17, 571-584.
http://dx.doi.org/10.2174/092986710790416326
[21] Gould, O.N., Todd, L. and Irvine-Meek, J. (2009) Adherence devices in a community sample: How are pillboxes used? Canadian Pharmacists Journal, 142, 28-35.
http://dx.doi.org/10.3821/1913-701X-142.1.28
[22] Holmes, J. (2010) Take your medicine—A guide to pill boxes, dispensers and reminders. Cartwheel, London.
http://www.rica.org.uk/sites/default/files/documents/pdfs/home-tech/medicine-dispensers.pdf
[23] Naditz, A. (2008) Medication compliance—Helping patients through technology: Modern “smart” pillboxes keep memory-short patients on their medical regimen. Telemedicine Journal and E-Health, 14, 875-880.
http://dx.doi.org/10.1089/tmj.2008.8476
[24] Rife, K.M., Ginty, S.E., Hohner, E.M., Stamper, H.R., Sobota, K.F. and Bright, D.R. (2012) Remember your meds: Medication education delivers success. Innovations in Pharmacy, 3, 1-6.
[25] Valenciano, I.E., Teller, J.M.C., Orbis, I.C., Munoz, C.G., Angora, M.C. and Piquero, J.M.F. (2013) OHP-025 drug information and the use of a pillbox to improve satisfaction of patients treated with Temozolomide. European Journal of Hospital Pharmacy: Science and Practice, 20, A144-A145. http://dx.doi.org/10.1136/ejhpharm-2013-000276.399
[26] Raehl, C.L., Bond, C.A., Woods, T., Patry, R.A. and Sleeper, R.B. (2002) Individualized drug use assessment in the elderly. Pharmacology, 22, 1239-1248.
http://dx.doi.org/10.1592/phco.22.15.1239.33473
[27] Lau, D.T., Briesacher, B.A., Mercaldo, N.D., Halpern, L., Osterberg, E.C., Jarzebowski, M., McKoy, J.M. and Mazor, K. (2008) Older patients’ perceptions of medication importance and worth: An exploratory pilot study. Drugs & Aging, 25, 1061-1075.
http://dx.doi.org/10.2165/0002512-200825120-00007
[28] Barat, I., Andreasen, F. and Damsgaard, E.M.S. (2001) Drug therapy in the elderly: What doctors believe and patients actually do. British Journal of Clinical Pharmacology, 51, 615-622.
http://dx.doi.org/10.1046/j.0306-5251.2001.01401.x
[29] Suárez-Varela, M.T.M., Baena, A.V., Riu, P.P., Carnero, M.M.A., Alvarez, E.H., Merino, R.E., Domínguez, P.E., Gutiérrez, D.R., Marín, P.V., Palma C.R., Luque, A.M., Morales, S.L., Ramírez, M.J., Ceballos, J.M.G., Trujillo, A.P., Pareja, F.C., Rayo, M.J.M, Lopez, M.D.A., López, A.P., Montoya, I.R., Jiménez, V.N., Cerezo, M.I.H., Gálvez, D.G., Jiménez, M.C.M., Misas, A.M.M., Estebas, J.A.H., Gómez, J.R., Sánchez, M.T.R. and Huertas, P.G. (2009) Study on the use of a smart pillbox to improve treatment compliance. Atención Primaria, 41, 185-191.
http://dx.doi.org/10.1016/j.aprim.2008.07.003
[30] Conner, J., Rafter, N. and Rogers, A. (2004) Do fixeddose combination pills or unit-of-use packaging improve adherence? A systematic review. Bulletin of the World Health Organization, 82, 935-939.
[31] Petersen, M.L., Wang, Y., van der Lann, M.J., Guzman, D., Riley, E. and Bangsberg, D.R. (2007) Pillbox organizers are associated with improved adherence to HIV antiretroviral therapy and viral suppression: A marginal structural model analysis. Clinical Infectious Diseases, 45, 908-915. http://dx.doi.org/10.1086/521250
[32] Golin, C.E., Liu, H., Hays, R.D., Miller, L.G., Beck, C.K., Ickovics, J., Kaplan, A.H. and Wenger, N.S. (2002) A prospective study of predictors of adherence to combination antiretroviral medication. Journal of General Internal Medicine, 17, 756-765.
http://dx.doi.org/10.1046/j.1525-1497.2002.11214.x
[33] Palen, L. and Aalokke, S. (2011) Of pill boxes and piano benches: “Home-made” methods for managing medication. Proceedings of Computer Supported Cooperative Work ’06, New York, 79-88.
http://dx.doi.org/10.1145/1180875.1180888
[34] Lam, A.Y., Anderson, K., Borson, S. and Smith, F.L. (2011) A pilot study to assess cognition and pillbox fill accuracy by community-dwelling older adults. Consultant Pharmacist, 26, 256-263.
http://dx.doi.org/10.4140/TCP.n.2011.256
[35] Windham, B.G., Griswold, M.E., Fried, L.P., Rubin, G.S., Xue, Q.L. and Carlson, M.C. (2005) Impaired vision and the ability to take medications. Journal of the American Geriatrics Society, 53, 1179-1190.

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