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Electronic adherence monitor

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https://www.readbyqxmd.com/read/29447360/allocation-of-treatment-responsibility-in-adolescents-with-epilepsy-associations-with-cognitive-skills-and-medication-adherence
#1
Christina E Holbein, Aimee W Smith, James Peugh, Avani C Modi
Objectives: To describe allocation of treatment responsibility (ATR) in adolescents with epilepsy, investigate associations between cognitive skills and ATR, and examine whether ATR for antiepileptic drugs (AEDs) predicted electronically monitored adherence. Method: Sixty adolescents with epilepsy and their caregivers completed the Allocation of Treatment Responsibility Scale and a battery of self-report measures. Medical chart review data and electronically monitored AED adherence were collected for 1 year...
February 13, 2018: Journal of Pediatric Psychology
https://www.readbyqxmd.com/read/29442516/engineering-nitroxide-functional-surfaces-using-bioinspired-adhesion
#2
Hendrik Woehlk, Jan Steinkoenig, Christiane Lang, Lukas Michalek, Vanessa Trouillet, Peter Krolla-Sidenstein, Anja S Goldmann, Leonie Barner, James P Blinco, Christopher Barner-Kowollik, Kathryn E Fairfull-Smith
We pioneer a versatile surface modification strategy based on mussel inspired oxidative catecholamine polymerization for the design of nitroxide containing thin polymer films. A 3,4-dihydroxy-L-phenylalanine (L-DOPA) monomer equipped with a 2,2,6,6-tetramethylpiperidine-1-oxyl (TEMPO) derived oxidation-labile hydroxylamine functional group is employed as a universal coating agent to generate polymer scaffolds with persistent radical character. Various types of materials including silicon, titanium, ceramic alumina and inert poly(tetrafluoroethylene) (PTFE) were successfully coated with poly(DOPA-TEMPO) thin films in a one-step dip-coating procedure under aerobic, slightly alkaline (pH 8...
February 14, 2018: Langmuir: the ACS Journal of Surfaces and Colloids
https://www.readbyqxmd.com/read/29437489/controller-adherence-following-hospital-discharge-in-high-risk-children-a-pilot-randomized-trial-of-text-message-reminders
#3
Chén C Kenyon, Siobhan M Gruschow, William O Quarshie, Heather Griffis, Michelle C Leach, Joseph J Zorc, Tyra C Bryant-Stephens, Victoria A Miller, Chris Feudtner
OBJECTIVE: To assess the feasibility of a mobile health, inhaled corticosteroid (ICS) adherence reminder intervention and to characterize adherence trajectories immediately following severe asthma exacerbation in high-risk urban children with persistent asthma. METHODS: Children aged 2-13 with persistent asthma were enrolled in this pilot randomized controlled trial during an asthma emergency department (ED) visit or hospitalization. Intervention arm participants received daily text message reminders for 30 days, and both arms received electronic sensors to measure ICS use...
February 13, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/29433948/adherence-barriers-in-pediatric-epilepsy-from-toddlers-to-young-adults
#4
Ana M Gutierrez-Colina, Aimee W Smith, Constance A Mara, Avani C Modi
OBJECTIVE: The objectives of this study were to examine the continuity of adherence barriers across stages of development in pediatric epilepsy and to assess the differential influence of barriers on several important clinical outcomes from early childhood to young adulthood, including adherence, seizures, and health-related quality of life (HRQOL). METHOD: A developmentally representative sample of youth 2-25years with epilepsy was obtained by combining data from five different studies...
February 9, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29429909/adherence-to-antiepileptic-drugs-in-adolescents-with-epilepsy
#5
Aimee W Smith, Constance A Mara, Avani C Modi
INTRODUCTION: The aims of the current study were to identify patterns and predictors of adherence in adolescents with epilepsy over one year, as well as its impact on seizures and health-related quality of life (HRQOL). METHODS: Forty-eight adolescents with epilepsy (Mage=14.8+1.5, 69% female, 73% White: NonHispanic) and their caregivers completed questionnaires assessing demographics, epilepsy knowledge, side effects, adherence barriers, family functioning, and HRQOL at quarterly clinic visits over one year...
February 8, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29428141/remote-monitoring-for-chronic-disease-management-atrial-fibrillation-and-heart-failure
#6
REVIEW
Maki Ono, Niraj Varma
This review aims to cover the latest evidence of remote monitoring of cardiac implantable electronic devices for the management of atrial fibrillation and heart failure. Remote monitoring is useful for early detection for device-detected atrial fibrillation, which increases the risk of thromboembolic events. Early anticoagulation based on remote monitoring potentially reduces the risk of stroke, but optimal alert setting needs to be clarified. Multiparameter monitoring with automatic transmission is useful for heart failure management...
March 2018: Cardiac Electrophysiology Clinics
https://www.readbyqxmd.com/read/29415699/can-an-app-supporting-psoriasis-patients-improve-adherence-to-topical-treatment-a-single-blind-randomized-controlled-trial
#7
Mathias Tiedemann Svendsen, Flemming Andersen, Kirsten Hammond Andersen, Klaus Ejner Andersen
BACKGROUND: Topical corticosteroid or corticosteroid/calcipotriol preparations are recommended first-line topical treatments of psoriasis, but a main cause for the lack of efficacy of topical treatments is considered low rates of adherence to topical drugs. Patient support by the use of applications (apps) for smartphones is suggested to improve medical adherence. METHODS/DESIGN: Design: An investigator-initiated, single-center, single-blind, parallel-group, phase-4 clinical superiority randomized controlled trial (RCT)...
February 7, 2018: BMC Dermatology
https://www.readbyqxmd.com/read/29391008/adherence-to-home-fortification-with-micronutrient-powders-in-kenyan-pre-school-children-self-reporting-and-sachet-counts-compared-to-an-electronic-monitoring-device
#8
Emily M Teshome, Veronica S Oriaro, Pauline E A Andango, Andrew M Prentice, Hans Verhoef
BACKGROUND: The efficacy of home fortification with iron-containing micronutrient powders varies between trials, perhaps in part due to population differences in adherence. We aimed to assess to what extent adherence measured by sachet count or self-reporting forms is in agreement with adherence measured by electronic device. In addition, we explored how each method of adherence assessment (electronic device, sachet count, self-reporting forms) is associated with haemoglobin concentration measured at the end of intervention; and to what extent baseline factors were associated with adherence as measured by electronic device...
February 1, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29386172/remote-collaborative-depression-care-program-for-adolescents-in-araucan%C3%A3-a-region-chile-randomized-controlled-trial
#9
Vania Martínez, Graciela Rojas, Pablo Martínez, Pedro Zitko, Matías Irarrázaval, Carolina Luttges, Ricardo Araya
BACKGROUND: Despite evidence on efficacious interventions, a great proportion of depressed adolescents do not receive evidence-based treatment and have no access to specialized mental health care. Remote collaborative depression care (RCDC) may help to reduce the gap between needs and specialized mental health services. OBJECTIVE: The objective of this study was to assess the feasibility, acceptability, and effectiveness of an RCDC intervention for adolescents with major depressive disorder (MDD) living in the Araucanía Region, Chile...
January 31, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29384410/strategies-for-improving-dabigatran-adherence-for-stroke-prevention-in-patients-with-non-valvular-atrial-fibrillation-education-and-drug-intake-reminders-facilita-study
#10
Emilio Márquez-Contreras, Nieves Martell-Claros, Sara Márquez-Rivero, Enrique Hermida-Campa, Carmen Gracia-Diez, Eugenio Sanchez-López, Vicente Gil-Guillén
OBJECTIVE: To assess the efficacy of a mixed intervention, educational and reminder calendar of the intake, as a strategy to improve therapeutic adherence with dabigatran in patients with non-valvular atrial fibrillation (NVAF). METHODS: Prospective, longitudinal, multicenter study, carried out in 110 specialized healthcare centers in Spain. 726 patients treated with dabigatran prescribed for stroke prevention were included. A cluster randomization was performed based on two groups: 1) Control Group (CG) as usual clinical practice and Intervention Group (IG) with a mixed strategy: a) Healthcare education and b) Use of a reminder calendar for taking the anticoagulant medication...
January 31, 2018: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/29380227/adherence-measurements-in-hiv-new-advancements-in-pharmacologic-methods-and-real-time-monitoring
#11
REVIEW
Jose R Castillo-Mancilla, Jessica E Haberer
PURPOSE OF REVIEW: In this review, we present new developments in antiretroviral adherence, focusing on pharmacological measures and real-time adherence monitoring. In addition, new strategies on how to incorporate these new measures into research and clinical care are proposed. RECENT FINDINGS: Antiretroviral drug concentrations in hair and dried blood spots are two novel pharmacological measures of cumulative drug adherence and exposure that have been recently evaluated in HIV treatment and pre-exposure prophylaxis...
January 29, 2018: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/29372251/temporal-expression-of-genes-in-biofilm-forming-ocular-candida-albicans-isolated-from-patients-with-keratitis-and-orbital-cellulitis
#12
Konduri Ranjith, Sama Kalyana Chakravarthy, HariKrishna Adicherla, Savitri Sharma, Sisinthy Shivaji
Purpose: To study antibiotic susceptibility and biofilm-forming potential of ocular isolates of Candida albicans along with gene expression. Methods: Seven clinical isolates of C. albicans (keratitis-6 and orbital cellulitis-1) were evaluated. Biofilm formation in one isolate was monitored by scanning electron microscopy (SEM) and confocal laser scanning microscopy (CLSM). Expression of 27 genes (real-time PCR) associated with biofilm formation and virulence was compared between biofilm-positive and biofilm-negative ocular C...
January 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29366379/pharmacy-student-monitoring-of-direct-oral-anticoagulants
#13
Jennifer J Kim, Hailey L Hill, James B Groce, James M Granfortuna, Tanya K Makhlouf
BACKGROUND: Best practice recommendations are lacking. Thus far, literature has described pharmacist-led DOAC monitoring. OBJECTIVE: The purpose of this study is to describe a DOAC monitoring program involving pharmacy students. METHODS: This was an observational analysis of a quality improvement initiative. A clinical pharmacist preceptor identified clinic patients taking DOACs by running a report using the electronic medical record. Pharmacy students conducted chart reviews, called pharmacies for 6-month refill histories, and interviewed and educated patients...
January 1, 2018: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29339126/addressing-the-impact-and-unmet-needs-of-nonadherence-in-asthma-and-chronic-obstructive-pulmonary-disease-where-do-we-go-from-here
#14
Richard Dekhuijzen, Federico Lavorini, Omar S Usmani, Job F M van Boven
Nonadherence to treatment, and its associated health and economic burden, is particularly problematic in asthma and chronic obstructive pulmonary disease management because of heterogeneous patient populations and the need for an inhaled route of drug administration. Symptom variability, comorbidities, and device switching further add to suboptimal adherence rates. As opposed to controlled clinical trials, real-life studies show consistently low inhaler adherence in daily practice, yet exact adherence rates have long been affected by disagreement on standardized definitions...
January 12, 2018: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29325420/adolescent-and-caregivers-experiences-of-electronic-adherence-assessment-in-paediatric-problematic-severe-asthma
#15
Amy C Stewart, Kenneth N Gannon, Fran Beresford, Louise Fleming
This study explored the experiences of adolescents and their caregivers regarding adherence to inhaled corticosteroids which are assessed through an electronic monitoring device (EMD). These devices are increasingly being used for assessing medication adherence, yet there is little information about patient's experience of these tools. Semi-structured interviews were conducted with eight adolescents with severe asthma, aged 11-15 years, who were electronically monitored as part of their care, along with their caregivers...
January 1, 2018: Journal of Child Health Care: for Professionals Working with Children in the Hospital and Community
https://www.readbyqxmd.com/read/29321043/what-is-in-your-wallet-a-cluster-randomized-trial-of-the-effects-of-showing-comparative-patient-out-of-pocket-costs-on-primary-care-prescribing-for-uncomplicated-hypertension
#16
Robyn Tamblyn, Nancy Winslade, Christina J Qian, Teresa Moraga, Allen Huang
BACKGROUND: Drug expenditures are responsible for an increasing proportion of health costs, accounting for $1.1 trillion in annual expenditure worldwide. As hundreds of billions of dollars are being spent each year on overtreatment with prescribed medications that are either unnecessary or are in excess of lowest cost-effective therapy, programs are needed that optimize fiscally appropriate use. We evaluated whether providing physicians with information on the patient out-of-pocket payment consequences of prescribing decisions that were in excess of lowest cost-effective therapy would alter prescribing decisions using the treatment of uncomplicated hypertension as an exemplar...
January 10, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29302965/noncontact-heartbeat-and-respiration-monitoring-based-on-a-hollow-microstructured-self-powered-pressure-sensor
#17
Shuwen Chen, Nan Wu, Long Ma, Shizhe Lin, Fang Yuan, Zisheng Xu, Wenbo Li, Bo Wang, Jun Zhou
Advances in mobile networks and low-power electronics have driven smart mobile medical devices at a tremendous pace, evoking increased interest in household healthcare, especially for those with cardiovascular or respiratory disease. Thus, flexible battery-free pressure sensors, with great potential for monitoring respiration and heartbeat in a smart way, are urgently demanded. However, traditional flexible battery-free pressure sensors for subtle physiological signal detecting are mostly tightly adhered onto the skin instead of working under the pressure of body weight in a noncontact mode, as the low sensitivity in the high-pressure region can hardly meet the demands...
January 31, 2018: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29274015/correction-to-impact-of-an-electronic-monitoring-device-and-behavioural-feedback-on-adherence-to-multiple-sclerosis-therapies-in-youth-results-of-a-randomized-trial
#18
E Ann Yeh, Stephanie A Grover, Victoria E Powell, Gulay Alper, Brenda L Banwell, Kim Edwards, Mark Gorman, Jennifer Graves, Timothy E Lotze, Jean K Mah, Lauren Mednick, Jayne Ness, Maya Obadia, Ruth Slater, Amy Waldman, Emmanuelle Waubant, Carolyn E Schwartz
The clinicaltrials.gov identifying number for the article titled "Impact of an electronic monitoring device and behavioral feedback on adherence to multiple sclerosis therapies in youth: results of a randomized trial" is NCT02234713 (https://clinicaltrials.gov/ct2/show/NCT02234713).
December 23, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/29223624/implementation-of-the-alarm-distress-baby-scale-as-a-universal-screening-instrument-in-primary-care-feasibility-acceptability-and-predictors-of-professionals-adherence-to-guidelines
#19
Johanne Smith-Nielsen, Nicole Lønfeldt, Antoine Guedeney, Mette Skovgaard Væver
BACKGROUND: Infant socioemotional development is often held under informal surveillance, but a formal screening program is needed to ensure systematic identification of developmental risk. Even when screening programs exist, they are often ineffective because health care professionals do not adhere to screening guidelines, resulting in low screening prevalence rates. OBJECTIVES: To examine feasibility and acceptability of implementing universal screening for infant socioemotional problems with the Alarm Distress Baby Scale in primary care...
November 21, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29218760/a-systematic-review-of-immunosuppressant-adherence-interventions-in-transplant-recipients-decoding-the-streetlight-effect
#20
REVIEW
S Duncan, R A Annunziato, C Dunphy, D LaPointe Rudow, B L Shneider, E Shemesh
Non-adherence to immunosuppressant medications is an important risk factor for graft dysfunction. To evaluate the effectiveness of adherence-enhancing interventions, we reviewed adherence intervention studies in solid organ transplant recipients (all ages). Using the following databases: PsycINFO, PubMed, Scopus, and ScienceDirect, we identified 41 eligible studies. Only three non-randomized trials showed a possible positive effect on objective indicators of transplant outcomes (such as rejection, liver enzyme levels, kidney function)...
December 7, 2017: Pediatric Transplantation
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