Adherence can be defined as the extend to which a patient’s behaviour coincides with agreed recommendations from the prescriber. It is divided in intentional non adherence when the patient decides not to take the medication or to take it in a way that differs from the recommendations, and unintentional non adherence when the patient is prevented from taking the medication by factors beyond his control (e.g. forgetfulness, language barriers).
Leader: PD Dr. Isabelle Arnet
PhD Student: Valerie Albert (since 2015)
We assume that drug reminder packaging (DremP) such as weekly pill dispensers represent a simple method to help unintentionally non adherent patients to better fulfil their treatment plan. However, the capacity to manage medication must be assessed before any kind of adherence aids can be handed out (cognitive, visual, physical abilities). We are developing the intervention center “Compliance Factory” i.e. a set of tools and questionnaires for the assessment of patients’ attitudes and barriers toward health behaviour and therapy menagement; cognitive, visual and physical competencies, and preferences for drug reminder packagings.
Electronic measurement is a key element to monitor and enhance adherence with medication. Thus, we developped the polymedication electronic monitoring system POEMS made of an electronic film affixed to punch cards.
More informations about our first study on www.clinicaltrials.gov Identifier NCT01759095