@Article{信息:doi 10.2196 / /移动医疗。3250，作者=“Grindrod, Kelly Anne和Gates, Allison和Dolovich, Lisa和Slavcev, Roderick和Drimmie, Rob和Aghaei, Behzad和Poon, Calvin和Khan, Shamroz{\'e}和Leat, Susan J”，标题=“ClereMed:从移动筛查工具的试点研究中获得的经验教训，以识别和支持有药物标签困难的成年人”，期刊=“JMIR mHealth uHealth”，年=“2014”，月=“8”，日=“15”，卷=“2”，数=“3”，页=“e35”，关键词=“低视力;易读性;处方标签;药物的标签;可用性;认知障碍;背景:为了安全有效地服用药物，个人需要能够看到、阅读和理解药物标签。然而，目前有一半的药物标签被误解，通常是因为读写能力低、视力低下和认知障碍。我们试图设计一种名为ClereMed的移动工具，它可以快速筛选阅读或理解药物标签有困难的成年人。 Objective: The aim of this study was to build the ClereMed prototype; to determine the usability of the prototype with adults 55 and over; to assess its accuracy for identifying adults with low-functional reading ability, poor ability on a real-life pill-sorting task, and low cognition; and to assess the acceptability of a touchscreen device with older adults with age-related changes to vision and cognition. Methods: This pilot study enrolled adults (≥55 years) who were recruited through pharmacies, retirement residences, and a low-vision optometry clinic. ClereMed is a hypertext markup language (HTML)-5 prototype app that simulates medication taking using an iPad, and also provides information on how to improve the accessibility of prescription labels. A paper-based questionnaire included questions on participant demographics, computer literacy, and the Systems Usability Scale (SUS). Cognition was assessed using the Montreal Cognitive Assessment tool, and functional reading ability was measured using the MNRead Acuity Chart. Simulation results were compared with a real-life, medication-taking exercise using prescription vials, tablets, and pillboxes. Results: The 47 participants had a mean age of 76 (SD 11) years and 60{\%} (28/47) were female. Of the participants, 32{\%} (15/47) did not own a computer or touchscreen device. The mean SUS score was 76/100. ClereMed correctly identified 72{\%} (5/7) of participants with functional reading difficulty, and 63{\%} (5/8) who failed a real-life pill-sorting task, but only 21{\%} (6/28) of participants with cognitive impairment. Participants who owned a computer or touchscreen completed ClereMed in a mean time of 26 (SD 16) seconds, compared with 52 (SD 34) seconds for those who do not own a device (P<.001). Those who had difficulty, struggled with screen glare, button activation, and the ``drag and drop'' function. Conclusions: ClereMed was well accepted by older participants, but it was only moderately accurate for reading ability and not for mild cognitive impairment. Future versions may be most useful as part of a larger medication assessment or as a tool to help family members and caregivers identify individuals with impaired functional reading ability. Future research is needed to improve the sensitivity for measuring cognitive impairment and on the feasibility of implementing a mobile app into pharmacy workflow. ", issn="2291-5222", doi="10.2196/mhealth.3250", url="http://mhealth.www.mybigtv.com/2014/3/e35/", url="https://doi.org/10.2196/mhealth.3250", url="http://www.ncbi.nlm.nih.gov/pubmed/25131813" }