JMIR出版股份有限公司(JMIR Publications Inc.卡塔尔世界杯8强波胆分析) %V %N % 3 %P % 35 %T ClereMed;移动筛选工具识别和支持有药物标签困难的成年人的试点研究的经验教训% a Grindrod,Kelly Anne % a Gates,Allison % a Dolovich,Lisa % a Slavcev,Roderick % a Drimmie,Rob % a Aghaei,Behzad % a Poon,Calvin % a Khan, shamroz % a Leat,Susan J +滑铁卢大学药学院，滑铁卢大学西大街200号，安大略省滑铁卢，N2L3G1，加拿大，1519 888 4567 ext 21358kgrindrod@uwaterloo.ca %K视力低下%K易读性%K处方标签%K药物标签%K可用性%K认知障碍%K视力障碍%D 2014 %7 15.08.2014 %9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。目的:本研究的目的是建立ClereMed原型;确定原型在55岁及以上成年人中的可用性;评估其在识别低功能阅读能力、现实生活中药物分类能力差和认知能力低的成年人方面的准确性;并评估触摸屏设备在老年人中与年龄相关的视觉和认知变化的可接受性。方法:本初步研究招募了通过药店、养老院和低视力验光诊所招募的成人(≥55岁)。 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. %M 25131813 %R 10.2196/mhealth.3250 %U http://mhealth.www.mybigtv.com/2014/3/e35/ %U https://doi.org/10.2196/mhealth.3250 %U http://www.ncbi.nlm.nih.gov/pubmed/25131813