TY - JOUR AU - Grindrod, Kelly Anne AU - Gates, Allison AU - Dolovich, Lisa AU - Slavcev, Roderick AU - Drimmie, Rob AU - Aghaei, Behzad AU - Poon, Calvin AU - Khan, Shamrozé AU - Leat, Susan J PY - 2014 DA - 2014/08/15 TI - ClereMed:教训的试点研究移动检测工具来识别和支持成年人很难用药物标签乔- uHealth mHealth JMIR SP - e35六世- 2 - 3 KW -低视力KW -易读性KW -处方标签KW -药物标签KW -可用性KW -认知障碍KW -视力损害AB -背景:为了安全有效地服药,个人需要能够看到,阅读,了解药物标签。然而，目前有一半的药物标签被误解，通常是因为文化水平低、视力低和认知障碍。我们试图设计一种名为ClereMed的移动工具，可以快速筛查阅读或理解药物标签有困难的成年人。目的:建立ClereMed原型机;确定原型在55岁及以上成年人中的可用性;评估其识别低功能阅读能力、现实生活中药物分类任务能力差和认知能力低的成年人的准确性;并评估老年人对触摸屏设备的可接受性，这些老年人与年龄相关的视觉和认知变化。方法:本试点研究招募了通过药店、养老院和低视力验光诊所招募的成年人(≥55岁)。ClereMed是一个超文本标记语言(HTML)-5原型应用程序，模拟使用iPad服药，还提供了关于如何提高处方标签的可访问性的信息。 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. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2014/3/e35/ UR - https://doi.org/10.2196/mhealth.3250 UR - http://www.ncbi.nlm.nih.gov/pubmed/25131813 DO - 10.2196/mhealth.3250 ID - info:doi/10.2196/mhealth.3250 ER -