TY - JOUR AU - Patel, Tejal AU - Ivo, Jessica AU - Faisal, Sadaf AU - McDougall, Aidan AU - Carducci, Jillian AU - Pritchard, Sarah AU - Chang, Feng PY - 2020 DA - 2020年6月2日TI -老年人、护理人员对电子药物依从性产品的可用性和工作量的前瞻性研究，JO - J Med Internet Res SP - e18073 VL - 22 IS - 6kw -电子药物依从性KW -可用性KW -工作量KW -老年病学KW -老年人KW -移动电话AB -背景:自我管理药物的能力下降导致老年人的不依从性、用药错误和药物相关问题。先前的研究确定了80种电子药物依从性产品，可帮助患者自我管理药物。不幸的是，这些产品的可用性和工作量是未知的。目的:本研究旨在检查电子药物依从性产品样本的可用性和工作量。方法:在一项前瞻性混合方法研究中，老年人、卫生保健专业人员和护理人员的样本测试了21种电子药物依从性产品的可用性和工作量。每个参与者一次测试5个产品，之后他们完成了系统可用性量表(SUS)和nasa任务负载指数(NASA-TLX)，这是测量使用产品时的可用性和工作量的工具。SUS得分越高表示用户友好度越高，而NASA-TLX原始得分越低则表示使用产品时工作量越小。结果:适当使用电子药物依从产品平均需要12.7步(范围5-20)，完成设置任务平均需要15.19分钟(范围1-56)。55.3%的参与者能够在没有帮助的情况下完成所有步骤(186个测试中的103个由39名参与者完成; range 0%-100%). The mean SUS and NASA-TLX raw scores were 52.8 (SD 28.7; range 0-100) and 50.0 (SD 25.7; range 4.2-99.2), respectively, revealing significant variability among the electronic medication adherence products. The most user-friendly products were found to be TimerCap travel size (mean 78.67, SD 15.57; P=.03) and eNNOVEA Weekly Planner with Advanced Auto Reminder (mean 78.13, SD 14.13; P=.049) as compared with MedReady 1700 automated medication dispenser (mean 28.63, SD 21.24). Similarly, MedReady (72.92, SD 18.69) was found to be significantly more work intensive when compared with TimerCap (29.35, SD 20.35; P=.03), e-pill MedGlider home medication management system (28.43, SD 20.80; P=.02), and eNNOVEA (28.65, SD 14.97; P=.03). The e-pill MedTime Station automatic pill dispenser with tipper (71.77, SD 21.98) had significantly more workload than TimerCap (P=.04), MedGlider (P=.03), and eNNOVEA (P=.04). Conclusions: This study demonstrated that variability exists in the usability and workload of different electronic medication adherence products among older adults, caregivers, and clinicians. With few studies having investigated the usability and workload of electronic medication adherence products, no benchmarks exist to compare the usability and workload of these products. However, our study highlights the need to assess the usability and workload of different products marketed to assist with medication taking and provides guidance to clinicians regarding electronic medication adherence product recommendations for their patients. Future development of electronic medication adherence products should ensure that the target populations of patients are able to use these products adequately to improve medication management. SN - 1438-8871 UR - //www.mybigtv.com/2020/6/e18073 UR - https://doi.org/10.2196/18073 UR - http://www.ncbi.nlm.nih.gov/pubmed/32348292 DO - 10.2196/18073 ID - info:doi/10.2196/18073 ER -