Using T Using T e c hnology to Impr e c hnology to Impr ove ove - - PDF document

6/10/2019 1

Using T e c hnology to Impr

• ve

Me dic ation Adhe r e nc e Using T e c hnology to Impr

• ve

Me dic ation Adhe r e nc e

L a c e y Bla nke nship, Pha rm.D., BCPS, NCPS Chie f Pha rma c ist, Musc o g e e (Cre e k) Na tio n, Oke ma h I ndia n He a lth Clinic L a c e y Bla nke nship, Pha rm.D., BCPS, NCPS Chie f Pha rma c ist, Musc o g e e (Cre e k) Na tio n, Oke ma h I ndia n He a lth Clinic

F inanc ial Disc losure s F inanc ial Disc losure s

Unde r g uide line s e sta b lishe d b y the Ac c re dita tio n Co unc il fo r Pha rma c y E duc a tio n, disc lo sure must b e ma de re g a rding fina nc ia l re la tio nships with c o mme rc ia l inte re sts within the la st 12 mo nths.

• I

ha ve no re le va nt fina nc ia l re la tio nships o r a ffilia tio ns with c o mme rc ia l inte re sts to disc lo se . Unde r g uide line s e sta b lishe d b y the Ac c re dita tio n Co unc il fo r Pha rma c y E duc a tio n, disc lo sure must b e ma de re g a rding fina nc ia l re la tio nships with c o mme rc ia l inte re sts within the la st 12 mo nths.

• I

ha ve no re le va nt fina nc ia l re la tio nships o r a ffilia tio ns with c o mme rc ia l inte re sts to disc lo se .

6/10/2019 2

L e ar ning Obje c tive s L e ar ning Obje c tive s

At the c o mple tio n o f this a c tivity, pha rma c ists a nd pha rma c y te c hnic ia ns will b e a b le to :

• De sc rib e the impa c t o f me dic a tio n a dhe re nc e o n

pa tie nt he a lth

• Disc uss a va ila b le to o ls to impro ve me dic a tio n

a dhe re nc e

• I

de ntify the pha rma c ist’ s/ te c hnic ia n’ s ro le in me dic a tio n a dhe re nc e At the c o mple tio n o f this a c tivity, pha rma c ists a nd pha rma c y te c hnic ia ns will b e a b le to :

• De sc rib e the impa c t o f me dic a tio n a dhe re nc e o n

pa tie nt he a lth

• Disc uss a va ila b le to o ls to impro ve me dic a tio n

a dhe re nc e

• I

de ntify the pha rma c ist’ s/ te c hnic ia n’ s ro le in me dic a tio n a dhe re nc e

Among patie nts with c hr

• nic illne ss,

appr

• ximate ly _____ do not take me dic ations

as pr e sc r ibe d. Among patie nts with c hr

• nic illne ss,

appr

• ximate ly _____ do not take me dic ations

as pr e sc r ibe d. a . 25% b . 50% c . 75%

• d. 95%

a . 25% b . 50% c . 75%

• d. 95%

6/10/2019 3

Whic h of the following tools ar e use d to impr

• ve me dic ation adhe r

e nc e ? Whic h of the following tools ar e use d to impr

• ve me dic ation adhe r

e nc e ?

a . Sma rt Pill Bo ttle s b . I ng e stib le Pill Se nso rs c . Mo b ile Apps

• d. All o f the a b o ve

a . Sma rt Pill Bo ttle s b . I ng e stib le Pill Se nso rs c . Mo b ile Apps

• d. All o f the a b o ve

Me dic ation adhe r e nc e is the re sponsibility of _____________. Me dic ation adhe r e nc e is the re sponsibility of _____________.

a . the pa tie nt. b . the pro vide r. c . the pha rma c ist.

• d. a ll o f the a b o ve .

a . the pa tie nt. b . the pro vide r. c . the pha rma c ist.

• d. a ll o f the a b o ve .

6/10/2019 4

“Dr ugs don’t wor k in patie nts who don’t take the m.” “Dr ugs don’t wor k in patie nts who don’t take the m.”

F

• rme r Surg e o n Ge ne ra l C. E

ve re tt K

• o p

F

• rme r Surg e o n Ge ne ra l C. E

ve re tt K

• o p

Me dic ation Adhe r e nc e Statistic s Me dic ation Adhe r e nc e Statistic s

• Amo ng pa tie nts with c hro nic illne ss, ~50% do no t

ta ke me dic a tio ns a s pre sc rib e d.

• Po o r a dhe re nc e is e stima te d to inc ur c o sts o f $100-

$300 b illio n/ ye a r.

• No na dhe re nc e c a use s 125,000 de a ths a nnua lly
• Amo ng pa tie nts with c hro nic illne ss, ~50% do no t

ta ke me dic a tio ns a s pre sc rib e d.

• Po o r a dhe re nc e is e stima te d to inc ur c o sts o f $100-

$300 b illio n/ ye a r.

• No na dhe re nc e c a use s 125,000 de a ths a nnua lly

6/10/2019 5

Why is adhe r e nc e a pr

• ble m?

Why is adhe r e nc e a pr

• ble m?
• Uninte ntio na l
• Uninte ntio na l

Why is adhe r e nc e a pr

• ble m?

Why is adhe r e nc e a pr

• ble m?
• Side e ffe c ts
• Side e ffe c ts

6/10/2019 6

Why is adhe r e nc e a pr

• ble m?

Why is adhe r e nc e a pr

• ble m?
• Misunde rsta nding
• Misunde rsta nding

Me dic ation Adhe r e nc e T

• ols

Me dic ation Adhe r e nc e T

• ols
• I

ng e stib le Pill Se nso rs

• Sma rt Pill Bo ttle s
• Adhe re nc e Pa c ka g ing
• No t ide a l fo r ra pidly c ha ng ing dise a se sta te s
• Me dic a tio n Co mplia nc e Pro g ra ms
• I

ng e stib le Pill Se nso rs

• Sma rt Pill Bo ttle s
• Adhe re nc e Pa c ka g ing
• No t ide a l fo r ra pidly c ha ng ing dise a se sta te s
• Me dic a tio n Co mplia nc e Pro g ra ms

6/10/2019 7

Me dic ation Adhe r e nc e T

• ols, c ont.

Me dic ation Adhe r e nc e T

• ols, c ont.
• Mo b ile Apps
• 160 re la te d to me dic a tio n a dhe re nc e
• Me diSa fe – 81% a dhe re nc e ra te a mo ng use rs
• Pro s: c he a p, e a sily a c c e ssib le , inc lude me dic a tio n re fe re nc e s
• Co ns: use r de pe nde nt, indire c t me a sure me nt, se c urity issue s
• Mo b ile Apps
• 160 re la te d to me dic a tio n a dhe re nc e
• Me diSa fe – 81% a dhe re nc e ra te a mo ng use rs
• Pro s: c he a p, e a sily a c c e ssib le , inc lude me dic a tio n re fe re nc e s
• Co ns: use r de pe nde nt, indire c t me a sure me nt, se c urity issue s

Me dic ation Adhe r e nc e T

• ols, c ont.

Me dic ation Adhe r e nc e T

• ols, c ont.
• Mo b ile T

e xt Me ssa g ing

• At le a st 80% o f Ame ric a ns o wn so me type o f c e ll pho ne
• Me ta -a na lysis o f 16 RCT

s sho we d a n inc re a se o f 17.8% in a dhe re nc e ra te s

• Mo b ile T

e xt Me ssa g ing

• At le a st 80% o f Ame ric a ns o wn so me type o f c e ll pho ne
• Me ta -a na lysis o f 16 RCT

s sho we d a n inc re a se o f 17.8% in a dhe re nc e ra te s

6/10/2019 8

T he Pharmac ist’s Role T he Pharmac ist’s Role

• 4,785 a c tive pha rma c ists re g iste re d in Okla ho ma
• Adhe re nc e ra te s o f 80% o r mo re a re ne e de d fo r
• ptima l the ra pe utic e ffic a c y
• Adhe re nc e ra te s inc re a se whe n te c hno lo g y is

c o mb ine d with fa c e -to -fa c e inte rve ntio n

• Co nside r me dic a tio n no na dhe re nc e first a s the

re a so n a pa tie nt’ s c o nditio n is no t unde r c o ntro l

• 4,785 a c tive pha rma c ists re g iste re d in Okla ho ma
• Adhe re nc e ra te s o f 80% o r mo re a re ne e de d fo r
• ptima l the ra pe utic e ffic a c y
• Adhe re nc e ra te s inc re a se whe n te c hno lo g y is

c o mb ine d with fa c e -to -fa c e inte rve ntio n

• Co nside r me dic a tio n no na dhe re nc e first a s the

re a so n a pa tie nt’ s c o nditio n is no t unde r c o ntro l

Among patie nts with c hr

• nic illne ss,

appr

• ximate ly _____ do not take me dic ations

as pr e sc r ibe d. Among patie nts with c hr

• nic illne ss,

appr

• ximate ly _____ do not take me dic ations

as pr e sc r ibe d. a . 25% b . 50% c . 75%

• d. 95%

a . 25% b . 50% c . 75%

• d. 95%

6/10/2019 9

Whic h of the following tools ar e use d to impr

• ve me dic ation adhe r

e nc e ? Whic h of the following tools ar e use d to impr

• ve me dic ation adhe r

e nc e ?

a . Sma rt Pill Bo ttle s b . I ng e stib le Pill Se nso rs c . Mo b ile Apps

• d. All of the above

a . Sma rt Pill Bo ttle s b . I ng e stib le Pill Se nso rs c . Mo b ile Apps

• d. All of the above

Me dic ation adhe r e nc e is the re sponsibility of _____________. Me dic ation adhe r e nc e is the re sponsibility of _____________.

a . the pa tie nt. b . the pro vide r. c . the pha rma c ist.

• d. all of the above .

a . the pa tie nt. b . the pro vide r. c . the pha rma c ist.

• d. all of the above .

6/10/2019 10

Re fe r e nc e s Re fe r e nc e s

• Aung st, T

., (2015). Mo b ile T e c hno lo g y to I mpro ve Me dic a tio n Adhe re nc e . Pharmac y T ime s. Ac c e sse d Ja nua ry 25, 2018. https:/ / www.pha rma c ytime s.c o m/ c o ntrib uto r/ timo thy- a ung st-pha rmd/ 2015/ 04/ mo b ile -te c hno lo g y-to -impro ve -me dic a tio n-a dhe re nc e .

• Bro wn, M. T

., & Busse ll, J. K . (2011). Me dic a tio n Adhe re nc e : WHO Ca re s? Mayo Clinic Pro c e e dings, 86(4), 304-314. do i:10.4065/ mc p.2010.0575

• De Be ne de tte , V. (2018). Ge t Sta rte d with Co mplia nc e Pa c ka g ing . Drug T
• pic s, 162(11), 33.
• K

im, J., Co mb s, K ., Do wns, J., & T illma n, F . (2018). Me dic a tio n Adhe re nc e : T he E le pha nt in the Ro o m. U S Pharmac ist, 43(1), 30-34.

• Se de rstro m, J. (2018). He lp Se nio rs Ma na g e T

he ir Me ds. Drug T

• pic s, 162(11), 20-21.
• Aung st, T

., (2015). Mo b ile T e c hno lo g y to I mpro ve Me dic a tio n Adhe re nc e . Pharmac y T ime s. Ac c e sse d Ja nua ry 25, 2018. https:/ / www.pha rma c ytime s.c o m/ c o ntrib uto r/ timo thy- a ung st-pha rmd/ 2015/ 04/ mo b ile -te c hno lo g y-to -impro ve -me dic a tio n-a dhe re nc e .

• Bro wn, M. T

., & Busse ll, J. K . (2011). Me dic a tio n Adhe re nc e : WHO Ca re s? Mayo Clinic Pro c e e dings, 86(4), 304-314. do i:10.4065/ mc p.2010.0575

• De Be ne de tte , V. (2018). Ge t Sta rte d with Co mplia nc e Pa c ka g ing . Drug T
• pic s, 162(11), 33.
• K

im, J., Co mb s, K ., Do wns, J., & T illma n, F . (2018). Me dic a tio n Adhe re nc e : T he E le pha nt in the Ro o m. U S Pharmac ist, 43(1), 30-34.

• Se de rstro m, J. (2018). He lp Se nio rs Ma na g e T

he ir Me ds. Drug T

• pic s, 162(11), 20-21.

Using T e c hnology to Impr

• ve

Me dic ation Adhe r e nc e Using T e c hnology to Impr

• ve

Me dic ation Adhe r e nc e

L a c e y Bla nke nship, Pha rm.D., BCPS, NCPS Chie f Pha rma c ist, Musc o g e e (Cre e k) Na tio n, Oke ma h I ndia n He a lth Clinic L a c e y Bla nke nship, Pha rm.D., BCPS, NCPS Chie f Pha rma c ist, Musc o g e e (Cre e k) Na tio n, Oke ma h I ndia n He a lth Clinic