Medication Management Initiatives Using Wearable Devices: Scoping Review.

IF 2.6 Q2 HEALTH CARE SCIENCES & SERVICES JMIR Human Factors Pub Date : 2024-11-27 DOI:10.2196/57652
Haru Iino, Hayato Kizaki, Shungo Imai, Satoko Hori
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Abstract

Background: Wearable devices (WDs) have evolved beyond simple fitness trackers to sophisticated health monitors capable of measuring vital signs, such as heart rate and blood oxygen levels. Their application in health care, particularly medication management, is an emerging field poised to significantly enhance patient adherence to treatment regimens. Despite their widespread use and increasing incorporation into clinical trials, a comprehensive review of WDs in terms of medication adherence has not been conducted.

Objective: This study aimed to conduct a comprehensive scoping review to evaluate the impact of WDs on medication adherence across a variety of diseases, summarizing key research findings, outcomes, and challenges encountered.

Methods: Adhering to PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, a structured search was conducted across MEDLINE, Web of Science, and Embase databases, covering the literature from January 1, 2010, to September 30, 2022. The search strategy was based on terms related to WDs and medication adherence, specifically focusing on empirical studies to ensure the inclusion of original research findings. Studies were selected based on their relevance to medication adherence, usage of WDs in detecting medication-taking actions, and their role in integrated medication management systems.

Results: We screened 657 articles and identified 18 articles. The identified studies demonstrated the diverse applications of WDs in enhancing medication adherence across diseases such as Parkinson disease, diabetes, and cardiovascular conditions. The geographical distribution and publication years of these studies indicate a growing interest in this research area. The studies were divided into three types: (1) studies reporting a correlation between data from WDs or their usage and medication adherence or drug usage as outcomes, (2) studies using WDs to detect the act of medication-taking itself, and (3) studies proposing an integrated medication management system that uses WDs in managing medication.

Conclusions: WDs are increasingly being recognized for their potential to enhance medication management and adherence. This review underscores the need for further empirical research to validate the effectiveness of WDs in real-life settings and explore their use in predicting adherence based on activity rhythms and activities. Despite technological advancements, challenges remain regarding the integration of WDs into routine clinical practice. Future research should focus on leveraging the comprehensive data provided by WDs to develop personalized medication management strategies that can improve patient outcomes.

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使用可穿戴设备的用药管理举措:范围审查。
背景:可穿戴设备(WDs)已从简单的健身追踪器发展成为能够测量心率和血氧水平等生命体征的精密健康监测器。它们在医疗保健领域的应用,尤其是药物管理,是一个新兴领域,有望显著提高患者对治疗方案的依从性。尽管 WDs 被广泛使用,并越来越多地被纳入临床试验,但目前还没有对 WDs 在用药依从性方面的应用进行全面审查:本研究旨在进行一次全面的范围界定综述,评估WDs对各种疾病的服药依从性的影响,总结主要研究结果、成果和遇到的挑战:根据 PRISMA-ScR(系统综述和荟萃分析的首选报告项目扩展范围综述)指南,在 MEDLINE、Web of Science 和 Embase 数据库中进行了结构化检索,涵盖了 2010 年 1 月 1 日至 2022 年 9 月 30 日期间的文献。检索策略以WDs和用药依从性相关术语为基础,特别侧重于实证研究,以确保纳入原创性研究成果。选择研究的依据是它们与服药依从性的相关性、WDs 在检测服药行为中的使用情况以及它们在综合药物管理系统中的作用:我们筛选了 657 篇文章,确定了 18 篇文章。所发现的研究表明,WDs 在提高帕金森病、糖尿病和心血管疾病等各种疾病的服药依从性方面有多种应用。这些研究的地理分布和发表年份表明,人们对这一研究领域的兴趣日益浓厚。这些研究分为三类:(1) 报告WDs或其使用数据与服药依从性或药物使用结果之间相关性的研究;(2) 使用WDs检测服药行为本身的研究;(3) 提出使用WDs管理药物的综合药物管理系统的研究:WDs在加强药物管理和依从性方面的潜力正日益得到认可。本综述强调了进一步实证研究的必要性,以验证 WDs 在实际生活环境中的有效性,并探索其在根据活动节奏和活动预测服药依从性方面的用途。尽管技术不断进步,但将 WDs 纳入常规临床实践仍面临挑战。未来的研究应侧重于利用 WDs 提供的综合数据来制定个性化的药物管理策略,从而改善患者的治疗效果。
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来源期刊
JMIR Human Factors
JMIR Human Factors Medicine-Health Informatics
CiteScore
3.40
自引率
3.70%
发文量
123
审稿时长
12 weeks
期刊最新文献
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