Real-time feedback for improving medication taking

Abstract

Medication taking is a self-regulatory process that requires individuals to self-monitor their medication taking behaviors, but this can be difficult because medication taking is such a mundane, unremarkable behavior. Ubiquitous sensing systems have the potential to sense everyday behaviors and provide the objective feedback necessary for self-regulation of medication taking. We describe an unobtrusive sensing system consisting of a sensor-augmented pillbox and an ambient display that provides near real-time visual feedback about how well medications are being taken. In contrast to other systems that focus on reminding before medication taking, our approach uses feedback after medication taking to allow the individual to develop their own routines through self-regulation. We evaluated this system in the homes of older adults in a 10-month deployment. Feedback helped improve the consistency of medication-taking behaviors as well as increased ratings of self-efficacy. However, the improved performance did not persist after the feedback display was removed, because individuals had integrated the feedback display into their routines to support their self-awareness, identify mistakes, guide the timing of medication taking, and provide a sense of security that they are taking their medications well. Finally, we reflect on design considerations for feedback systems to support the process of self-regulation of everyday behaviors.