Deploying and Evaluating a Technology Based System to Help People Adhere to Long Term Medications
San Diego State University
Summary
The goal of this study is to learn about the impact of an integrated medication monitoring system in breast cancer survivors aged 21-70 who are prescribed endocrine therapy. The main question it aims to address is: Does the integrated medication monitoring system improve medication adherence among breast cancer survivors when used over a six-month period? Fifteen English-speaking breast cancer survivors who meet the inclusion criteria will use a combination of smartphone-based ecological momentary assessments, a medication event monitoring system (Wisepill), and a wearable sensor (Fitbit). After 2 months, participants will be provided personalized content to facilitate medication adherence through an app (Digital Trails) and through WisePill. Participants will complete online surveys at baseline, 3 months, and 6 months to assess their experiences and adherence.
Description
Purpose/objective: The investigators have created a new integrated medication monitoring (MM) system for long-term monitoring of medication adherence consisting of baseline, 3-month, and 6-month surveys, smartphone based ecological momentary assessment, smartphone sensors, a medication event monitoring system (MEMS; Wisepill) sensor, and a wrist-worn wearable sensor (Fitbit) that will be used to collect data to understand and model medication-taking behaviors. The objective of the project is to deploy this system to predict nonadherence to endocrine therapy for breast cancer survivors and imp…
Eligibility
- Age range
- 21–70 years
- Sex
- Female
- Healthy volunteers
- No
Inclusion Criteria: * are English-speaking and reading; * are between ages 21 and 70 years; * are diagnosed with stage 0-3 breast cancer in the past 5 years; * have completed all surgery, radiation, and chemotherapy, except endocrine therapy; * are prescribed endocrine therapy; * do not have a physical impairment that would prevent them from using the MM system; * are able to provide informed consent; * are willing and able to use the MM system for 6 months; * have an Iphone or Android phone.
Interventions
- Deviceintegrated medication monitoring (MM) system
We have created a new integrated medication monitoring (MM) system consisting of baseline, 3-month, and 6-month surveys, smartphone-based ecological momentary assessment via an application installed on a smartphone (Digital Trails based on the UVA Sensus app), a wireless medication event monitoring system device (MEMS; Wisepill), and a wearable sensor (Fitbit), and data collected passively from smartphone sensors using the Digital Trails app. These sources of information will be used to understand predictors of medication taking behaviors and, after two months of monitoring, to deploy appropriate interventions which will be delivered via the Digital Trails app platform.
Location
- San Diego State UniversitySan Diego, California