An In-Home Advanced Robotic System to Manage Elderly Home-Care Patients’ Medications: A Pilot Safety and Usability Study
dc.contributor.author | Rantanen, Pekka | |
dc.contributor.author | Parkkari, Timo | |
dc.contributor.author | Leikola, Saija | |
dc.contributor.author | Airaksinen, Marja | |
dc.contributor.author | Lyles, Alan | |
dc.date.accessioned | 2018-04-03T17:13:36Z | |
dc.date.available | 2018-04-03T17:13:36Z | |
dc.date.issued | 2017-05 | |
dc.description.abstract | ABSTRACT Purpose: We examined the safety profile and usability of an integrated advanced robotic device and telecare system to promote medication adherence for elderly home-car e-patients. Methods: There were two phases. Phase I aimed to verify under controlled conditions in a single nursing home (n ¼ 17 patients) that no robotic malfunctions would hinder the device’s safe use. Phase II involved home-care patients from 3 sites (n ¼ 27) who were on long-term medication. On-time dispensing and missed doses were recorded by the robotic system. Patients’ and nurses’ experiences were assessed with structured interviews. Findings: The 17 nursing home patients had 457 total days using the device (Phase I; mean, 26.9 per patient). On-time sachet retrieval occurred with 97.7% of the alerts, and no medication doses were missed. Atbaseline, PhaseII home-dwelling patients reported difficulty remembering to take their medicines (23%), and 18% missed at least 2 doses per week. Most Phase II patients (78%) lived alone. The device delivered and patients retrieved medicine sachets for 99% of the alerts. All patients and 96% of nurses reported the device was easy to use. Implications: This trial demonstrated the safety profile and usability of an in-home advanced robotic device and telecare system and its acceptability to patients and nurses. It supports individualized patient dosing schedules, patient–provider communications, and on-time, in-home medication delivery to promote adherence. Real time dose-by-dose monitoring and communication with providers if a dose is missed provide oversight generally not seen in homecare. | en_US |
dc.format.extent | 8 pages | en_US |
dc.genre | journal articles | en_US |
dc.identifier | doi:10.13016/M2WW77204 | |
dc.identifier.citation | Rantanen, P., Parkkari, T., Leikola, S., Araksinen, M., Lyles, A. (2017). An In-home Advanced Robotic System to Manage Elderly Home-care Patients' Medications: A Pilot Safety and Usability Study. Clinical Theraputics 39(5). https://doi.org/10.1016/j.clinthera.2017.03.020. | en_US |
dc.identifier.uri | http://hdl.handle.net/11603/7904 | |
dc.language.iso | en_US | en_US |
dc.publisher | Clinical Therapeutics | en_US |
dc.relation.isAvailableAt | University of Baltimore | |
dc.subject | aged | en_US |
dc.subject | home-careservices | en_US |
dc.subject | medication adherence | en_US |
dc.subject | medication therapy management | en_US |
dc.subject | robotic system | en_US |
dc.title | An In-Home Advanced Robotic System to Manage Elderly Home-Care Patients’ Medications: A Pilot Safety and Usability Study | en_US |
dc.type | Text | en_US |
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