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Engagement of medication users in the development and implementation of digital medication adherence technologies: a multi-stakeholder study.
Hosszú, Dalma; Dima, Alexandra L; Fernández, Francisca Leiva; Schneider, Marie Paule; van Dijk, Liset; Tóth, Krisztina; Duman, Mark; Davis, Wendy; Andriciuc, Cristian; Egan, Rebecca; Vrijens, Bernard; Kardas, Przemyslaw; Bitterman, Noemi; Mucalo, Iva; Ghiciuc, Cristina Mihaela; Ágh, Tamás.
Afiliación
  • Hosszú D; Syreon Research Institute, Budapest, Hungary.
  • Dima AL; Institute of Psychology, University of Pécs, Pécs, Hungary.
  • Fernández FL; Health Technology Assessment in Primary Care and Mental Health (PRISMA), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
  • Schneider MP; Avedis Donabedian Research Institute (FAD), Barcelona, Spain.
  • van Dijk L; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública CIBERESP, Madrid, Spain.
  • Tóth K; Multiprofessional Teaching Unit of Community and Family Care; Andalusian Health Service; Health District Malaga-Guadalhorce; IBIMA-Platform Bionand; University of Málaga, Málaga, Spain.
  • Duman M; Medication Adherence and Interprofessionality Research and Teaching Group, Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, Geneva, Switzerland.
  • Davis W; School of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.
  • Andriciuc C; Nivel, Netherlands Institution for Health Services Research, Utrecht, the Netherlands.
  • Egan R; Department of PharmacoTherapy, Groningen Research Institute of Pharmacy, Epidemiology & Economics (PTEE), University of Groningen, Groningen, the Netherlands.
  • Vrijens B; Syreon Research Institute, Budapest, Hungary.
  • Kardas P; Bridge of Health Alliance against Breast Cancer Association, Budapest, Hungary.
  • Bitterman N; MD Health-Care, Manchester, UK.
  • Mucalo I; British Heart Foundation, London, UK.
  • Ghiciuc CM; Romanian Federation of Diabetes Associations, Cluj Napoca, Romania.
  • Ágh T; SeriousFun Children's Network, Norwalk, CT, USA.
Expert Rev Pharmacoecon Outcomes Res ; 24(7): 853-860, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38934097
ABSTRACT

BACKGROUND:

This study aims to create a comprehensive framework for the development and implementation of digital medication adherence technologies (DMATech), focusing on critical stages where engagement of medication users (MU) is considered meaningful, i.e. adds significant value, as agreed upon by participating stakeholders.

METHODS:

Through a literature review and expert consensus, a framework was outlined covering key DMATech development and implementation phases and steps. An in-person workshop with MU representatives and adherence experts, using the Nominal Group Technique, further refined these stages for MU engagement.

RESULTS:

The DMATech framework included three phases 'Innovation,' 'Research and Development,' and 'Launch and Implementation,' each encompassing multiple steps. The workshop, attended by five MU representatives and nine adherence experts, identified critical stages for MU input including context analysis, ideation, proof of concept, prototype creation, DMATech's iteration, critical evaluation, healthcare implementation, real-world assessment, and improvement. Nevertheless, there was a divergence of consensus regarding the importance of MUs engagement in regulatory, financial, and marketing aspects.

CONCLUSIONS:

This study provides a holistic framework for DMATech development and implementation and underscores the necessity of MU engagement at various stages. Modes of MU engagement cannot be generalized; a case-by-case evaluation of engagement strategies is essential.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cumplimiento de la Medicación / Tecnología Digital Límite: Humans Idioma: En Revista: Expert Rev Pharmacoecon Outcomes Res Asunto de la revista: FARMACOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cumplimiento de la Medicación / Tecnología Digital Límite: Humans Idioma: En Revista: Expert Rev Pharmacoecon Outcomes Res Asunto de la revista: FARMACOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Hungria Pais de publicación: Reino Unido