TY - JOUR AU - Mason, Madilyn AU - Cho, Youmin AU - Rayo, Jessica AU - Gong, Yang AU - Harris, Marcelline AU - Jiang, Yun PY - 2022 DA - 2022/3/10 TI -依从性监测技术和技术评估标准:叙事综述JO - JMIR Mhealth Uhealth SP - e35157 VL - 10is - 3kw -依从性KW -技术评估KW -遥感技术KW -远程医疗AB -背景:由于缺乏测量依从性的金标准方法，准确测量和监测患者的药物依从性是一项全球性挑战。最近的注意力集中在药物依从性监测技术的采用上，因为它们提供了持续跟踪个人药物依从性行为的机会。然而，目前的药物依从性监测技术因其技术特点和数据捕获方法不同而有所不同，导致其各自的优势和局限性存在差异。总体而言，缺乏适当的标准来指导评估药物依从性监测技术，以实现最佳采用和使用。目的:本研究旨在对现有的药物依从性监测技术进行综述，并提出一套技术评估标准，以支持技术的开发和采用。方法:结合用药依从性、测量技术、监测技术等关键词，检索PubMed、Scopus、CINAHL、ProQuest Technology Collection(2010年至今)的相关文献。选择重点是与药物依从性监测技术及其开发和使用有关的研究。提取了识别技术应用的技术特征、数据捕获方法以及潜在优势和局限性。还确定了使用数据进行依从性监测的方法。 Common recurring elements were synthesized as potential technology assessment criteria. Results: Of the 3865 articles retrieved, 98 (2.54%) were included in the final review, which reported a variety of technology applications for monitoring medication adherence, including electronic pill bottles or boxes, ingestible sensors, electronic medication management systems, blister pack technology, patient self-report technology, video-based technology, and motion sensor technology. Technical features varied by technology type, with common expectations for using these technologies to accurately monitor medication adherence and increase adoption in patients’ daily lives owing to their unobtrusiveness and convenience of use. Most technologies were able to provide real-time monitoring of medication-taking behaviors but relied on proxy measures of medication adherence. Successful implementation of these technologies in clinical settings has rarely been reported. In all, 28 technology assessment criteria were identified and organized into the following five categories: development information, technology features, adherence to data collection and management, feasibility and implementation, and acceptability and usability. Conclusions: This narrative review summarizes the technical features, data capture methods, and various advantages and limitations of medication adherence monitoring technology reported in the literature and the proposed criteria for assessing medication adherence monitoring technologies. This collection of assessment criteria can be a useful tool to guide the development and selection of relevant technologies, facilitating the optimal adoption and effective use of technology to improve medication adherence outcomes. Future studies are needed to further validate the medication adherence monitoring technology assessment criteria and construct an appropriate technology assessment framework. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/3/e35157 UR - https://doi.org/10.2196/35157 UR - http://www.ncbi.nlm.nih.gov/pubmed/35266873 DO - 10.2196/35157 ID - info:doi/10.2196/35157 ER -