Leveraging Mobile Sensing to Understand and Develop Intervention Strategies to Improve Medication Adherence.
Leveraging Mobile Sensing to Understand and Develop Intervention Strategies to Improve Medication Adherence.
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DOI：
10.1109/mprv.2020.2993993
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发表时间：
2020-07
影响因子：
1.6
通讯作者：
Barnes LE
中科院分区：
文献类型：
--
作者：
Baglione AN;Gong J;Boukhechba M;Wells KJ;Barnes LE
改善服药依从性的干预措施收效甚微，可能需要大量人力资源才能实施。最近，专注于改善服药依从性的研究经历了范式转变，转向开发个性化的、理论驱动的干预措施。目前的研究整合了基础科学和翻译科学，以实施以机制为重点的、上下文感知的方法。移动和可穿戴传感系统的日益采用为了解服药行为在自然环境中如何展开提供了新的机会，特别是在难以坚持服药的人群中。当与调查和生态瞬时评估数据相结合时，这些移动和可穿戴传感系统可以直接捕获就地服药依从性的背景，包括个人、行为和环境因素。本文的目的是提出一个新的跨学科的药物依从性研究框架，突出这一快速发展的研究领域的关键进展，并概述潜在的未来研究和临床应用方向。
Interventions to improve medication adherence have had limited success and can require significant human resources to implement. Research focused on improving medication adherence has undergone a paradigm shift, of late, with a shift towards developing personalized, theory-driven interventions. The current research integrates foundational and translational science to implement a mechanisms-focused, context-aware approach. Increasing adoption of mobile and wearable sensing systems presents new opportunities for understanding how medication-taking behaviors unfold in natural settings, especially in populations who have difficulty adhering to medications. When combined with survey and ecological momentary assessment data, these mobile and wearable sensing systems can directly capture the context of medication adherence in situ, including personal, behavioral, and environmental factors. The purpose of this paper is to present a new transdisciplinary research framework in medication adherence, highlight critical advances in this rapidly-evolving research field, and outline potential future directions for both research and clinical applications.