A review of pillbox design features used in medication adherence interventions
View File(s)
PDF (402.3Kb)
PDF (256.3Kb)
Author Information
- Author(s)
- Details
-
Kiersten M. Boyer; Rebecca Bartlett Ellis, RN, ACNS-BC
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Boyer, Kiersten M. by View
Title | Page Views |
---|
Popular Works for Boyer, Kiersten M. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Session presented on Sunday, September 18, 2016: Background: Pillboxes are regularly used in practice and have evidence they are effective in supporting medication adherence. However, many different pillbox designs exist on the market. It is unclear which different or similar designs have been used in medication adherence intervention studies and how they function to support medication adherence. Purpose: This review was conducted to describe how pillboxes were used in medication adherence interventions, identify specific pillbox design features used in intervention studies, and describe mechanisms of action related to pillbox use. Methods: Five multi-disciplinary databases were searched for clinical trials that used pillboxes in medication adherence interventions as part of a large review to evaluate intervention fidelity. These articles were then analyzed and the following information was abstracted for this secondary review: descriptions of study design, components of the intervention, physical descriptions of the pillbox, pictures, references to manufacturer name, and descriptions of targeted behaviors suggesting potential mechanisms of action. Results: A total of 38 articles reporting 40 studies were included. Most studies reported that the pillbox was used as part of a multicomponent intervention, with only 11 studies designed to test the pillbox as a single component intervention1-11. There was a lack of reported information as to whether participants were given instruction on how to use the pillbox and whether these instructions were written or verbal. The most common pillbox used (n=15) held a 7-day supply of medication, but these boxes also varied in their design features. Eight articles reported boxes that allowed multiple dosing intervals and two articles reported a 28-compartment box 6. A majority of articles provided a physical description of the pillbox used and a few (n=5) also provided a picture. Although a large amount of information could be gathered from these descriptions, there was a lack of cohesiveness in regards to the descriptive details provided. Some articles simply used the brand name of the pillbox while others included specific details about the shape, color, labeling, and portability. Details provided as to how the pillboxes were expected to function in medication adherence were few, but two main uses were identified based on author's descriptions: a memory aid and an organization aid. Further, description as to how exactly the pillboxes were to support memory and adherence was not consistently provided. Conclusions: A wide variety of pillboxes have been used in intervention studies. Descriptions of these pillboxes varied in detail as well, making across study comparison difficult. Given the wide variation in details about specific design features reported in the literature, it is difficult to determine if one particular design feature is better than another and in what population certain design features are most effective. There is a need for further study of how pillboxes support medication adherence and in which patient population's pillboxes are more effective.
Description
Leadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.
Repository Posting Date
2016-09-16T14:22:50Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Category Information
Evidence Level | |
Keywords | Pillbox; Medication Adherence; Effectiveness |
Conference Information
Name | Leadership Connection 2016 |
Host | Sigma Theta Tau International |
Location | Indianapolis, Indiana, USA |
Date | 2016 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
A medication possession intervention to improve adherence and outcomes of heart failure patients after hospitalization
de Tantillo, Lila; Ortega, Johis; Gonzalez, Juan M.; Zdanowicz, Martin M.There are no published medication possession interventions for heart failure patients at hospital discharge. This randomized control trial will pilot test Meds to Beds, in which medications are delivered before discharge. ... -
The effect of a lifestyle intervention on psychosocial factors and medication adherence in African-Americans
Spikes, Telisa A.; Ferranti, Erin; Reilly, Carolyn; Dunbar, Sandra B.; Higgins, Melinda (2016-09-26)Session presented on Sunday, September 18, 2016: CVD risk factors and components of Metabolic syndrome affect AAs at higher rates when compared to Caucasians. Lifestyle, psychosocial status and adherence to treatment are ... -
Perioperative anxiety in adolescents: Designing a nursing intervention program using the medical research council framework
Lomba, Maria Lurdes; Pestana-Santos, Márcia; Ferreira, Maria Margarida Reis dos SantosApproximately 80% of adolescents experienced high levels of anxiety in the preoperative period. A multi-method study is presented to design a nursing intervention program to prevent anxiety in the perioperative period in ... -
Findings of a knowledge synthesis project of simulation use in pre-licensure nursing education
Olson, Joanne K.; Lasiuk, Gerri C.; Davidson, Sandra; Paul, Pauline; Wilson-Keates, Barbara Joy; Ellis, Rebecca; Rajani, Fahreen; Savard, Winnifred (2016-03-21)Session presented on Saturday, November 7, 2015: Background: Pre-licensure nursing education has a long history of using low- and medium-fidelity simulation. High-fidelity simulation has more recently been incorporated ... -
Nutritional intervention effectiveness in oncology patients receiving active anti-cancer treatment: A systematic review
Adams, Amanda M. (2016-07-13)Session presented on Saturday, July 23, 2016: Purpose: This systematic review seeks to determine if an individual or combination nutritional intervention (education and/or supplementation) would significantly impact weight ...