Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study

Innovative dispensing products offering real-time medication intake monitoring are being developed to address medication non-adherence. However, implementation of these interventions within the workflow of a community pharmacy is unknown. The purpose of this study was to explore factors affecting im...

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Main Authors: Sadaf Faisal, Jessica Ivo, Ryan Tennant, Kelsey-Ann Prior, Kelly Grindrod, Colleen McMillan, Tejal Patel
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/9/2/105
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author Sadaf Faisal
Jessica Ivo
Ryan Tennant
Kelsey-Ann Prior
Kelly Grindrod
Colleen McMillan
Tejal Patel
author_facet Sadaf Faisal
Jessica Ivo
Ryan Tennant
Kelsey-Ann Prior
Kelly Grindrod
Colleen McMillan
Tejal Patel
author_sort Sadaf Faisal
collection DOAJ
description Innovative dispensing products offering real-time medication intake monitoring are being developed to address medication non-adherence. However, implementation of these interventions within the workflow of a community pharmacy is unknown. The purpose of this study was to explore factors affecting implementation of a real-time adherence-monitoring, multidose-dispensing system in community pharmacies. A mixed-method study was conducted with pharmacy staff, who packaged and dispensed medications in smart multidose packages and monitored real-time medication intake via web-portal. Pharmacy staff participated in semi-structured interviews. The Technology Acceptance Model, Theory of Planned Behaviour and Capability, Opportunity, Motivation, Behaviour Model informed the interview guide. Interview transcripts were analyzed thematically and findings were mapped back to the frameworks. The usability was assessed by the System Usability Scale (SUS). Three pharmacists and one pharmacy assistant with a mean of 19 years of practice were interviewed. Three themes and 12 subthemes were generated. Themes included: pharmacy workflow factors, integration factors, and pharmacist-perceived patient factors. The mean SUS was found to be 80.63. Products with real-time adherence monitoring capabilities are valued by pharmacists. A careful assessment of infrastructure—including pharmacy workload, manpower and financial resources—is imperative for successful implementation of such interventions in a community pharmacy setting.
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spelling doaj.art-0f89d2a546b14821ad9af26f547761ee2023-11-21T21:19:22ZengMDPI AGPharmacy2226-47872021-05-019210510.3390/pharmacy9020105Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot StudySadaf Faisal0Jessica Ivo1Ryan Tennant2Kelsey-Ann Prior3Kelly Grindrod4Colleen McMillan5Tejal Patel6School of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, CanadaSchool of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, CanadaSystem Design Engineering, Faculty of Engineering, University of Waterloo, Waterloo, ON N2L 3G1, CanadaSchool of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, CanadaSchool of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, CanadaRenison University College, University of Waterloo, Waterloo, ON N2L 3G4, CanadaSchool of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, CanadaInnovative dispensing products offering real-time medication intake monitoring are being developed to address medication non-adherence. However, implementation of these interventions within the workflow of a community pharmacy is unknown. The purpose of this study was to explore factors affecting implementation of a real-time adherence-monitoring, multidose-dispensing system in community pharmacies. A mixed-method study was conducted with pharmacy staff, who packaged and dispensed medications in smart multidose packages and monitored real-time medication intake via web-portal. Pharmacy staff participated in semi-structured interviews. The Technology Acceptance Model, Theory of Planned Behaviour and Capability, Opportunity, Motivation, Behaviour Model informed the interview guide. Interview transcripts were analyzed thematically and findings were mapped back to the frameworks. The usability was assessed by the System Usability Scale (SUS). Three pharmacists and one pharmacy assistant with a mean of 19 years of practice were interviewed. Three themes and 12 subthemes were generated. Themes included: pharmacy workflow factors, integration factors, and pharmacist-perceived patient factors. The mean SUS was found to be 80.63. Products with real-time adherence monitoring capabilities are valued by pharmacists. A careful assessment of infrastructure—including pharmacy workload, manpower and financial resources—is imperative for successful implementation of such interventions in a community pharmacy setting.https://www.mdpi.com/2226-4787/9/2/105medication adherencepharmacistsreal-time monitoringmedication dispensing technology
spellingShingle Sadaf Faisal
Jessica Ivo
Ryan Tennant
Kelsey-Ann Prior
Kelly Grindrod
Colleen McMillan
Tejal Patel
Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study
Pharmacy
medication adherence
pharmacists
real-time monitoring
medication dispensing technology
title Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study
title_full Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study
title_fullStr Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study
title_full_unstemmed Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study
title_short Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study
title_sort implementation of a real time medication intake monitoring technology intervention in community pharmacy settings a mixed method pilot study
topic medication adherence
pharmacists
real-time monitoring
medication dispensing technology
url https://www.mdpi.com/2226-4787/9/2/105
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