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...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-05-01
|
Series: | Pharmacy |
Subjects: | |
Online Access: | https://www.mdpi.com/2226-4787/9/2/105 |
_version_ | 1797532703113871360 |
---|---|
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. |
first_indexed | 2024-03-10T11:03:05Z |
format | Article |
id | doaj.art-0f89d2a546b14821ad9af26f547761ee |
institution | Directory Open Access Journal |
issn | 2226-4787 |
language | English |
last_indexed | 2024-03-10T11:03:05Z |
publishDate | 2021-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Pharmacy |
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 |
work_keys_str_mv | AT sadaffaisal implementationofarealtimemedicationintakemonitoringtechnologyinterventionincommunitypharmacysettingsamixedmethodpilotstudy AT jessicaivo implementationofarealtimemedicationintakemonitoringtechnologyinterventionincommunitypharmacysettingsamixedmethodpilotstudy AT ryantennant implementationofarealtimemedicationintakemonitoringtechnologyinterventionincommunitypharmacysettingsamixedmethodpilotstudy AT kelseyannprior implementationofarealtimemedicationintakemonitoringtechnologyinterventionincommunitypharmacysettingsamixedmethodpilotstudy AT kellygrindrod implementationofarealtimemedicationintakemonitoringtechnologyinterventionincommunitypharmacysettingsamixedmethodpilotstudy AT colleenmcmillan implementationofarealtimemedicationintakemonitoringtechnologyinterventionincommunitypharmacysettingsamixedmethodpilotstudy AT tejalpatel implementationofarealtimemedicationintakemonitoringtechnologyinterventionincommunitypharmacysettingsamixedmethodpilotstudy |