Digital Assistant Supported Medication Adherence and Medical Monitoring Syst

Award Information
Department of Health and Human Services
Award Year:
Phase I
Award Id:
Agency Tracking Number:
Solicitation Year:
Solicitation Topic Code:
Solicitation Number:
Small Business Information
CREATIVE ACTION, LLC, 441 Wolf Ledges, AKRON, OH, 44311
Hubzone Owned:
Minority Owned:
Woman Owned:
Principal Investigator:
(330) 258-9000
Business Contact:
() -
Research Institute:
DESCRIPTION (provided by applicant): Creative Action LLC, based in Akron, Ohio, plans to bring to market a personal digital assistant-based health data gathering and reporting system. Researchers interested in studying the effects of medications on older a dults will be the initial market for our product. We call our medication adherence and data gathering system the iRxReminder System. The software is specifically designed and will be tested for use by older adults. The software is specifically designed an d will be tested for use by older adults. The system brings together state-of- the-art medication reminding and real-time field data collection and reporting software in a completely portable package. With our commercial partners we will integrate the iRxR eminder System with existing electronic medical record systems in Phase II. Our hardware includes a desirable personal digital assistant and integrated pill carrier that ensures an individual will carry the system with them. The pillbox case has been award ed a utility patent (US Patent No. 7337899), nine design patents (US Patent No. D501303-D501309, D509055 Pillbox), and one patent pending. Phase I will include development of the software and completion of a feasibility study. Eligible ischemic stroke and transient ischemic attack (TIA) patients undergoing acute treatment at a regional hospital will be approached for consent and then randomized into either the intervention or control group. At the time of randomization, patients in the control group will re ceive a post-stroke education and medical information diary to assist them in post-discharge self-management. Patients in the intervention group will receive a personal digital assistant with the iRxReminder software preprogrammed with their medication reg imen, and a case with the integrated pillbox. Patients will receive training in use of the all the features of the personal digital assistant at a home visit, including practice responding to the iRxReminder medication-taking and survey prompts. The object ives of Phase I are to demonstrate that older adults have an interest in and capacity post-stoke to sufficiently use the features available and to demonstrate successful usage following training, both through a comprehensive mastery test and through 60 day s of usage. At the end of 60 days statistical test will be used to determine if older adults utilize the device in improving self-management of care following a stroke through steady use of software that supports 1) medication reminding, 2) medical and att itudinal surveying, and 3) presentation of educational materials related to stroke; compared to a control group using a printed booklet used in a previous post-stroke care study. The feasibility study will provide the field experience necessary to determin e recruitment rates, participation rates, and workable field test data collection procedures for a fully powered health outcomes study in Phase II. PUBLIC HEALTH RELEVANCE: Medication-related problems represent a huge cost to the United States economy. Est imates range from 76 billion dollars (Johnson and Bootman, 1995) to 177 billion (Ernst and Grizzle, 2001). Lack of adherence leads to unnecessary disease progression, disease complications, reduced functional abilities, lower quality of life, and even pr emature death. Our previous lab (Sterns and Mayhorn, 2006) and extended field research (Sterns, 2005) with 44 older adults (M = 72 yrs.) using a Smartphone in combination with an attached pillbox case provided evidence of 1) improving medication adherence; 2) serving as a link between specialists medicating the individual; and 3) providing feedback to healthcare professionals to better direct medication regimens. The proposed research will demonstrate the feasibility of the system for older adults in Phase I, and demonstrate the utility of the information provided for physicians and for older adult patients in Phase II. Over time, we believe the product can evolve to serve as a cognitive prosthesis for older adults that will reduce overall treatment costs an d extend independence and enhance successful aging.

* information listed above is at the time of submission.

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