Elodie Vandenbergh
Universite de Picardie Jules Verne | France
Title: CONSIGNELA-Appli-R-1.0: A research tool for studying in real time electronic medication prescription comprehension in older adults and patients with Parkinson’s disease
Biography
Biography: Elodie Vandenbergh
Abstract
Statement of the Problem: If following a medication prescription is a complex task for standard adults, it is often a too complex task for many older adults. Because they are generally prone to complex polypharmacy, may suffer from cognitive, motor, or sensorial decline, and are faced with a standard prescriber-patient communication, elderly people encounter supplementary difficulties. These factors could partially explain why they are frequently non-adherent. Specific tools are needed to analyze the exact nature of these difficulties. Our objective is to present such a tool, that we are developing in a multidisciplinary project, the CONSIGNELA project.
Methodology & Theoretical Orientation: CONSIGNELA-Appli-R-1.0 is an application designed to study in real time older patient’s and parkinsonian patient’s behavior while consulting and understanding fictive medication prescriptions on tablets and touch-screens. It can display the same prescription in different formats (textual or tabular), and can simulate virtual and interactive pillboxes that can be filled by pressing, in a given order, different objects represented on the screen. It automatically stores the beginning, duration and end of every patient’s action while he/she is consulting the prescription, and is filling the pillbox.
Conclusion & Significance: Preliminary results of a pilot study carried out with young adults showed that our application is operational. The next phase will consist in using it alone, or coupled with an eye-tracking device, to study cognitive processes and visual strategies of older non-impaired people and patients with Parkinson’s disease interacting with fictive prescriptions. CONSIGNELA-Appli-R will be of particular interest for understanding why impaired and non-impaired older patients may encounter difficulties with some prescription designs.
Recent Publications
- Bainbridge J L, Ruscin J (2009) Challenges of treatment adherence in older patients with Parkinson’s disease. Drugs Aging 26: 145‑155. http://doi.org/10.2165/0002512-200926020-00006
- Beckman A G K, Parker M G, Thorslund M (2005) Can elderly people take their medicine? Patient Education and Counseling 59: 186‑91. http://doi.org/10.1016/j.pec.2004.11.005
- Kheir N, Awaisu A, Radoui A, El Badawi A, Jean L, Dowse R (2014) Development and evaluation of pictograms on medication labels for patients with limited literacy skills in a culturally diverse multiethnic population. Research in Social and Administrative Pharmacy 10: 720‑730. http://doi.org/10.1016/j.sapharm.2013.11.003
- Malek N, Grosset D G (2014) Medication adherence in patients with Parkinson’s disease. CNS Drugs 29: 47‑53. http://doi.org/10.1007/s40263-014-0220-0
- Morrow D G (2015) Technology-Based Support for Older Adult Communication in Safety Critical Domains. Psychology of Learning and Motivation - Advances in Research and Theory (Vol. 64). Elsevier Ltd. Http://doi.org/10.1016/bs.plm.2015.09.008
- Morrow D G, McKeever S, Chin C, Madison A, Davis K, Wilson E, Kaiser D, Wolf M, Conner-Garcia T, Graumlich J (2012) An EMR-based tool to support collaborative planning for medication use among adults with diabetes: A multi-site randomized control trial contemporary clinical trials 33: 1023-1032.
- Tandy C, Bamford L (2010) Medication compliance aids. European Geriatric Medicine 1: 314–316. http://doi.org/10.1016/j.eurger.2010.07.013
- Si P, Koo K N, Poon D, Chew L (2012) Knowledge of prescription medications among cancer patients aged 65years and above. Journal of Geriatric Oncology 3: 120‑130. http://doi.org/10.1016/j.jgo.2011.12.004
- Vandenbergh É, Heurley L, Hainselin M, Quaglino V, Beldame S (2015, Septembre) Prescriptions présentées sur tablette chez des adultes âgés. Poster présenté au 56ème Congrès de La Société Française de Psychologie. Strasbourg, France.
- Wanderley G M P, Abel, M H, Barthès J P, Paraiso E C (In press) An Advanced collaborative environment for software development. Systems, Man, and Cybernetics (SMC).