Memotex tmh2011


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  • As you can see, glaucoma medication adherence follows a typical adherence curve
  • As you can see, glaucoma medication adherence follows a typical adherence curve
  • As you can see, glaucoma medication adherence follows a typical adherence curve
  • Memotex tmh2011

    1. 1.<br />1877-MEMO.TXT<br />Twitter @memotext<br />MEMOTEXT Corporation Trial with Johns Hopkins University<br />Wilmer Eye Clinic – <br />Funded by Microsoft BeWell Fund<br />Study Title: The Impact of Automated Reminders Linked to a Personal Health Record on Adherence with Glaucoma Medications: The Automated Dosing Reminder Study (ADRS)<br />
    2. 2. What Really Works?!<br />What is MEMOTEXT?<br />Overview: Automated Dosing Reminder Study (ADRS)<br />Problem/Hypothesis<br />Methods<br />Moving the Needle<br />Lessons Learned ~ Organic solutions<br />2<br />
    3. 3. What is MEMOTEXT?<br />RE-ASSESSMENT<br />MEMOTEXT is an:<br /><ul><li>Iterative methodology
    4. 4. Interactive dialogue
    5. 5. Inference based </li></ul>…speech, mobile and social media patient adherence solution.<br />3 of 10<br />
    6. 6. What really works?!<br /> <br />Johns Hopkins University: Approached MEMOTEXT® to provide an automated, customized and interactive adherence solution for glaucoma daily medication - a study entitled "The Impact of Automated Dosing Reminders on Medication Adherence using HealthVault“ (ADRS).<br />Launched: June 2009<br />Prelim results presented at American Glaucoma Society March 2011<br />Automated reminders linked to a personal health record are a practical option to improve adherence<br />This project received funding from the Microsoft HealthVault Be Well Fund.<br />Lead by: Michael V. Boland, MD, PhD<br />Assistant Professor<br />Director of Information Technology<br />Wilmer Eye Institute and Health Sciences Informatics<br />Johns Hopkins University<br />4 of 10<br />
    7. 7. Glaucoma adherence study overview<br /> <br />Problem: <br />Non-compliance to Glaucoma medications leads to severe complications. <br /><ul><li>Problem: cost- staff time to interact with patients
    8. 8. Problem: lack of patient education
    9. 9. Problem: poor adherence in almost half of study patients
    10. 10. Problem: patients self –reporting after the fact is not reliable
    11. 11. Problem: Lack of patient/family control</li></ul>Hypothesis:<br />The Automated Dosing Reminder Study tested the hypothesis that automated, telecommunication-based reminders can improve adherence with glaucoma medications in patients known to have poor adherence.<br />5 of 10<br />
    12. 12. Methods<br /> <br />Recruitment Channel: JHU Research / Wilmer Eye Clinic directly into Microsoft HealthVault<br />Poor adherence is defined as taking < 75% of doses during the monitored period.<br />N= 428glaucoma patients treated with once daily therapy.<br />Subjects were monitored electronically for 3 months (MEMS, AARDEX group).<br />White coat effect: adherence rate was calculated from 2 weeks after the baseline visit until 2 weeks before the follow-up visit. <br />6 of 10<br />
    13. 13. Methods cont.. enrolment <br /> <br />Recruitment/Enrolment<br />Patients selected <br />Medication: Travatan, Xalatan and Lumigan<br />Frequency (daily/weekly)<br />Media (sms/IVR)<br />Time of message(s)<br />7 of 10<br />
    14. 14. SMS and IVR Calls<br />49.02 % of voice messages were conf./acknowledged in real time. <br />2% of calls were snoozed and called back.<br />Patients receive weekly, bi-weekly or daily messages via voice / SMS<br />Acknowledge / confirm action<br />Snooze call<br />Repeat this message<br />8 of 10<br />
    15. 15. Moving the needle<br />9 of 10<br />
    16. 16. Summary…From simple messaging to intelligent dialogues.<br />Medication adherence is a problem in a significant population of glaucoma patients<br />Automated reminders linked to a personal health record:<br />Are a practical option to improve adherence<br />Allow patient or family control over reminders<br />Significantly improve adherence with daily medications<br />A simple, elegant intervention increased adherence by 16%<br />Recommendation was to develop method to predict non-adherent patients.<br />Do the difficult things while they are easy and do the great things while they are small... Lao Tzu<br />10 of 10<br />
    17. 17. Find us to learn about how we create self-learning SMS, speech and social adherence interventions.<br /><br /><br /><br /> 877-MEMO.TXT<br />Txt or call me: 416-520-3301<br />Keep in touch!<br />And they all lived happily ever after…<br />