Enhancing the Clinical Relevance of Al Research for Medication Decision-Making

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e70657 - e70657

Опубликована: Фев. 18, 2025

Язык: Английский

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Authors’ Reply: Enhancing the Clinical Relevance of Al Research for Medication Decision-Making

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e72007 - e72007

Опубликована: Фев. 18, 2025

Язык: Английский

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Authors’ Reply: Enhancing the Clinical Relevance of Al Research for Medication Decision-Making (Preprint)

Опубликована: Янв. 31, 2025

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Язык: Английский

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A Portal-Based Intervention (PATTERN) Designed to Support Medication Use Among Older Adults: Feasibility and Acceptability Study

JMIR Formative Research, Год журнала: 2025, Номер 9, С. e71676 - e71676

Опубликована: Апрель 24, 2025

Abstract Background Poor medication adherence among older adults with multiple chronic conditions and polypharmacy is a public health concern stemming from distinct challenges. Prior interventions have largely used one-size-fits-all approach or resource-intensive approaches inappropriate for busy primary care clinics. Objective To address this, Phenotyping Adherence Through Technology-Enabled Reports Navigation (PATTERN) was adapted prior work. PATTERN portal-based intervention monitoring self-reported challenges in care. This study sought to implement evaluate PATTERN’s feasibility acceptability. Methods We conducted patient randomized posttest design. Primary physicians at the participating center were informed of study, approval obtained contact their patients. Patient eligibility included being aged 60 years older, having prescription medications ≥8 conditions, an upcoming visit physician who had provided approval. Potentially eligible patients identified using electronic record query, research coordinator phoned them confirm eligibility, assess interest, obtain consent, conduct enrollment. Randomization occurred following Those received assessment portal accounts several days ahead visit. The whether experiencing challenge, if so, type (cognitive, psychological, medical, regimen-related, social, economic). Identified sent patient’s physician. Assessment delivery thought offer sufficient time complete it clinicians review any Approximately 2 weeks after visits, recontacted participants interviews. ensured respond during visits. Posttest interviews measured use portal, demographic characteristics, those PATTERN, satisfaction. Self-reported data captured REDCap analyzed descriptively. Electronic also descriptively objectively identify feasibility, that is, arm completed assessment. Results enrolled 64 (32 usual care, 32 intervention). Most female (66%, 42/64), not Hispanic Latino (94%, 60/64), as White (58%, 37/64). average (SD) age 75 (6.8) years. (80%) ≥12 times per year. However, revealed less than half all (47%, 15/32) Of remembered completing it, 60% (3/5) very satisfied experience 20% (1/5) little satisfied. Conclusions has potential polypharmacy. Yet, further adaptation needed ensure recipients access assessments.

Язык: Английский

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Enhancing the Clinical Relevance of Al Research for Medication Decision-Making (Preprint)

Опубликована: Дек. 29, 2024

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Язык: Английский

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