Home > Research > Publications & Outputs > Systematic review of the health and societal ef...

Associated organisational unit

View graph of relations

Systematic review of the health and societal effects of medication organisation devices

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Published

Standard

Systematic review of the health and societal effects of medication organisation devices. / Watson, Steven James; Aldus, Clare; Bond, Christine et al.

In: BMC Health Services Research, Vol. 16, No. 202, 06.07.2016.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Watson, SJ, Aldus, C, Bond, C & Bhattacharya, D 2016, 'Systematic review of the health and societal effects of medication organisation devices', BMC Health Services Research, vol. 16, no. 202. https://doi.org/10.1186/s12913-016-1446-y

APA

Vancouver

Watson SJ, Aldus C, Bond C, Bhattacharya D. Systematic review of the health and societal effects of medication organisation devices. BMC Health Services Research. 2016 Jul 6;16(202). doi: 10.1186/s12913-016-1446-y

Author

Watson, Steven James ; Aldus, Clare ; Bond, Christine et al. / Systematic review of the health and societal effects of medication organisation devices. In: BMC Health Services Research. 2016 ; Vol. 16, No. 202.

Bibtex

@article{7e9ed73c1dd647af88c00cf72b0e54f9,
title = "Systematic review of the health and societal effects of medication organisation devices",
abstract = "BackgroundSuboptimal medication adherence is a significant threat to public health and resources. Devices that organise weekly doses by time and day are commonly used to reduce unintentional non-adherence. However, there is limited evidence to support their use. This systematic review was conducted to evaluate current evidence for their efficacy, safety and costs.MethodsA pre-defined search of electronic databases from inception to January 2013 augmented with hand-searching was conducted. No limits were placed on publication date. Studies that compared organisation devices used by patients administering their own medication with standard medication packaging regardless of study design were eligible for inclusion. Studies that solely explored dispensing aspects of organisation devices were included whether or not they compared this to standard care. Screening of articles for inclusion and data extraction were completed independently by two reviewers with disagreements resolved by discussion. Outcomes were categorised into impact on health, medication adherence, healthcare utilisation, dispensing errors, supply procedures and costs. Risk of bias was also assessed.ResultsSeventeen studies met the inclusion criteria. Health outcomes were investigated in seven studies of which three reported a positive effect associated with organisation devices. Medication adherence was reported in eight studies of which three reported a positive effect. Three studies reported health care utilisation data but overall results are inconclusive. No optimal dispensing or supply procedures were identified. Economic assessment of the impact of organisation devices is lacking. All studies were subject to a high risk of bias.ConclusionsEvidence regarding the effects of medication organisation devices was limited, and the available evidence was susceptible to a high risk of bias. Organisation devices may help unintentional medication non-adherence and could improve health outcomes. There is a strong need for more studies that explore the impact of such devices on patients, and an equally pressing need for studies that explore the impacts on healthcare services.",
keywords = "Compliance aid, Medication organiser, Multi-compartment device, Cost, Adherence , Pill organiser",
author = "Watson, {Steven James} and Clare Aldus and Christine Bond and Debi Bhattacharya",
year = "2016",
month = jul,
day = "6",
doi = "10.1186/s12913-016-1446-y",
language = "English",
volume = "16",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BMC",
number = "202",

}

RIS

TY - JOUR

T1 - Systematic review of the health and societal effects of medication organisation devices

AU - Watson, Steven James

AU - Aldus, Clare

AU - Bond, Christine

AU - Bhattacharya, Debi

PY - 2016/7/6

Y1 - 2016/7/6

N2 - BackgroundSuboptimal medication adherence is a significant threat to public health and resources. Devices that organise weekly doses by time and day are commonly used to reduce unintentional non-adherence. However, there is limited evidence to support their use. This systematic review was conducted to evaluate current evidence for their efficacy, safety and costs.MethodsA pre-defined search of electronic databases from inception to January 2013 augmented with hand-searching was conducted. No limits were placed on publication date. Studies that compared organisation devices used by patients administering their own medication with standard medication packaging regardless of study design were eligible for inclusion. Studies that solely explored dispensing aspects of organisation devices were included whether or not they compared this to standard care. Screening of articles for inclusion and data extraction were completed independently by two reviewers with disagreements resolved by discussion. Outcomes were categorised into impact on health, medication adherence, healthcare utilisation, dispensing errors, supply procedures and costs. Risk of bias was also assessed.ResultsSeventeen studies met the inclusion criteria. Health outcomes were investigated in seven studies of which three reported a positive effect associated with organisation devices. Medication adherence was reported in eight studies of which three reported a positive effect. Three studies reported health care utilisation data but overall results are inconclusive. No optimal dispensing or supply procedures were identified. Economic assessment of the impact of organisation devices is lacking. All studies were subject to a high risk of bias.ConclusionsEvidence regarding the effects of medication organisation devices was limited, and the available evidence was susceptible to a high risk of bias. Organisation devices may help unintentional medication non-adherence and could improve health outcomes. There is a strong need for more studies that explore the impact of such devices on patients, and an equally pressing need for studies that explore the impacts on healthcare services.

AB - BackgroundSuboptimal medication adherence is a significant threat to public health and resources. Devices that organise weekly doses by time and day are commonly used to reduce unintentional non-adherence. However, there is limited evidence to support their use. This systematic review was conducted to evaluate current evidence for their efficacy, safety and costs.MethodsA pre-defined search of electronic databases from inception to January 2013 augmented with hand-searching was conducted. No limits were placed on publication date. Studies that compared organisation devices used by patients administering their own medication with standard medication packaging regardless of study design were eligible for inclusion. Studies that solely explored dispensing aspects of organisation devices were included whether or not they compared this to standard care. Screening of articles for inclusion and data extraction were completed independently by two reviewers with disagreements resolved by discussion. Outcomes were categorised into impact on health, medication adherence, healthcare utilisation, dispensing errors, supply procedures and costs. Risk of bias was also assessed.ResultsSeventeen studies met the inclusion criteria. Health outcomes were investigated in seven studies of which three reported a positive effect associated with organisation devices. Medication adherence was reported in eight studies of which three reported a positive effect. Three studies reported health care utilisation data but overall results are inconclusive. No optimal dispensing or supply procedures were identified. Economic assessment of the impact of organisation devices is lacking. All studies were subject to a high risk of bias.ConclusionsEvidence regarding the effects of medication organisation devices was limited, and the available evidence was susceptible to a high risk of bias. Organisation devices may help unintentional medication non-adherence and could improve health outcomes. There is a strong need for more studies that explore the impact of such devices on patients, and an equally pressing need for studies that explore the impacts on healthcare services.

KW - Compliance aid

KW - Medication organiser

KW - Multi-compartment device

KW - Cost

KW - Adherence

KW - Pill organiser

U2 - 10.1186/s12913-016-1446-y

DO - 10.1186/s12913-016-1446-y

M3 - Journal article

VL - 16

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 202

ER -