Table 1 Adherence support approaches
Adherence approach | Description |
|---|---|
Signaling pill | Smartphone app reminds patients when it is time to take their pill. Each pill is fitted with a sensor and when it reaches the stomach, the sensor sends a signal to a computer system. The computer system records whether and when the pill was taken, and adherence records can be automatically shared with others. |
Signaling pill bottle | Pill bottle flashes light when it is time for the patient to take their pill. When the cap is removed, the pill bottle lid automatically sends a message to a computer system. The computer system records whether and when a pill bottle was opened, and adherence records can be automatically shared with others. |
Video check with provider | A provider calls and observes patient taking their pill via smartphone or computer, using a video platform such as FaceTime or Skype. The provider records whether and when a pill was taken, and adherence records can be manually shared with others. |
Automated video check | A computer program with facial and pill recognition ability calls the patient on their smartphone or computer. The computer program watches the patient take their pill and records whether and when a pill was taken. Adherence records can be automatically shared with others. |
Text messages | Provider reminds patient it is time to take their pill via text message. The patient takes their pill and responds, reporting whether and when they took their medication. Adherence records can be shared with others. |