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Medication Adherence Facilitated by Smartphones & More News

Study Shows Wireless Tech Effective for Medication Adherence

A recent study explored the effects of wirelessly observed therapy (WOT) on medication adherence in tuberculosis (TB) patients. WOT includes an ingestible sensor and external wearable patch paired with a mobile device that detects and records the ingestion of medication. Researchers found WOT was as accurate as in-person observations and better at supporting confirmed daily adherence. In addition, patients preferred WOT over in-person observation. Medication adherence is crucial to treat TB and prevent its spread; thus, WOT may be an impactful method to facilitate patients’ self-management of their medications and ensure they complete their treatment.

Amazon's Textract Innovates Simple Optical Character Recognition

Amazon has made its next leap into the digital health market. Textract is the latest of Amazon’s AI and Cloud tools to become HIPAA eligible. The technology reduces labour intensive work like manual data entry by accurately and effectively analyzing documents using machine learning-- bypassing the need for human intervention or customization. Textract is already being explored by companies such as Cambia Health Solutions and Change Healthcare to optimize care coordination and streamline administrative processes. The ability to customize Textract and utilize it in HIPAA compliant ways, will expand how health care providers can use the tool.

Smartphone-based Interventions Can Positively Impact Behavior

A study conducted by researchers at Stanford University found that behavioral interventions, delivered through a smartphone, significantly increased daily short-term physical activity. The trial was run through the MyHeart Counts App. Following a baseline period, participants were assigned one of four different smartphone-based interventions such as hourly prompts and personalized coaching messages. Results indicated that all four interventions significantly increased mean step count when compared to baseline, suggesting that digital interventions delivered via mobile apps can impact behavior. In addition, the medium through which the study itself was conducted, an iPhone, illustrates how technology can reduce barriers to entry for individuals to participate in research. This study is the latest to examine the intersection between research and health tech, highlighting the interest in digital behavioral tracking and optimization.

Voice Technology Helping Patients In and Out of Hospitals

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With the proliferation of devices such as the Google Home and Amazon Alexa, consumers have increasingly become accustomed to using voice technologies to send and receive information. Livongo, a chronic conditions management platform, has recently announced the launch of a new voice tool feature for its users. It is called "Cuff to Cloud" and is powered by Amazon Lex and Polly. It allows Livongo users to upload their blood pressure readings through a voice-enabled cellular blood pressure monitoring system. By running the data through the company’s AI+AI engine, users will receive personalized “health nudges” such as suggestions to reduce their sodium intake.

Hospitals are also evaluating the use of voice technologies to decrease inefficiencies and improving patient satisfaction. Cedars-Sinai is currently running a 100-hospital room pilot to assess the capabilities of a patient-centered voice assistant platform. Each room is equipped with an Amazon Echo run by Avia (an Alexa-powered platform). In addition to the standard Amazon Alexa features, patients can request help through the device. If the request is not answered in a timely manner, Aiva automatically sends it up the chain of command to notify the relevant personnel. By moving patient interaction into the 21st century, Cedars-Sinai hopes that a smart room will have a positive impact on patient satisfaction for both patients and nurses. Adrienne Edwards, an early user of the platform, praised the smart addition to her room. Feeling lonely, she asked the smart device, “Alexa, will you be my friend?” The device responded, “Of course we could be friends. You seem very nice.”

From personalized health recommendations to expediting patient-provider communication flow, voice technology is rapidly gaining traction among the patient population. What’s left to see is how fast can the technology be adapted to healthcare-specific settings with an inherent focus on patient privacy.