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Patient Perspectives on a Digital Assistant for Medication Reconciliation

An Interview Study Comparing Socioeconomic Groups

Bibliographic Data

ID22004400
AuthorsKim Tenfelde (0000-0002-6924-4738, Tilburg University, corresponding author), Ayla Dijkmans (Elisabeth-TweeSteden Ziekenhuis), Nadine Bol (0000-0002-6895-9512, Tilburg University), Mart Kicken (Catharina Ziekenhuis), Mart P Kicken (0000-0002-5321-0816, Radboud University Nijmegen), Chris van der Lee (0000-0003-3454-026X, Tilburg University), Jan de Wit (0000-0002-7299-7992, Tilburg University), Barbara Maat (0000-0002-4833-0477, Elisabeth-TweeSteden Ziekenhuis)
Year2024
Volume27
Issue12
Pages865-872
Publication date2024-12-01
Open AccessYes
TypeARTICLE
VenueCyberpsychology Behavior and Social Networking (JOURNAL)
Journal identifiersISSN: 2152-2715 • E-ISSN: 2152-2723
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1089/cyber.2023.0626
PMID39212595
OpenAlexW4402048287
LanguageEN
Citations received1
References cited22

Medication reconciliation, the process of documenting a patient’s medication, is currently a time-consuming and labor-intensive process. To make medication reconciliation more efficient, digital assistants (DAs) offer a promising solution. Especially since human-like digital interfaces tend to be appreciated by more vulnerable populations such as patients in a low socioeconomic position (SEP). Despite the potential of DAs for low-SEP populations in particular, these groups are often not involved during the development and design phase of such digital health interventions. This exclusion may explain the lower adoption rates of digital interventions among low-SEP patients and exacerbate the so-called digital divide. We explored the perceptions and needs of patients across the SEP gradient using a participatory design approach. Patients of low-, middle-, and high-SEP backgrounds were asked to interact with a DA developed for this study and were interviewed afterward. A thematic analysis revealed seven themes regarding design, input method, comprehensibility, privacy concerns, benefits, the intention to use, and reassurance. Overall, patients were afraid to make mistakes in their medication entries and therefore valued feedback from the system or caregivers. Low-SEP patients specifically seemed to value more structured input methods when using the DA, while high-SEP patients emphasized the importance of a secure environment for the DA and sought clarity about its functionalities. Our study demonstrates the importance of involving patients across the socioeconomic gradient when developing a digital health tool and offers concrete recommendations for inclusive DA design for researchers and developers

Environmental health · Medical emergency · Poison control · Socioeconomic status · Electronic Health Records Systems · Human Factors and Ergonomics · Medication Adherence and Compliance · Medicine · Pharmaceutical Practices and Patient Outcomes · Psychology

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  • The Digital Divide Among Low-Income Homebound Older Adults

    Open Access•Namkee G Choi, Diana M Dinitto•Journal of Medical Internet…•2013

  • Thematic analysis.

    Braun, Victoria Clarke•APA Handbook of Research Methods…•2012

  • Instrumental, Affective, and Patient-Centered Communication Between Cardiologists and Patients with Low Socioeconomic Status

    Open Access•Kim Tenfelde, Marjolijn L Antheunis et al.•Health Communication•2024

  • Distribution of health literacy strengths and weaknesses across socio-demographic groups

    Open Access•Alison Beauchamp, Rachelle Buchbinder et al.•BMC Public Health•2015

  • Self-efficacy mechanism in human agency

    Albert Bandura•American Psychologist•1982

Citations per year0.5
Citation span2024 - 2024 (1)
Highly citedNo

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