Tech-driven

Managing Chronic Conditions

• Assess and Monitor
• Reduce Risk Factors
• Stabilize Conditions (Education, Treatment)
• --> Treatment: Pharmacological vs. Non-Pharm.
• How can technology assist with disease management?

U.S. Prescription MEd Use

• 50% will have 1 chronic condition by 2020
• 70% take at least 1 prescribed medication
• 50% take at least 2 prescriptions

MEdication Adherence

• ~50% patients w/chronic illness take meds as prescribed
• Poor adherence--> morbidity & death, costs $100B
• Mechanisms poorly understood (Van Dulmen '07)
• Poor communication via physicians, hospitals

Lawrence et al 2008

• LATE Program Evaluation
• (1) assess effectiveness of telephone intervention
• (2) evaluate rate & timing of medication reinitiation
• Sample: 18-65, in DM program for CVD or diabetes
• Lipid-lowering, ACE inhibitors, B blockers, hypoglycemic

Take-hOme messages

• Non-adherence is a complex problem
• Chronic conditions = depleted self-reg function
• Tech may facilitate self-regulatory behaviors
• Tech training may be necessary
• Monitoring to expedite communication, most effective