Design for elderly

NEW MEDIA INTERVENTIONS TO IMPROVE MEDICINE NON ADHERENCE

Sponsor: Honeywell Technology Solutions

This project tries to understand the need for design and technology intervention to help elderly patients adhere to their medication schedule.

NEED

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1 Sudden change in health can be a lot to grasp for the elderly 2 New impositions/ limitations

on his everyday activities. 3 Increase in the number of medicines. Gets a lot of attention from family and caregiver.

ELDERAge: 75

SUDDEN FALL

Admitted in hospitalDoctor visits CHANGE IN

LIFESTYLE

Family alert & worried

Physically restrictedSuddenly dependentCan’t go for walk

Spike in medicines being taken

Continuous changes in medicines

As time moves on

Emergency medications increaseShort term medicationLong term medication

TYPES OF MEDICATIONS:

2

5

6

4 Different types of medications:Long term, short term, emergency medication.

5 Miscommunication and misinterpretation of multiple doctor feedback.

6 Stops taking all medications after he feels a little better. Can lead to adverse effects.

Elder starts recovering

Multiple medicines& lifestyle restrictions remain

Consults multiple doctors for follow up

Mixes up advice Increased anxietyAdditional costsToo many worry calls

More tests

Prolonged treatment& illness

Domestic help to monitor

Starts feeling a little better, stops taking medicines

Too much of attention, which can lead to agitation

Doctor 1

Feedback

Multiple instructions

Leads to lack of clarity and miscommunication

Doctor 2

Feedback

Attention from family reduces

Responsibility on spouse increase

ILLHEALTH RELAPSE

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is a product and engineering innovation company.

Looking for new insights in the medication adherence market. which may be potential business opportunities.

HONEYWELL TECHNOLOGY SOLUTIONS

COMPANY INTEREST

HONEYWELL PRECEDENTSHOMMED

Care Provider Systems:Remote monitoring systems aimed at improving communication and transfer of information.

Patient Devices:These are monitoring systems to collect vitals informationand communicate to the doctor/caregiver.

Sense of securityDevice to call caregivers and family in case of emergency or to know more about medication

Lifestream Mobile Devices:

Relationship: Hospital- Patient

Relationship: Hospital- Patient- Financer

Relationship: Hospital- Patient

Relationship: Patient- Doctor- Family

PRECEDENT STUDYTABLET TRANSACTIONS

REMINDER SYSTEMSDIGITAL CONNECTIVITY AESTHETIC APPEAL

INVOLVES SOCIAL CIRCLESGAMIFICATION TO BUILD INTERESTENHANCES FEEDBACK EXPERIENCE

GLOW CAP

VOCERA

SKYPEPHYSICAL TREATMENT GAMIFICATION

VOICE BASED SYMPTOMS TRACKING

FEEDBACK/ MONITORING LOOP

PHILIPS MED DISPENSER

MAYA WIRELESS BOX

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INPUTS FROM THE ELDERLY

TRIVENIStrip IdentificationLanguage barrierAnixety and fear of change

RANGESA

RAGHUNATH

VIJETA

Does NOT like being remindedLeaves medicines as soon as she feels a little bet-terNo schedule, medicines not kept properly

Has a caregiver; less efforts are put in by him to manageMedicines are integrated into lifestyle by caregiver(places of keeping, cut and kept, near bed stand)

Recognizes meds through: colour and shape of tablet(The packaging of some tablets change frequently)

Keeps adding new medicines. Does not bother much about old medicines being wasted.

Throws away the previous batch, no one knows how many he has actually taken

UNDERSTANDING THE ELDERLY

Technology

Emotional

Learning Curve

EnjoymentContributing amongst friends gives them a sense of responsibility.

Some programs like Microsoft Word and mobile banking give them a sense of control

Have a lot of privacy concerns while sharing account information

Google & healthLike learning new things on Google

Allows them to search their illness

Can lead to extreme information that might scare them

Memories hold an integral place in their lives.

Associate all with good old memories Small things give them a lot to cherish

Memories hold an integral place in their lives.

Associate all with good old memories

Once they learn something good, they try to stick to it

Pass on family traditions

Cherish media of their age

Like being in the safe zone

Pass on family traditions

Confusion leads to anxiety and resorting to older medium

Memory re-runs

Leads to frantic calls to family for help

- overlay medicine schedule on old lifestyle- involve while planning to give a sense of responsibilityacceptance of treatmentaccepting new technology(box)- easy to access & does not attract undue attention

ACCEPTANCE/ SEAMLESS INTEGRATION

LIFESTYLEIMMEDIATE ENVIRONMENT

- abstraction of health status- dynamic status - mobile wallpaper - living environment helps adhere

ENVIRONMENT INTEGRATION

ORGANIZING MEDICINES- easy to move around- simple to access medicines- easy to identify which medicine to take- easy to upload medicines- easy to change- more like a game- source of information for medicines- simple to identify if meds are taken- associate medicine timing with activity- open and carry box must be easy

PERSONALINDIVIDUAL

CONNECT & COMMUNICATEMEDICINE TIMINGS

- integrate in lifestyle- adjust to ongoing activity- alarms that don’t startle- personalize alarms- snooze patterns- overlay new with old sound cues- visual & audio notifications - must be heard in all activities- multiple devices

OUTSIDE ENVIRONMENTCOMMUNITY SHARING

- discuss with fellow ill people- involve friends circle- incentive based sharing- Facebook duo- Twitter duo- tag teams to use two boxes

COMMUNITY/ FRIEND CIRCLE

DIGITAL CONNECTIVITY

- check on adherence remotely- don’t pester asking about medicines too often- indicate when refill is needed- too many snoozes and notify- keep the dialogue going- motivate the elderly- schedule calls

- tips & important points from appointment- doctor coordination- medicine side effects & info- communicate adherence level when needed

- list basic medicines that might be useful to patient

DOCTOR PATIENT INFO EXCHANGE

FAMILY/ CAREGIVER

EMERGENCY MEDICINE INFORMATION

APPOINTMENT INFO

REDEFINED PROJECT BRIEF

ORGANISING &MONITORING

10K1

Y 100mg * 40AKSHT:90DF *

10K1


10KL

10KL

10KL

10KL

MOTIVATION COMMUNICATION INTERACTION WITHTECHNOLOGY

CONCEPT DEVELOPMENT

Concept exploration

This concept is to ensure that patients swallow their medicines.The glass of water has a cap which contains the medicines.

The cap senses the TILT and LOAD on it to determine whether thepatient has taken the medicine or not.

Cap Sensor:

10K1Y

KSHT:9

0DF *

10KL

10K1Y

KSSSHT: T:90

DF

*

10KLK

10

K

000001010101111

10K1Y 100mg * 40AKSHT:

90DF * 10K1Y

100mg*40AKSSSHT:T:

90DF *

PILL 1 PILL 3 PILL 5PILL 2 PILL 4 PILL 6

MOTIVATION& ORGANISING

PLEASE TAKEYOUR PILLS

PLEASE TAKEYOUR PILLS

OPPORTUNITIES BEING ADDRESSED: 1. making the process as simple and mindless as possible2. enhancing the medicine taking experience3. one point solution for all medicine related info4. reduce the errors while extracting medicines

Box indicates when it is time to take medicine from it. It has an LED that glows to indicate.

FINAL DESIGN CONCEPT

PROCESS

Verify if loaded properly

After planning the schedule

Patient gets medicationsand prescription home

He opens the box to load the medicines

PROCESS FLOW: SETTING UP THE BOX

Verify if loaded properly

The mobile application helps the patient load the cap on the correct bottle

Each bottle gets a cap, which is unique to each slot

The box then verifies each slot, bottle and cap. Only after complete verification is the schedule approved.

If not, a call is placed to the caregiver/ family member for assistance.

The bar code on the bottle is scanned by the mobile before loading.

The application helps the patient verify if the correct medicine has been loaded in the correct slot

BUTTON TO DISPENSE

KNOB TO DISPENSE

10KL

10KL

10K1


10KL

10KL

10K1


Customized alarm tone alerts the patient that it is time for medicine

The patient has to press the button to dispense

The bottles dispense pills according to preset into the cup below

OR manually turn the knobs in front of the bottles where the LED is ON

PROCESS FLOW: TAKING MEDICINES

BUTTON TO DISPENSE

KNOB TO DISPENSE

10KL

10KL

10K1


10KL

10KL

10K1


The patient removes the cup and has the medicine

The adherence chart in the mobile application gets updated to show the patient the progress he has made

An alert is sent to the patients family/pharmacist

CONCEPT BREAKDOWN

Stores medicine bottles.Dispenses medicines according to medicine time and dose.

The digital interface communicates information to and from the box. This intformation is stored over the internet and can be accessed from any digital device.

PRODUCT:INTERFACE:

The lids have unique grooves on the side to ensure each cap goes into the right groove.

The pills are dispensed as per the programming.

They are collected in the cup below.

Screen interface on lid.

Connects to the cloud database to obtain real time information on medication.

Each medicine bottle has a cap. This cap contains rotating levels that dispense one pill at the time of dose.

Easy to move around

Simple to access medicines

Compact & closed

Auto dispense

Digital screen shows information about medicines being taken such as: name, illness, quantity, side effects

Button on screen

LED indicates which knob to turn

Manual dispense

Kept on table/ hung on wall

ORGANIZING MEDICINES

Identify which medicines are being taken

BUTTON TO DISPENSE

KNOB TO DISPENSE

10KL

10KL

10K1


10KL

10KL

10K1


Everytime the patient snoozes or does not take the dose within the time frame, the box records skipped dose.

An alert is then sent to the patient’s phone via SMS/call and to the caregiver.

Load sensor:

Snooze sensor:

Simple to identify if medicines are being taken

Each bar code can be scanned on the box to get medicine information.

Important info about the medicine is also accessible through the interface.

Source of information for medicines

Can identify how many pills of each medicine are left in the bottle.

Allow room for adjustment in medicine timingKept at places of easy accessMultiple platforms

Alarms need to increase gradually in volume, so as to not startleMultiple media alarms: audio and visual alarms

If the alerts are available on multiple devices, then chances of the elder hearing them are higher.

Personalized alarms such as video clips, sounds, fav songs from family and friends can be assigned as alarms.

CONNECT & COMMUNICATE

Integrate in lifestyle

Alerts

Personalizealarms

.

Green to indicate

DOCTOR PATIENT INFO EXCHANGE

Appointment informationThe box allows the elder to access information from the doctor’s appointment.

Doctor coordinationSharing of files between different doctors can be initiated through the interface.

Medicine side effectsRelevant information for each medicine is stored in the application.

The elder can also make an emergency call to his doctor/caregiver.

Communicate adherence levelSingle button to send the medicine adherencereport to anybody.

Weekly reports are sent to pre assigned family members and caregivers.

Missed dose alert is sent immediately to the caregiver and elder

DOCTOR PHARMACIST

PATIENT

Emergency

FAMILY/ CAREGIVER

ACCEPTANCE/ SEAMLESS INTEGRATION

Pharmacist and patient plan medicine schedule according to the current lifestyle of the patientinvolve while planning to give a sense of responsibilityacceptance of treatmentaccepting new technology(box)

Remotely follow adherence level

Automated indication when refill is needed

Immediate alert when dose is skipped

Reminders to call elder & motivate themThe interface has an emergency button on every screen for the patient.This button directly connects to the emergency helpline or any emergency contact that the patient has listed.

INTERFACE DESIGN

Default screen on application

Alarm indicating ‘Time of Medicine’The alarm customised and personalised.Example: Video of grandchild asking grandad to take medicine.

The page also has a SNOOZE button and a DISPENSE button

Snooze Screen: Allows the user to postpone the medicine timing by a specific time frame.

More Information screen: This screen allows the user to call specific people for more information on medicine. It also provides the user with additional information on medicines.

Has provision to send report to family.

Setting up new medicines: The application connects with the cloud to download new medicine schedule.

The user just has to scan the barcode on the medicine bottle/strip to identify the medicine.

The application indicates which slot the bottle of medicines is supposed to go into.

Follow same procedure for all medicines.

Follow same procedure for all medicines.

After all the bottles are placed. The application verifies the bottles using a barcode/colour scanner.

Only after all the medicines and bottles are verified, does the application approve the new medication schedule.

Any abnormalities and a call is placed to the caregiver for assistance.

FUTURE STEPSThis proposal is the first step to a large number of solutions that can be proposed to develop medication friendly ecosystem for the elderly. Some of the ways in which the above concept can be further devleloped are:

Box improvements:Modular BoxCutting Medicines3Adjustable bottle capsThe box can have additional provisions for attachments such as BP monitors, Sugar monitors.

The box connectivity:Wearable electronicsActivity adjustable alarms