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Personalizing Treatment Adherence
Allan BowyerJanssen Healthcare Innovation
EMEA Solution Leader – Mobile Treatment Adherence
25 May 2016
PHGB/JHI/0516/0001 May 2016
Care4Today® Mission
Transform healthcare delivery
by connecting, supporting and
empowering patients and
providers.
When people become patients
PHGB/JHI/0914/0004
The cost of poor adherence
50% not taking prescribedmedication as directed1
€125 billion2
200,000 deaths
Poor adherence in perspective
Patients PharmaHealth systems
Good adherence is the sine qua non for personalized medicines
“Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments3”
Personalizing adherence
remind
engage motivate
educate
Care4Today®: Gateway to behavior change
Reminders Social support
Goal-setting
380,000+
Care4Today® Facts
50% 4.4/day 53%
Born <1960
36% 73% dosesindicated ‘taken’
Care4Today®: From medication adherence to treatment adherence
Patient App Health Care Professionals
Real-Time
Connection
Are we changing fast enough?
17 years4
http://jrs.sagepub.com/content/104/12/510.full
Accelerating personalization
IntelligenceInteroperabilityImplementation
Healthcare system and
policy
Healthcare org,
community, peer group
Provider -patient
Individual
Ecological Model5
From the Dashboard, providers can:
• Monitor patients’ adherence by medication
• Print patient opt-in instructions
• Sort data by Name, Adherence Percentage & Alert
• Create and print Individual Medication Plans
• Print individual adherence reports
Parting thoughts
• The most expensive treatment is that which goes unused
• Deliver personalized adherence support with a human touch
• Put people before process and technology
References
1. Adherence to Long-Term Therapies, Evidence for Action, World Health Organization, 2003
2. http://www.efpia.eu/topics/people-health/patient-adherence (retrieved 12 Feb 2016)
3. Attributed to Haynes et al in Adherence to long-Term Therapies, Evidence for Action, World Health Organization, 2003
4. http://jrs.sagepub.com/content/104/12/510.full (retrieved 12 Feb 2016)
5. Adapted from McLeroy et al. Health Educ Q 1988;15(4):351-77; Berben et al. WJNR, 2012 [adapted from Bronfenbrenner (1977, 1980)