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• W93564497 abstract "Narcotic drug dependency rehabilitation programs aim to break with the routinesand habits relating to the acquisition and use of illicit drugs. Most narcoticdependency rehabilitation patients have to visit a pharmacy daily to obtainsupervised doses of narcotic rehabilitation medication. The aim of rehabilitationprograms is often to progress patients to take away doses (TADs). However, thereare inherent risks associated with TADs due to lack of security of the medication andmonitoring of its use.This thesis documents the design, development, and testing of a RemoteMedication Dispenser device which can provide a secure home-based method ofmedication delivery for these patients, in particular, for those using TADs. Bothclinical and functional requirements for the dispenser were considered in theconsultation with an expert health professional in this field. To meet therequirements, a secure and hands-free medication intake method was developed inwhich the device dispenses medication directly to the patient's mouth - under thetongue.The device has a microcontroller to internally control its operation, with externalcontrol achieved through a computer-based user interface. The device has anenclosed housing, thus if there is forced access to medication, evidence will beprominent. Medication is loaded into the dispenser only by pharmacists. A dosingsupervisor controls the dispensing operation through an internet connection; themedication is dispensed one by one and managed by the patient.Two prototypes of the dispenser were proposed and implemented. The first prototypeis a multi-dose device which can contain and dispense up to four doses. It wasdeveloped to study and investigate the proposed storing and dispensing approach.The second prototype is a single-dose device that contains only one dose ofmedication. The design was developed based on the first prototype withsimplification to make it more mobile and reliable. Moreover, the second prototypehas a remote control feature, which allows control via an internet connection. Bothdevices dispense the same type of medication and apply the same storing anddispensing method.The operation of the dispensers was assessed with lab-based trials. They bothoperated as expected and met the design's specifications except for unreliability ofthe multi-dose dispenser, which was related to its complexity. A patient trial was proposed using the second (single-dose) prototype with theremote control function. An Ethics Approval was granted in order to carry out theexperiment. A questionnaire, which concentrates on the design and its operation, wasdeveloped to obtain feedback from patients when they use the device. The trials willbe conducted subsequent to the submission of this thesis.In conclusion, the concept of a remote medication dispenser was successful interms of design and lab based assessment of the developed prototypes. The designhas potential to be applied in research and development, and in clinical settings,particularly in narcotic rehabilitation programs." @default.
• W93564497 created "2016-06-24" @default.
• W93564497 creator A5006782964 @default.
• W93564497 date "2010-01-01" @default.
• W93564497 modified "2023-09-24" @default.
• W93564497 title "Development of a remote medication dispenser for narcotic rehabilitation patients" @default.
• W93564497 hasPublicationYear "2010" @default.
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