Publications by authors named "Aaron Ganci"

Purpose: Symptom tracking systems are essential for identifying symptoms in patients, prompting timely clinical intervention to reduce suffering and improve outcomes for children with cancer. Electronic patient-reported outcome tools have been designed to assess the presence and severity of symptoms and notify clinicians of the patient's condition, facilitating quick and effective symptom management. Utilizing co-design methods allows end user input in the tool development process.

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Background: Caregiver-assisted medication management plays a critical role in promoting medication adherence and quality of life for people living with Alzheimer disease or related dementias (ADRD). The current landscape of digital and nondigital interventions to support medication management does not meet caregivers' needs, contexts, and levels of technological proficiency. Intervention development can be facilitated using personas or data-driven archetypes that represent end users' traits relevant to solution design.

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Background: Older adults' use of anticholinergic medications is associated with increased risks. Despite widespread use of over-the-counter (OTC) anticholinergics, interventions to decrease older adults' anticholinergic use have focused mainly on deprescribing of prescription anticholinergics, with little attention to OTC anticholinergics. Consumer-facing health technology in community pharmacy settings may decrease older adults' OTC anticholinergic use.

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Background: Digital health interventions are a promising method for delivering timely support to underresourced family caregivers. The uptake of digital health interventions among caregivers may be improved by engaging caregivers in participatory design (PD). In recent years, there has been a shift toward conducting PD remotely, which may enable participation by previously hard-to-reach groups.

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Background And Objective: Systematically supporting caregiver-assisted medication management through IT interventions is a critical area of need toward improving outcomes for people living with ADRD and their caregivers, but a significant gap exists in the evidence base from which IT interventions to support caregivers' medication tasks can be built. User-centered design can address the user needs evidence gap and provide a scientific mechanism for developing IT interventions that meet caregivers' needs. The present study employs the three phases of user-centered design to address the first two stages of the NIH Stage Model for Behavioral Intervention Development.

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Background: As many as 50% of people experience medication nonadherence, yet studies for detecting nonadherence and delivering real-time interventions to improve adherence are lacking. Mobile health (mHealth) technologies show promise to track and support medication adherence.

Objective: The study aimed to evaluate the feasibility and acceptability of using an mHealth system for medication adherence tracking and intervention delivery.

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Purpose: Evidence suggests pillboxes are effective for improving medication adherence. However, prior descriptive studies about pillbox use are limited to studies of older adults or condition-specific studies. This study describes characteristics of adults with chronic conditions and their use of pillboxes.

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