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Case Studies

Medication Adherence

Evidence across real-world and controlled studies with results published in various scientific and medical journals
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10 min to read

Connected Medication management in the Home

Medication use between visits is largely invisible.

Patients fall out of routine, symptoms change, and risks emerge without timely intervention.

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Custom Health brings structure, visibility, and pharmacist-led clinical oversight into the home.

The following studies reflect how this model performs across both real-world use and controlled clinical settings.

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Real-World Evidence: Observational Study with the University of Waterloo

A prospective observational study conducted with the University of Waterloo School of Pharmacy, and published in the Journal of Medical Internet Research, evaluated the use of an in-home medication dispensing hub over a six-month period.

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Patients used the system as part of their normal routines, with no alteration to standard care protocols.

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Summary:

  • 98% medication adherence over six months
  • 86% System Usability Score (SUS)
  • Reduction in caregiver burden

This study demonstrates that structured medication management can be successfully integrated into daily life, with strong patient and caregiver acceptance.

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Controlled Evidence: Randomized Controlled Trial with Alberta Health Services

A randomized controlled trial conducted by researchers at Alberta Health Services, published in BMC Geriatrics and Medical Devices: Evidence and Research, evaluated the impact of a medication home hub compared to usual care in older adults living with chronic conditions.

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Participants using the system received guided medication prompts, real-time monitoring, and pharmacist-led follow-up based on adherence signals.

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Summary:

  • ~98% medication adherence over six months, higher than control
  • Improved patient-reported health outcomes compared to usual care

This study demonstrates that adding structure and visibility to medication use can improve adherence and patient-reported outcomes relative to standard care.

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What This Shows in Practice

Across both real-world and controlled settings, consistent patterns emerge:

  • Medication adherence improves when use is structured and monitored in the home
  • Visibility into dose-level behavior enables earlier intervention
  • Patients and caregivers are more supported without added complexity

These outcomes reflect what happens when medication use is continuously observed, interpreted, and acted on through a coordinated system of pharmacy, technology, and clinical care.

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Explore the Clinical Evidence

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‍Talk to our team about deploying connected medication management.‍

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