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Table 1 Summary of included studies

From: Systematic review of the health and societal effects of medication organisation devices

First Author

Year

Design

Location

Condition

Setting

Age (mean, (range))

Type of MOD (format)

Comparator

MOD filled by

Total n

Becker [20]

1986

RCT

USA

Hypertension

Hospital Outpatient

nr

Sealed. 28 consecutive-dose foil backed blisters (7x4). Packs were perforated so that blisters could be detached.

Standard packaging (bottles)

Automatic device

165

Carruthers [32]

2008

Audit

Australia

Mixed

Care Home

nr

Sealed. 28 consecutive-dose foil backed blisters (7x4). Websterpaks

n/a

Pharmacy

nr *

Crome [27]

1982

RCT

UK

Mixed

Hospital Inpatient

80.29 (68-98)

Unsealed, 28 consecutive-dose compartments (7x4). Dosett®

Standard packaging (bottles)

Unclear

78

Feetam [21]

1982

Prospective

UK

Mental Illness

Community

42.40 (18-68)

Unsealed, 28 consecutive-dose compartments (7x4). Can be divided into single days for convenience. Medidos®

Standard packaging (bottles)

Unclear

10

Huang [23]

2000

RCT

USA

Vitamin supplements in healthy volunteers

Community

58.00 (nr)

Unsealed. Seven consecutive-dose compartments (7x1).

Standard packaging (bottles)

Patient

183

Huang [23]

2000

RCT

USA

Vitamin supplements in healthy volunteers

Community

65.00 (nr)

Unsealed. Seven consecutive-dose compartments (7x1).

Standard packaging (bottles)

Patient

291

Levings [33]

1999

Audit

Australia

Mixed

Community

78.00 (nr)

nr

nr

Various

nr Æ—

MacIntosh [28]

2007

RCT

Canada

Cancer

Hospital Outpatient

64.00 (42-81)

Unsealed. 14 consecutive-dose compartments (7x2)

Standard packaging (nr)

Researcher

21

McElnay [19]

1992

Cross-section

UK

None

Community

nr

Unsealed, 28 consecutive-dose compartments, various format: Medisystem® (7 of 4x1); Medidos® (7x4), Supercel (7x4, pouches); Dosett®(7x4); Pill Mill® (1x28, wheel-type); Medi-wheel® (4 of 7x1, stacked wheel-type).

n/a

Pharmacist/ technician

6

Petersen [24]

2007

Prospective

USA

HIV

Community

44.00

(38-49)

nr

Standard packaging (bottles)

n/s

269

Rehder [25]

1980

RCT

USA

Hypertension

Hospital Outpatient

51.35 (31-69)

Unsealed, 28 consecutive-dose compartments Mediset®(7x4)

Standard packaging (bottles)

Pharmacy

50

Roberts [18]

2004

Multiple

Australia

Mixed

Community

76.80

nr

n/a

Pharmacy

353

Ryan-Woolley [29]

2005

RCT

UK

Mixed

Care Home

78.80 (67-92)

unclear

Standard packaging (nr)

Pharmacy

62

Simmons [26]

2000

RCT

New Zealand

Diabetes

Community

54.06 (nr)

Sealed. 28 consecutive-dose foil backed blisters (7x4).

Standard packaging (nr)

Pharmacy

68

Skaer [31]

1993

RCT

USA

Diabetes

Pharmacy

51.74

Sealed

Standard packaging (nr)

Pharmacy or researcher

131

Skaer [30]

1993

RCT

USA

Hypertension

Pharmacy

56.49 (nr)

Sealed

Standard packaging (nr)

Pharmacy or researcher

163

Stewart [34]

2001

Cross-section

UK

Mixed

Community

nr

nr

n/a

Nurses

96

Wong [22]

1987

RCT

USA

Mixed

Community

79.00 (66-90)

Sealed.^ 31 non-consecutive-dose foil-backed compartments. Each card serves one daily time point for one month e.g. breakfast.

Standard packaging (bottles)

Pharmacy or researcher

17

  1. Unsealed=resealable/reuseable rigid plastic with sliding or flip-top lids usually filled by patient; Sealed=heat or cold sealed with foil or paper, usually filled in pharmacy; n/a = not applicable; nr = not reported or insufficient detail; * Audit of 2480 patients’ Webster-paks™ at aged care facilities in New South Wales( 6972 packs were audited); Ɨ Study explored errors reported in the Australian Incident Monitoring Study, with analysis based on the 52 incidents involving MODs. ^ 31 compartments per card marked with days of the month. Only one compartment per day. Card marked with e.g. breakfast or dinner. A number of cards needed per patient on any one day