Imagine a world with an interoperable medication management system, where pediatric patients and caregivers are made aware of missed medications, potential side effects, and risks associated with medication use.  What would this system look like, and what additional resources would be needed to make it become a reality? 














We propose to create a medication scheduling and reminder system—MyMediHealth--and to test the hypothesis that medication adherence and disease burden can be improved when children with chronic illnesses and their families are empowered with MyMediHealth. As a result, this proposal addresses the research area of health IT to improve the quality and safety of medication management. Specifically, the goal of this study is to expand and assess the impact of a medication scheduling and reminder system component of a personal health record with the following objectives:

Develop a pediatric medications knowledgebase specific to the study population of adolescents diagnosed with asthma. This work will extend the work being done as a part of the STEPSTools project (AHRQ R18-17216) to include dosing information, special instructions, and other data available from publically available knowledge sources.

Adapt MyMediHealth in its current prototype form to patients diagnosed with asthma. With the assistance of teenagers diagnosed with asthma and their parents, we will employ established usability-testing approaches to help us iteratively improve MyMediHealth’s suitability for use in a home environment, and work with this team to develop an implementation plan.

Implement and evaluate the impact of MyMediHealth on medication adherence.  We will specifically focus on children with asthma to assess the impact of MyMediHealth on asthma control, medication adherence, disease burden and patient quality of life. We also will qualitatively evaluate the impact of MyMediHealth in environments where children may receive medications.