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MEDICINE REMINDER APP A PROJECT REPORT Submitted by

SAURABH SHINDE (19BCE10028) NIRMAL RUSHIKESH (19BCE10003) HARSH KHANDELWAL (19BCE10325) in partial fulfilment for the award of the degree of

BACHELOR OF TECHNOLOGY In

COMPUTER SCIENCE AND ENGINEERING

SCHOOL OF COMPUTING SCIENCE AND ENGINEERING

VIT BHOPAL UNIVERSITY KALAN, SEHORE MADHYA PRADESH – 466114 October 2020

VIT BHOPAL UNIVERSITY KOTHRI KALAN, SEHORE MADHYA PRADESH – 466114

BONAFIDE CERTIFICATE

Certified that this project report titled “MEDICINE REMINDER APP” is the bonafide work of “SAURABH SHINDE (19BCE10028), NIRMAL RUSHIKESH (19BCE10003), HARSH KHANDELWAL(19BCE10325)” who carried out the project work under my supervision. Certified further that to the best of my knowledge the work reported here does not form part of any other project / research work on the basis of which a degree or award was conferred on an earlier occasion on this or any other candidate.

PROGRAM CHAIR Dr.M.Ashwin School of Computer Science and Engineering and Engineering

PROJECT GUIDE Dr. Praveen Lalwani School of Computer

VIT BHOPAL UNIVERSITY VIT BHOPAL UNIVERSITY

The Project Exhibition I Examination is held on 29/10/2020.

Science

ACKNOWLEDGEMENT

First and foremost I would like to thank the Lord Almighty for His presence and immense blessings throughout the project work. I wish to express my heartfelt gratitude to Dr.Manash kumar Mishra Head of the Department, School of Computer Science for much of his valuable support encouragement in carrying out this work. I would like to thank my internal guide Dr. Praveen Lalwani ,for continually guiding and actively participating in my project, giving valuable suggestions to complete the project work. I would like to thank all the technical and teaching staff of the School of Computer Science, who extended directly or indirectly all support. Last, but not the least, I am deeply indebted to my parents who have been the greatest support while I worked day and night for the project to make it a success.

ABSTRACT

This is an Android-based application in which an automatic alarm ringing system is implemented. It focuses on doctor and patient interaction. Patients need not remember their medicine dosage timings as they can set an alarm on their dosage timings. The alarm can be set for multiple medicines and timings including date, time and medicine description. A notification will be sent to them through email or message inside the system preferably chosen by the patients. They can search doctor disease wise. The patients will get the contact details of doctors as per their availability. Also the users can see different articles related to medical fields and health care tips. The system focuses on easy navigation and good user interface. Many such Medical Reminder Systems have been developed where a new hardware is required but in our work we have made an attempt to develop a system which is economical, time-saving and supports medication adherence.

KEYWORDS Automatic Alarm, Reminder System, Notification System, Medication Adherence, Medicine Scheduler

Index

CHAPTER NO.

TITLE Title Bonafide Certificate Acknowledgement Abstract Keywords

1.

INTRODUCTION 1.1 Motivation for work 1.2 Objective of the work 1.3 Goals

2.

LITERATURE REVIEW 2.1 Introduction 2.2 Research 2.3 Reasons

3.

SYSTEM ANALYSIS 3.1 Requirements 3.2 Limitations 3.3 Proposed system 3.4 Advantages of proposed system

4.

SYSTEM DESIGN AND IMPLEMENTATION 4.1 Set alarm module 4.2 Get notification module 4.3 Idea implementation

5.

FUTURE ENHANCEMENT AND CONCLUSION 5.1 Future work 5.2 Conclusion Reference

PAGE NO.

INTRODUCTION

The category of patients involve all human beings-teachers, students, businessmen, housewives, children and also all of us have a busy hectic schedule. Today’s life is full of responsibilities and stress. So people are prone to diseases of different types and it is our duty to make ourselves stay fit and healthy. If the patient stays at home then he or she might get someone to look after him/her but when one is not at home, is out of the city or state away from home then it is hard for the family members to call them and remind them their dosage timings every time. In our developing and technology dependent life we totally rely on gadgets especially smart phones. Today everyone has a smart phone. With this we get an opportunity to use technology in a better way so that it can be made useful to us. And it plays an important part in our daily life and helps us staying fit in many ways. The remarkable problem is that patients forget to take the proper medicines in proper proportion and in proper time. Medication adherence, which refers to the degree or extent to which a patient takes the right medication at the right time according to a doctor’s prescription, has recently emerged as a serious issue because many studies have reported that non-adherence may critically affect the patient, thereby raising medical costs[1]. Medication non adherence is a common, complex, and costly problem that contributes to poor treatment outcomes and consumes health care resources So we are introducing an Android application whose objective is to remind the patients of their dosage timings through Alarm Ringing system so that they can stay fit and healthy. Through navigation they can search doctors and hospitals and contact details so that they can easily get proper treatment on time. This application focuses on the people who forget to take medicines on time. It allows users to set an alarm along with the fields of date, time and medicine description which will allow them to set alarm for multiple medicines at different time intervals. The notification system will send a notification after setting an alarm. The user can activate or deactivate the notification accordingly. It will be sent as email or message as selected by the user. The patients can search doctor disease wise and area wise which will provide easy searching facility along with doctor’s contact information, visiting place and availability time. Medication reminders help in decreasing medication dispensing errors and wrong dosages.

GOALS The application is designed on Eclipse. It can be helpful in defense sector and emergency conditions (accidents) and can spread health care awareness. It is life-saving, money saving and time saving application which is easy to use and provides a good user interface.

MOTIVATION FOR WORK Many Medication Systems have been developed based upon different platforms and concepts. Use of healthcare related apps is growing but there are many issues related to their functionality. My MediHealth

[3] is a medication reminder system for children. It runs on mobile devices such as smart phones, providing user interfaces for configuring medication schedules and user alerts for reminding users about the time and type of medication according to the configured medication schedule. Some systems use sensors, radio-frequency identification (RFID), or motion detection technologies to ensure that patients actually take their medications [4][5][6]. Park et al proposed medication reminder synchronization system based on data synchronization. It transmits OMA (open mobile alliance) DS (data synchronization) based messages containing the patient’s medication data and the device configuration data to a remote manager/medical staff. It also synchronizes data (including medication schedules) modified/generated by these personnel in the medication server [1]. Prasad B has discussed the approach of Medicine reminder pro. It is a free application which supports up to 15 reminders. User can select them in either repeating or non-repeating alarm patterns. Any hourly time interval between alarms can be selected, starting from the minimum of 1 hour. At the scheduled time, application will produce a notification with an alarm, vibration or LED indication. [7] Zao et al have developed Wedjat – Smart Phone Application which tries to avoid medicine administration errors [8]. There are many loopholes of existing reminder systems. To list a few: They do not provide disease wise searching of the Doctors, no optional notification only compulsion, no facility for scheduling of appointments to the doctors. Some of the systems have a default alarm tone so the users cannot change them. The scheduled reminder suggests any kind of medicine, dose of medicine, etc. automatically without doctor’s prescription, which can cause harm to the patients. Lastly, many of the systems available require special hardware which need to be purchased. So this app would be of great help to peoples of various age groups as it would be free of cost and easy to function .

OBJECTIVE OF THE WORK

we are introducing an Android application whose objective is to remind the patients of their dosage timings through Alarm Ringing system so that they can stay fit and healthy. Through navigation they can search doctors and hospitals and contact details so that they can easily get proper treatment on time. This application focusses on the people who forget to take medicines on time. It allows users to set an alarm along with the fields of date, time and medicine description which will allow them to set alarm for multiple medicines at different time intervals. The notification system will send a notification after setting an alarm. The user can activate or deactivate the notification accordingly. It will be sent as email or message as selected by the user. The patients can search doctor disease wise and area wise which will provide easy searching facility along with doctor’s contact information, visiting place and availability time. Medication reminders help in decreasing medication dispensing errors and wrong dosages.

Literature Survey Introduction As stated by the WHO Poor adherence can lead to serious health risk. For instance, a recent study found out that the risk of hospitalized patients, having diabetes congestive heart failure, mellitus, hypertension, or hyper cholesterolmia who actually were non adherent to prescribed remedy was more in comparison with the general population. Nonadherence rate can vary widely, even in the rigid controlled and monitored environment of a clinical test. To mention, patients with long term conditions are questionable to follow prescription than those with acute state.

Research The effectiveness of a therapy or treatment directly depends upon a patient's ability and willingness to follow a prescribed regimen. The patient's ability for reading and understanding the instructions for medication is a key factor. Patients who face difficulties in understanding the instructions in a prescription which ultimately results in decreased adherence and poor medication management and consumption. Issues of low literacy must be recognized and strategies designed with this limitation in consideration. A patient with heart failure problem not taking prescribed medication or who tents to forget to take their medicine, costs the U.S. health care system an average of almost $8,000 annually, according to a 2011analysis published in Health Affairs. The gures are high for other illnesses too almost $4,000 per patient with high blood pressure, over $3,700per patient with diabetes and about $1,200 per patient with high cholesterol. Dr Brennan and a team of researchers at Brigham and Women's Hospital, in Boston, have been studying this issue since 2010 by analyzing pharmaceutical insurance claims data. They've determined several reasons behind not taking proper medication and among those, one of them is: There is a high degree of complications for patients who takes several different drugs for a variety

of conditions. There are currently around 80million U.S. residents with several chronic conditions and multiple medications to manage. Patients who have a several different kind of prescriptions are dubious to follow medications because they may have difficulty managing schedule that involves taking several different medications schedule throughout the day.

REASONS FOR LOW MEDICATION ADHERENCE. While designing and planning for this thesis, several papers had been gone through to make it possible as it was very challenging to complete the job with a limited knowledge. By taking into consideration of the Geriatric and also the disabled people we took survey of them by asking the basic need for them about medication. We asked people in NGO, about their medication problem, what kind of feasibility they expect about the medication reminder. Different papers related to medication reminder were also taken into consideration. “Automatic Pill Dispenser” In this paper, a device consisting of no interference of human. This system makes use of the concept of rotating compartments in circular step wise motion using stepper motor which is used to store the pills. It also purvey built in alarming system with the device consisting of LED and Buzzer to indicate the time of medication. But the main disadvantage of this system is, it needs manual handling of system. Also they have used smartphone, which is mostly not used by elderly people In “Pill Dispenser with alarm Via Smart phone notification” system, proposed a dispenser consisting of alarm system which helps to get alert in the form of notification on smartphones. They have used the available technology to send notification on the smartphone using instapush application. After receiving the notification user needs to press the dispenser button which is located at pill dispenser unit. But in this system, user needs to push the button on the dispensing unit which basically requires energy. Moreover it makes use of smartphone which is not used by many elderly people. “The Autonomous pill dispenser” The healthcare will create medications schedule using android app and loads medication in device. At prescribed time, patient receives text message notification to take the pills. Android app sends signals to device via Bluetooth. Patient needs to flip the unit so that one pill gets trapped in tip of the cone and using vibrator it gets dispensed. So it requires following particular steps for dispensing of medicines which is not easy task for aged people and disabled people. Also there are several patents published for various types of medication dispensing devices. A brief summary of the products

proposed by each patent is included below: Timed Medicine Dispenser: This Product is basically a timed based dispenser which will give notification to the user about the medication. In the dispenser unit, the pills need to be preseparated first in order to get correct dosage. Medicine reminder and dispenser: This device consist of 28 compartments having slide able plate which supports for dispensing of medicines which are arranged in forms of rows and columns[16]. Med Center Medication Reminder: This device organizes a months worth of medication with 4 daily alarms. This consist idea of color-coding and verbal reminders, for helping people which have complicated medication routines. The medicines have to be pre-separated and kept in the appropriate pillbox. Med Time: This product consist of a disk that rotates having several compartments consisting of pills separated within different compartments. It also contains alarm system and a timer, which can provide sound at particular schedule. For the overall operation the dosages must be separately put in the compartments which require the help of others. Several online articles discussed about the hazards and problems people are facing now a days regarding their medication. One thing that was evident in these writings was that, following the doctor's prescriptions timely has become a big challenge for people now a days.

System Analysis This section describes the architecture of the system. This system was developed using python, therefore the users only need to execute the main python executable with the relevant parameters described throughout this section in order to use it. A more detailed explanation over the files and directories that make up the system is described in the attachments section, under the User Guide section.

Requirements To proceed with the implementation of the system, we need to identify the requirements that are needed for us to be able to conclude it. We can summarise the main system requirements that need to be taken into consideration throughout the system implementation Which is the following: 1. 2. 3. 4.

The app should not fail in any condition. The database should be maintained properly. The alarm should work properly without any malfunction. Hardware system would be friendly to the software.

Limitations Makes use of the concept of rotating compartments in circular step wise motion using stepper motor which is used to store the pills. Notification on smartphone is provided. Smartphone rarely used by elderly patients. Cannot used by blind people, as it need to press the button on dispensing unit. They have used the available technology to send notification on the smartphone using instapush application. After receiving the notification user needs to press the dispenser button which is located at pill dispenser unit. They have used the available technology to send notification on the smartphone using instapush application. After receiving the notification user needs to press the dispenser button which is located at pill dispenser unit. This technology cannot be used by deaf people.

Proposed System The proposed system is based on Android Operating system which will remind the users to take medicines on time through notification and automatic alarm ringing system. Android is a Linux-based operating system designed primarily for touch screen mobile devices such as smart phones and tablet computers, developed by Google in conjunction with the Open Handset Alliance. Android was built from the ground-up to enable developers to create compelling mobile applications that take full advantage of all a handset has to offer. The system is specified on android operating system only because the market share of Android is high. Android also comes with an application development framework (ADF), which provides an API for application development and includes services for building GUI applications, data access, and other component types. The framework is designed to simplify the reuse and integration of components. Android apps are built using a mandatory XML manifest file. The manifest file values are bound to the application at compile time. This file provides essential information to an Android platform for managing the life cycle of an application. Examples of the kinds of information included in a manifest file are descriptions of the app’s components among other architectural and configuration properties. Components can be one of the following types: Activities, Services, Broadcast Receivers, and Content Providers

It reflects the overview of the app. Input to the system is the information entered by the patient which includes date, time, medicine name, doctor’s name, etc. The output of the system focuses on “Medication Adherence”. Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as whether they continue to take a prescribed medication. Medication nonadherence is a growing concern to clinicians, healthcare systems, and other stakeholders (eg, payers) because of mounting evidence that it is prevalent and associated with adverse outcomes and higher costs of care

ADVANTAGES OF THE PROPOSED SYSTEM The users will get the notifications through SMS also. It will provide the information about the medicine timings. The scheduled appointment with the doctor with the contact details including visiting time, venue and availability at dif...