Medido.

Medido versus regular care on physical disabilities.

The expectation is that the use of Medido is a substantial improvement in the treatment and that physical disabilities will decrease. Also the cost effectiveness of Medido will be taken into account.

Baseline en after 3 months.

This study is a prospective randomized controlled trial (RCT) with a follow up of 3 months. The interventions, Medido versus usual care, are randomly assigned to the patients and will be stratified by hospital (MST and ZGT). Measurements will take place at baseline, and after three months. At the end of the study it will be determined if there is a significant difference in ALDS between the two groups of patients.



The Medido is a medication dispenser with a CE characteristic and is used to make medication intake easier for patients. Patients are reminded to intake their medication, including non-Parkinson medication, by means of sound and light signals. Patients have to press a button to make the Medido dispense the next baxtered medication. Also the baxtered medication bag will be automatically opened by the Medido. If it is not possible to Baxter a specific medication (e.g. inhaled medication), the medication has to be taken apart from the Baxter. For half tablets a solution will be found; possibly a capsule will be used. Changes in medication use during the study are passed on to the pharmacist, which is regular care. Subsequently, the baxtered medication can be changed. When is it needed, the time of intake can also be changed. This can be done remotely.
Patient take home the Medido and the pharmacist will fill the Medido at the patients home. Every pharmacist can fill the Medido. Depending upon the amount of medication, this can be done for a maximum of two weeks. The pharmacist calls the company that controls the Medido (Innospense) to upload the specific week schedule for the patient.
Thereafter, the patient can use the device and the patient will be reminded to take the medication. When this does not happen, a signal is sent to the call centre of Innospense and this will be recorded. The patient receives a short text message from the call centre. When this happens again within the same programmed time frame, the call centre will call the patient. When this happens two times a day a day, the investigator will call the patient.