The Development and Basic Properties Evaluation of Heart Medi Box Alert: Innovation for Medication Taking Support for Elderly with Cardiovascular Disease

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Dussadee Konartorn
Punnee Chaiwong
Chutamat Kitisri
Ranchana Nokham
Khanuengnit Phetcharat
Phitsanu Boonprasert
Nat Weerawan


Objectives: To develop innovative technology and evaluate the effectiveness of the Heart Medi Box Alert for medication-taking support for the elderly with cardiovascular disease. The data was collected between September 2020 and December 2021 Methods: The study employed the research and development approach, adopting the five-step design thinking concept model comprising empathize, define, ideate, prototype, and test. The research tools used included the accuracy test and user satisfaction assessment, with the latter evaluated by experts with a content validity index of 1. The study sample comprised 25 participants, including 10 elderly individuals, 10 caregivers, and five medical personnel. Results: The results indicate that all accuracy tests, including time-based alarms, data transmission through apps, pill box detection, push button processing, emergency forwarding, data recording and reporting, humidity and temperature measurement, and battery assessment, yielded 100% accuracy when compared to standard times. The elderly caregivers and medical personnel had a high level of satisfaction using this innovation (gif.latex?\bar{X} = 3.84, SD = .51) because it could be used in their daily routines and the solution was clear. The timely visual and audible reminders were particularly helpful in ensuring medication adherence alerts were triggered for emergency sublingual tablets, and an emergency push button was provided for immediate help. Conclusion: This innovation had the potential to benefit patients who were taking multiple medications and were at risk of experiencing adverse drug reactions or inconsistent medication intake.


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Konartorn, D., Chaiwong, P. ., Kitisri, C. ., Nokham, R. ., Phetcharat, K. ., Boonprasert , P. ., & Weerawan, N. . (2023). The Development and Basic Properties Evaluation of Heart Medi Box Alert: Innovation for Medication Taking Support for Elderly with Cardiovascular Disease. Journal of Research in Nursing-Midwifery and Health Sciences, 43(1), 118–132. Retrieved from
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Author Biography

Punnee Chaiwong, Faculty of Nursing, Chiang Rai College, Chiang Rai, Thailand.




Division of Non Communicable Diseases. Number and death rate from 5 non-communicable diseases (2017-2021) [Internet]. Nontaburi: Division of Non Communicable Diseases; 2023 [cited 2023 Feb 4]. Available from:

Sitthisooks Guidelines for ischemic heart disease in Thailand revised edition 2014. 2 nd ed. Bangkok: Srimuang Printing; 2014. Thai.

The Heart Association of Thailand under the Royal Patronage of H.M. The King. Thai chronic coronary syndromes guidelines 2021. 1st. Samut Prakan: NEXTSTEP D-SIGN; 2021. Thai.

Duangtipsirikul S, Vashiradilok P, Sirisamut T. A study of the situation of emergency medical services and the development of quality of emergency operations in patients with acute myocardial infarction. Nonthaburi: Research group office of academic research and development national institute of emergency medicine; 2022. Thai.

Rerkluengrit J, Kodchakri R, Pramuansup R. Self-care management guideline development for persons with heart failure in Nakornnayok province from patients and cargivers’ aspects on self-care abilities and readmission. Journal of Nursing and Health Care. 2014; 32(1): 137-51. Thai.

Ritruangsak S, Siripitayakunkit A, Malathum P. Self-care for medication use in adults with coronary artery disease. Cardio-Thorac Nurs. 2016; 27(1): 85-97. Thai.

Chaimeekhieo N, Srisaenpang P. Medication self management among older persons with multimorbidity in community. Journal of Nursing and Health Care. 2017; 35(2): 148-57. Thai.

Jansrithong P, Choowattanapakorn T. Factors predicting self management in older persons with acute coronary syndrome in tertiary hospitals, Bangkok. JNSCU. 2018; 30(2): 81-95. Thai.

Chaichanawirote U, Vithayachockititkhun N. Medication use behaviors among older Thai adult. Journal of Nursing and Health Sciences. 2015; 9(1): 32-45. Thai.

Ruangritchankul S. Polypharmacy in the elderly. Rama Med J. 2018; 41(1): 95-104. Thai.

Intana J, Pannarong K, Tawetanawanich Y, et al. Ensuring medication safety for older people: A protocol for nursing action. JPCN. 2021; 4(1): 17-32. Thai.

Suwannapong K, Klungrit S. Improving medication adherence in older persons with chronic illness. RTNNMDjournal. 2019; 46(3): 717-31. Thai.

Kotsin R, Banharak S, Panpanit L, et al. A survey of knowledge, belief, decision making when expecting acute myocardial infarction occurrence among community-dwelling older adults in Roi-et province. JHNR. 2020; 36(3): 1-17. Thai.

Suwanthara J, Noinongyao A. Medication reminder application [dissertation]. [Bangkok]: Faculty of Iformation Technology King Mongkut’s Institute of Technology Ladkrabang; 2018. 100 p.

Samhitha S, Srinath NK. Design and development of portable smart medicine dispenser. IJSRCSE. 2019; 5(3): 147-52.

Naresuan University. Naresuan University launches an innovation for the elderly, “Meddi, a smart home medicine dispenser” [Internet]. Thailand; 2017 [cited 2022 Sep 10]. Available from:

Treenet K, Tamchareon N, Treesunthon T, et al. Automatic medicine dispensing machine [Internet]. Bangkok university, Thailand; 2010 [cited 2022 Oct 12]. Available from:

Boriboon P, Sudnalao S, Chanopat P, et al. Medication reminder for the elderly [Internet]. Thailand innovation portal; 2015 [cited 2022 Oct 12]. Available from:

Sukmeung P, Jermchareun T, Booneur W. Automatic medicine dispenser inside Attawit commercial technology college [dissertation]. [Bangkok]: College of information technology Attawit commercial technology college; 2020. 181 p.

Bormann SV, Sayorwan W, Channim S, et al. Effects of medication reminder innovation on adherence and the quality of medicine. PHJBUU. 2018; 13(2): 117-25. Thai.

Plattner H. An introduction to design thinking process guide [Internet]. California: Institute of design at Stanford; 2019 [cited 2023 Feb 11]. Available from:

Gronman S, Lindfors E. The process models of design thinking a literature review and consideration from the perspective of craft, design and technology education. Techne Series A. 2021; 28(2): 110-8.

Asanok M. Integrated design thinking for instructional innovation development. Journal of educational technology and communications Faculty of Education Mahasarakham University. 2018; 1(1): 6-12. Thai.

Sujiranon P, Satitvanich S. Application of IOT wireless signal device to recording data of digital electrical meter [dissertation].[Chiang Mai]: Industrial engineering, Faculty of Engineering, Chiang Mai university; 2019. 54 p.

National Research Council of Thailand. Thailand inventors’ day 2020. Bangkok: Ministry of Higher Education, Science, Research and Innovation; 2020. Thai.

Thato R. Nursing research: Concepts to application. 4 th ed. Bangkok: Chulalongkorn University; 2018. Thai.

Pattanajak C. Medication adherence in elderly patients with chronic disease at Lad Pattana health promoting hospital, Muang district, Mahasarakham province. Mahasarakham Hospital Journal. 2019; 16(3): 13-22. Thai.

Jitautai W. Factors influencing medication adherence in hypertensive patients without complications [dissertation]. [Chonburi]: Faculty of Nursing Burapha University; 2021. 123 p.

Untaja P, Sindhu S. Evaluation project for factors associated successful access to treatment of the patients with STelevated

myocardial infarction (STEMI) to improve emergency medical services system [Internet]. Thailand innovation portal; 2011 [cited 2022 Oct 21]. Available from: