{"presentation":{"slides":[{"elements":[{"x":3.2679738562091507,"y":8.666306695464362,"width":51.19825708061002,"height":28.077753779697623,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

The Medication Event Reminder Monitor (MERM) is a digital pillbox that has been designed to monitor Multidrug-resistant TB (MDR-TB) treatment in resource-constrained settings, using relatively affordable technology and drugs provided by the National TB Elimination Programme (NTEP).<\/p>\n"},"subContentId":"4be906b5-fb39-42b4-9ada-2e5f8cae9cb3","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":58.82352941176471,"y":4.331663066954643,"width":34.85838779956427,"height":75.5939524838013,"action":{"library":"H5P.Image 1.1","params":{"decorative":false,"contentName":"Image","file":{"path":"images\/file-64358b1d59ddc.jpg","mime":"image\/jpeg","copyright":{"license":"U"},"width":309,"height":440},"expandImage":"Expand Image","minimizeImage":"Minimize Image"},"subContentId":"debc1960-ee05-433a-9363-4a153d7ceb64","metadata":{"contentType":"Image","license":"U","title":"Untitled Image"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":58.82352941176471,"y":82.3254859611231,"width":37.03703703703704,"height":15.11879049676026,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

Figure: MERM Container for Shorter\/ Longer Oral MDR-TB Regimen; Source: Guidelines for PMDT in India, 2021, p143.<\/em><\/span><\/p>\n\n

<\/p>\n"},"subContentId":"eef8515a-89f4-4e53-b2ca-4d9a6ae16091","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""},{"x":2.178649237472767,"y":32.39740820734341,"width":53.37690631808279,"height":64.79481641468682,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"

\n\t
This system is specifically designed to be used with multiple blister-packaged TB medications<\/strong> <\/span>in Drug-resistant TB (DR-TB) regimens.<\/li>\n\t
The MERM provides programmable visual and audible reminders of daily dosing and monthly refill<\/strong><\/span> by capturing data on pillbox opening as a proxy for dose ingestion.<\/li>\n\t
It transmits these data to a server so that Healthcare Providers (HCPs)\/ treatment supporters can remotely visualize dosing histories of individuals to support enhanced adherence counselling.<\/li>\n<\/ul>\n"},"subContentId":"baabac63-732e-42e6-adeb-e10f20bab29d","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}},{"elements":[{"x":2.178649237472767,"y":6.479481641468682,"width":92.5925925925926,"height":36.717062634989205,"action":{"library":"H5P.AdvancedText 1.1","params":{"text":"
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In addition, by providing near real-time adherence data, the MERM can facilitate the identification of high-risk individuals and prompt early intervention by HCPs<\/strong><\/span> to reduce non-adherence.<\/li>\n\t
When compared to facility-based Directly Observed Therapy (DOT) in which individuals travel to clinics to be observed taking their medications, monitoring using the MERM may also reduce the required frequency of client visits<\/strong><\/span> to TB clinics.<\/li>\n<\/ul>\n"},"subContentId":"690fa8d1-99cb-4857-a564-7bb017e756e1","metadata":{"contentType":"Text","license":"U","title":"Untitled Text"}},"alwaysDisplayComments":false,"backgroundOpacity":0,"displayAsButton":false,"buttonSize":"big","goToSlideType":"specified","invisible":false,"solution":""}],"slideBackgroundSelector":{}}],"keywordListEnabled":true,"globalBackgroundSelector":{},"keywordListAlwaysShow":false,"keywordListAutoHide":false,"keywordListOpacity":90},"override":{"activeSurface":false,"hideSummarySlide":false,"summarySlideSolutionButton":true,"summarySlideRetryButton":true,"enablePrintButton":true,"social":{"showFacebookShare":false,"facebookShare":{"url":"@currentpageurl","quote":"I scored @score out of @maxScore on a task at @currentpageurl."},"showTwitterShare":false,"twitterShare":{"statement":"I scored @score out of @maxScore on a task at @currentpageurl.","url":"@currentpageurl","hashtags":"h5p, course"},"showGoogleShare":false,"googleShareUrl":"@currentpageurl"}},"l10n":{"slide":"Slide","score":"Score","yourScore":"Your Score","maxScore":"Max Score","total":"Total","totalScore":"Total Score","showSolutions":"Show solutions","retry":"Retry","exportAnswers":"Export text","hideKeywords":"Hide sidebar navigation menu","showKeywords":"Show sidebar navigation menu","fullscreen":"Fullscreen","exitFullscreen":"Exit fullscreen","prevSlide":"Previous slide","nextSlide":"Next slide","currentSlide":"Current slide","lastSlide":"Last slide","solutionModeTitle":"Exit solution mode","solutionModeText":"Solution Mode","summaryMultipleTaskText":"Multiple tasks","scoreMessage":"You achieved:","shareFacebook":"Share on Facebook","shareTwitter":"Share on Twitter","shareGoogle":"Share on Google+","summary":"Summary","solutionsButtonTitle":"Show comments","printTitle":"Print","printIngress":"How would you like to print this presentation?","printAllSlides":"Print all slides","printCurrentSlide":"Print current slide","noTitle":"No title","accessibilitySlideNavigationExplanation":"Use left and right arrow to change slide in that direction whenever canvas is selected.","accessibilityCanvasLabel":"Presentation canvas. Use left and right arrow to move between slides.","accessibilityProgressBarLabel":"Choose slide to display","containsNotCompleted":"@slideName contains not completed interaction","containsCompleted":"@slideName contains completed interaction","slideCount":"Slide @index of @total","containsOnlyCorrect":"@slideName only has correct answers","containsIncorrectAnswers":"@slideName has incorrect answers","shareResult":"Share Result","accessibilityTotalScore":"You got @score of @maxScore points in total","accessibilityEnteredFullscreen":"Entered fullscreen","accessibilityExitedFullscreen":"Exited fullscreen","confirmDialogHeader":"Submit your answers","confirmDialogText":"This will submit your results, do you want to continue?","confirmDialogConfirmText":"Submit and see results","slideshowNavigationLabel":"Slideshow navigation"}}

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CHO-CH17: Medicine Event Reminder Monitor [MERM]

Medication Event Reminder Monitor [MERM] Boxes

MERM Box: Components

MERM Box: MERM Allocation in Nikshay