Authors:
K. Charrière
1
;
C. L. Azzopardi
2
;
S. Pelayo
3
;
4
;
M. Nicolier
1
;
5
;
T. Lihoreau
1
;
4
;
F. Bellivier
6
;
7
;
8
;
9
;
E. Haffen
1
;
5
and
B. Wacogne
1
;
2
Affiliations:
1
Centre Hospitalier Universitaire de Besançon, Centre d’Investigation Clinique, INSERM CIC 1431, 25030, Besançon Cedex, France
;
2
FEMTO-ST Institute, Université de Bourgogne Franche-Comté, CNRS, 15B Avenue des Montboucons, 25030 Besancon, Cedex, France
;
3
Centre Hospitalier Universitaire de Lille, Centre d’Investigation Clinique, INSERM CIC-IT 1403, F-59000 Lille, France
;
4
Tech4Health Network - FCRIN, France
;
5
Department of Clinical Psychiatry, CHU de Besançon, UR LINC 481 Laboratoire de Recherches Intégratives en Neurosciences & psychologie Cognitive, University Bourgogne Franche-Comté, 25030, Besançon Cedex, France
;
6
AP-HP, GH Saint-Louis, Lariboisière, F. Widal, Department of Psychiatry and Addiction Medicine, 75475 Paris Cedex 10, France
;
7
Inserm, U1144, Paris, F-75006, France
;
8
Université Paris Descartes, UMR-S 1144, Paris, F-75006, France
;
9
Université Paris Diderot, Sorbonne Paris Cité, UMR-S 1144, Paris, F-75013, France 10FondaMental Foundation, Creteil, Hôpital Albert Chenevier, Pôle Psychiatrie, 40 rue de Mesly, 94000 Créteil, France
Keyword(s):
Self-monitoring in Vitro Medical Device, Lithium, Usability, European in Vitro Medical Devices Regulation.
Abstract:
Bipolar disorders are severe and complex psychiatric disorders and lithium remains one of the most effective drugs for relapse prevention. Despite its effectiveness, prescription of lithium therapy can be complicated because of its narrow therapeutic range. Furthermore, adherence to treatment is generally low. One means of improving adherence would be to make the patient an actor of his/her treatment. The possibility to control the lithium level with a device that can be used at home would favor this involvement. Although the main part of the work to produce a device is research and development, regulatory analysis, including usability, should not be neglected. Indeed, some design choices should be made taking into account usability constraints. This ensure the fabrication of a device which will be safe, effective and well accepted by the intended users. In this conference, we present actions taken in this direction during the R-Link project.