Home-based Monitoring & Enabled Medication Independence With New Digital Tools

This clinical trial is studying an online tool that may help older adults safely manage their medications at home. The study focuses on older adults who live alone and have memory concerns or mild changes in thinking. Many people in this group take several medications, which can make it hard to keep track of when and how to take them, notice side effects, or know when to ask for help. In this study, participants use an online self-monitoring platform to record any problems, symptoms, or concerns they have while taking their medications. The platform also provides helpful education and suggestions for managing medications and symptoms. Participants can share summaries from the platform with their health care team, which may help improve communication and support. The goal of the study is to see whether this tool can help older adults feel more confident, informed, and prepared to manage their medications safely while living at home.

Inclusion Criteria: * Older adults (≥ 65 years old) * Living alone (residing in a single-family home, apartment, or independent senior housing unit with no other co-habitating adults or children; and having been living alone continuously for at least 6 months prior to screening) * With subjective or mild cognitive decline (a screening test to confirm) * Taking at least five prescribed medications concurrently * With suboptimal self-reported medication adherence (a screening test to confirm) * Having access to a computer or mobile device and internet service * Able to read and speak English Exclusion Criteria: * Having severe cognitive, vision, hearing, or other impairment * Unable to use computers or mobile devices * Relying on someone else to manage medications