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The prevalence of medication non-adherence poses a critical challenge with far-reaching health implications and substantial economic consequences. The PERACTIV project addresses this issue with a wrist-worn device that meticulously tracks hand and finger movements, offering real-time insights into medication intake routines. In the context of smart cities and healthcare innovation, this project provides a groundbreaking solution to the persistent problem of medication adherence. This paper introduces the integration of PERACTIV wearable technology with an automated annotation pipeline utilizing Force Sensing Resistor (FSR) technology. Placed strategically on the index finger, FSR records force during pivotal pill-related moments, eliminating the need for time-consuming manual data annotation. Together, the PERACTIV wearable and FSR-powered pipeline form a promising solution for medication adherence, particularly beneficial for individuals living independently and those with memory impairments. The research methodology involved focus groups to explore the intricacies of medication adherence challenges. Section 2 discusses the findings derived from these groups, providing a foundational understanding. Section 3 introduces the FSR-powered automated annotation pipeline, comprehensively analyzing micro-activities during pill-taking. These micro-activities encompass diverse elements, contributing to a holistic understanding crucial for effective analysis. This paper underscores the transformative potential of technology and innovation in healthcare research, setting the stage for seamless integration of medication adherence into daily life. The future promises a more connected and informed healthcare landscape driven by the synergy of PERACTIV wearable and FSR automation. 

Medication adherence is a major problem in the healthcare industry: it has a major impact on an individual’s health and is a major expense on the healthcare system. We note that much of human activity involves using our hands, often in conjunction with objects. Camera-based wearables for tracking human activities have sparked a lot of attention in the past few years. These technologies have the potential to track human behavior anytime, any place. This paper proposes a paradigm for medication adherence employing innovative wrist-worn camera technology. We discuss how the device was built, various experiments to demonstrate feasibility and how the device could be deployed to detect the micro-activities involved in pill taking so as to ensure medication adherence.