For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Otago study finds mindfulness apps can improve mental health
Otago study finds mindfulness apps can improve mental health

A University of Otago study has found that using mindfulness meditation applications (apps) on phones is associated with improvements in people’s mental health.
In a randomised, controlled trial, mindfulness app users reported modest improvements in depressive symptoms, resilience, mindfulness, and college adjustment, relative to control participants; as well as broader improvements relative to their starting mental health. Importantly, those who continued to use the apps frequently were more likely to maintain improvements in mental health until the end of the study.
The study, Mobile Mindfulness Meditation: a Randomised Controlled Trial
of the Effect of Two Popular Apps on Mental Health, has been published in the journal, Mindfulness. (Full Link below)
https://link.springer.com/article/10.1007/s12671-018-1050-9
Lead author, Jayde Flett, PhD candidate at Otago’s Department of Psychology and Department of Psychological Medicine, says the development and availability of mindfulness meditation apps provides new opportunities to practice mindfulness, which has been associated with a wide range of mental health benefits when practiced face-to-face.
“Mobile phones are often scorned as devices of distraction, but paradoxically, they may serve as a good platform to practice being in the moment and being mindful given their wide use,” Flett says.
App use was high at the outset of the study but dropped markedly when app use was at the discretion of the user, highlighting a need to investigate factors that relate to sustained app usage.
Although the modest improvements differed across the mindfulness apps, timeframe, frequency of use, and reference point, the results provide preliminary evidence that use of mobile mindfulness apps can improve some mental health outcomes in a non-clinical population. Further investigation of any longer-term effects is needed.
Flett says that while not all mobile mindfulness apps are created equal — they should not replace traditional face-to-face mindfulness programmes. Mindfulness apps represent a promising opportunity for improving mental health given their 'light touch', ease of use, availability, and accessibility. But, importantly, these tools are only effective if people use them.