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Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence : Mixed Methods Study

Jacome, Cristina (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.
Almeida, Rute (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.
Pereira, Ana Margarida (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
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Amaral, Rita (författare)
Uppsala universitet,Pediatrisk inflammations- och metabolismforskning samt barnhälsa,Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Porto Hlth Sch, Dept Cardiovasc & Resp Sci, Porto, Portugal
Mendes, Sandra (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.
Alves-Correia, Magna (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Vidal, Carmen (författare)
Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.
Lopez Freire, Sara (författare)
Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.
Mendez Brea, Paula (författare)
Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.
Araujo, Luis (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Couto, Mariana (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Antolin-Amerigo, Dario (författare)
Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
de la Hoz Caballer, Belen (författare)
Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
Barra Castro, Alicia (författare)
Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
Gonzalez-De-Olano, David (författare)
Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.
Bom, Ana Todo (författare)
Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.
Azevedo, Joao (författare)
Ctr Hosp Leiria, Imunoalergol, Leiria, Portugal.
Pinto, Paula Leiria (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
Pinto, Nicole (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
Neves, Ana Castro (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
Palhinha, Ana (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.
Bom, Filipa Todo (författare)
Hosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.
Costa, Alberto (författare)
Hosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal.
Loureiro, Claudia Chaves (författare)
Ctr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Santos, Lilia Maia (författare)
Hosp Dist Figueira Foz, Serv Pneumol, Figueira Da Foz, Portugal.
Arrobas, Ana (författare)
Ctr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Valerio, Margarida (författare)
Ctr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Cardoso, Joao (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
Emiliano, Madalena (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
Gerardo, Rita (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
Rodrigues, Jose Carlos Cidrais (författare)
Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
Oliveira, Georgeta (författare)
Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
Carvalho, Joana (författare)
Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
Mendes, Ana (författare)
Ctr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal.
Lozoya, Carlos (författare)
Hosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal.
Santos, Natacha (författare)
Ctr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.
Menezes, Fernando (författare)
Hosp Garcia Orta, Serv Pneumol, Almada, Portugal.
Gomes, Ricardo (författare)
Hosp Garcia Orta, Serv Pneumol, Almada, Portugal.
Camara, Rita (författare)
Serv Saude Regiao Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal.
Alves, Rodrigo Rodrigues (författare)
Hosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
Moreira, Ana Sofia (författare)
Hosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.
Bordalo, Diana (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Ctr Hosp Medio Ave, Serv Pediat, Unidade Hosp Famalicao, Vila Nova De Famalicao, Portugal.
Alves, Carlos (författare)
Hosp Nossa Senhora Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.
Ferreira, Jose Alberto (författare)
Ctr Hosp Vila Nova de Gaia Espinho, Serv Imunoalergol, Unidade Imunoalergol, Vila Nova De Gaia, Portugal.
Lopes, Cristina (författare)
Hosp Pedro Hispano, Unidade Local Saude Matosinhos, Unidade Imunoalergol, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal.
Silva, Diana (författare)
Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
Vasconcelos, Maria Joao (författare)
Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
Teixeira, Maria Fernanda (författare)
Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
Ferreira-Magalhaes, Manuel (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
Taborda-Barata, Luis (författare)
Cova Beira Univ, Dept Allergy & Clin Immunol, Hosp Ctr, Covilha, Portugal.;Univ Beira Interior, Fac Hlth Sci, Hlth Sci Res Ctr, Environm & Hlth Study Grp, Covilha, Portugal.
Calix, Maria Jose (författare)
Hosp Sao Teotonio, Ctr Hosp TondelaViseu, Serv Pediat, Viseu, Portugal.
Alves, Adelaide (författare)
Ctr Hosp Vila Nova de Gaia Espinho, Serv Pneumol, Vila Nova Gaia, Unidade 1, Vila Nova De Gaia, Portugal.
Fonseca, Joao Almeida (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Med Educ Invest Desenvolvimento & Avaliacao, Porto, Portugal.
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Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal. Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.;Univ Porto, Fac Med Informat & Hlth Decis Sci, Dept Community Med, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal. (creator_code:org_t)
2021-05-25
2021
Engelska.
Ingår i: JMIR mhealth and uhealth. - : JMIR Publications. - 2291-5222. ; 9:5
Relaterad länk:
https://doi.org/10.2...
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https://uu.diva-port... (primary) (Raw object)
https://mhealth.jmir...
https://urn.kb.se/re...
https://doi.org/10.2...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Background: Poor medication adherence is a major challenge in asthma, and objective assessment of inhaler adherence is needed. The InspirerMundi app aims to monitor adherence while providing a positive experience through gamification and social support. Objective: This study aimed to evaluate the feasibility and acceptability of the InspirerMundi app to monitor medication adherence in adolescents and adults with persistent asthma (treated with daily inhaled medication). Methods: A 1-month mixed method multicenter observational study was conducted in 26 secondary care centers from Portugal and Spain. During an initial face-to-face visit, physicians reported patients' asthma therapeutic plan in a structured questionnaire. During the visits, patients were invited to use the app daily to register their asthma medication intakes. A scheduled intake was considered taken when patients registered the intake (inhaler, blister, or other drug formulation) by using the image-based medication detection tool. At 1 month, patients were interviewed by phone, and app satisfaction was assessed on a 1 (low) to 5 (high) scale. Patients were also asked to point out the most and least preferred app features and make suggestions for future app improvements. Results: A total of 107 patients (median 27 [P25-P75 14-40] years) were invited, 92.5% (99/107) installed the app, and 73.8% (79/107) completed the 1-month interview. Patients interacted with the app a median of 9 (P25-P75 1-24) days. At least one medication was registered in the app by 78% (77/99) of patients. A total of 53% (52/99) of participants registered all prescribed inhalers, and 34% (34/99) registered the complete asthma therapeutic plan. Median medication adherence was 75% (P25-P75 25%-90%) for inhalers and 82% (P25-P75 50%-94%) for other drug formulations. Patients were globally satisfied with the app, with 75% (59/79) scoring >= 4,; adherence monitoring, symptom monitoring, and gamification features being the most highly scored components; and the medication detection tool among the lowest scored. A total of 53% (42/79) of the patients stated that the app had motivated them to improve adherence to inhaled medication and 77% (61/79) would recommend the app to other patients. Patient feedback was reflected in 4 major themes: medication-related features (67/79, 85%), gamification and social network (33/79, 42%), symptom monitoring and physician communication (21/79, 27%), and other aspects (16/79, 20%). Conclusions: The InspirerMundi app was feasible and acceptable to monitor medication adherence in patients with asthma. Based on patient feedback and to increase the registering of medications, the therapeutic plan registration and medication detection tool were redesigned. Our results highlight the importance of patient participation to produce a patient-centered and engaging mHealth asthma app.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

Nyckelord

mHealth
smartphone
technology assessment
medication adherence
self-management
gamification
patient participation

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