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Sökning: onr:"swepub:oai:DiVA.org:uu-512876" > Monitoring Adherenc...

Monitoring Adherence to Asthma Inhalers Using the InspirerMundi App : Analysis of Real-World, Medium-Term Feasibility Studies

Jacome, Cristina (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.
Almeida, Rute (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.
Pereira, Ana Margarida (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, 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 CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Polytech Inst Porto, Porto Hlth Sch, Dept Cardiovasc & Resp Sci, Porto, Portugal.
Vieira-Marques, Pedro (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
Mendes, Sandra (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
Alves-Correia, Magna (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Ferreira, Jose Alberto (författare)
Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
Lopes, Ines (författare)
Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
Gomes, Joana (författare)
Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
Araujo, Luis (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Couto, Mariana (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Chaves Loureiro, Claudia (författare)
Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Santos, Lilia Maia (författare)
Hosp Dist Figueira Da Foz, Serv Pneumol, Figueira Da Foz, Portugal.
Arrobas, Ana (författare)
Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Valerio, Margarida (författare)
Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Todo Bom, Ana (författare)
Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.
Azevedo, Joao (författare)
Ctr Hosp Leiria, Imunoalergol, Leiria, 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 CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, 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.
Morete, Ana (författare)
Ctr Hosp Baixo Vouga, Hosp Infante D Pedro, Serv Imunoalergol, Aveiro, Portugal.
Bom, Filipa Todo (författare)
Hosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.
Costa, Alberto (författare)
Hosp Senhora Oliveira, Serv Pediat, Guimaraes, 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.
Falcao, Helena (författare)
Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.
Marques, Maria Luis (författare)
Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.
Mendes, Ana (författare)
Ctr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal.
Cardoso, Joao (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
Cidrais Rodrigues, Jose Carlos (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.
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 Reg 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.
Abreu, Carmo (författare)
Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.
Silva, Rui (författare)
Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.
Bordalo, Diana (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Unidade Hosp Famalicao, Serv Pediat, Ctr Hosp Medio Ave, Vila Nova De Famalicao, Portugal.;Hosp Nossa Senhora Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.
Alves, Carlos (författare)
Lopes, Cristina (författare)
Hosp Pedro Hispano, Unidade Imunoalergol, Unidade Local Saude Matosinhos, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal.
Taborda-Barata, Luis (författare)
Cova Beira Univ Hosp Ctr, Dept Allergy & Clin Immunol, Covilha, Portugal.;Univ Beira Interior, CICS Hlth Sci Res Ctr, Covilha, Portugal.;NuESA Environm & Hlth Study Grp, Fac Hlth Sci, Covilha, Portugal.
Fernandes, Ricardo M. M. (författare)
Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.
Ferreira, Rosario (författare)
Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.
Chaves-Loureiro, Carla (författare)
Ctr Hosp & Univ Coimbra, Serv Pediat Ambulatoria, Coimbra, Portugal.
Calix, Maria Jose (författare)
Hosp Sao Teotonio, Ctr Hosp Tondela Viseu, Serv Pediat, Viseu, Portugal.
Alves, Adelaide (författare)
Ctr Hosp Vila Nova De Gaia Espinho, Serv Pneumol, Unidade 1, Vila Nova De Gaia, Portugal.
Fonseca, Joao Almeida (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;MEDIDA Med Educ Invest Desenvolvimento & Avaliaca, Porto, Portugal.
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Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal. Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal. (creator_code:org_t)
2021-07-15
2021
Engelska.
Ingår i: Frontiers in Medical Technology. - : Frontiers Media S.A.. - 2673-3129. ; 3
Relaterad länk:
https://doi.org/10.3...
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https://uu.diva-port... (primary) (Raw object)
https://www.frontier...
https://urn.kb.se/re...
https://doi.org/10.3...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Poor medication adherence is a major challenge in asthma and objective assessment of inhaler adherence is needed. InspirerMundi app aims to monitor inhaler adherence while turning it into a positive experience through gamification and social support.Objective: We assessed the medium-term feasibility of the InspirerMundi app to monitor inhaler adherence in real-world patients with persistent asthma (treated with daily inhaled medication). In addition, we attempted to identify the characteristics of the patients related to higher app use.Methods: Two real-world multicenter observational studies, with one initial face-to-face visit and a 4-month telephone interview, were conducted in 29 secondary care centers from Portugal. During an initial face-to-face visit, patients were invited to use the app daily to register their asthma medication intakes. A scheduled intake was considered taken when patients took a photo of the medication (inhaler, blister, or others) using the image-based medication detection tool. Medication adherence was calculated as the number of doses taken as a percentage of the number scheduled. Interacting with the app =30 days was used as the cut-off for higher app use.Results: A total of 114 patients {median 20 [percentile 25 to percentile 75 (P25-P75) 16-36] years, 62% adults} were invited, 107 (94%) installed the app and 83 (73%) completed the 4-month interview. Patients interacted with the app for a median of 18 [3-45] days, translated on a median use rate of 15 [3-38]%. Median inhaler adherence assessed through the app was 34 [4-73]% when considering all scheduled inhalations for the study period. Inhaler adherence assessed was not significantly correlated with self-reported estimates. Median adherence for oral and other medication was 41 [6-83]% and 43 [3-73]%, respectively. Patients with higher app use were slightly older (p = 0.012), more frequently taking medication for other health conditions (p = 0.040), and more frequently prescribed long-acting muscarinic antagonists (LAMA, p = 0.024). After 4 months, Control of Allergic Rhinitis and Asthma Test (CARAT) scores improved (p < 0.001), but no differences between patients interacting with the app for 30 days or less were seen.Conclusions: The InspirerMundi app was feasible to monitor inhaler adherence in patients with persistent asthma. The persistent use of this mHealth technology varies widely. A better understanding of characteristics related to higher app use is still needed before effectiveness studies are undertaken.

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
patient participation

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