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Measuring adherence to inhaled control medication in patients with asthma : Comparison among an asthma app, patient self-report and physician assessment

Cachim, Afonso (författare)
Univ Porto, Fac Med, 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 Porto, Allergy Unit, 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.
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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
Alves-Correia, Magna (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Inst & Hosp CUF Porto, Allergy Unit, Porto, Portugal.
Vieira-Marques, Pedro (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
Chaves-Loureiro, Claudia (författare)
Ctr Hosp & Univ Coimbra, Hosp Univ Coimbra, Pulmonol Dept, Coimbra, Portugal.;Clin Acad Ctr Coimbra, Coimbra, Portugal.
Ribeiro, Carmelita (författare)
Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.
Cardia, Francisca (författare)
Agrupamento Ctr Saude Dao Lafoes, Unidade Saude Familiar USF Terras Azurara, Mangualde, Portugal.
Gomes, Joana (författare)
Ctr Hosp Vila Nova de Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova de Gaia, Portugal.
Vidal, Carmen (författare)
Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.
Silva, Eurico (författare)
USF Joao Semana, Agrupamento Ctr Saude ACES Baixo Vouga, Ovar, Portugal.
Rocha, Sara (författare)
USF Arte Nova, ACES Baixo Vouga, Oliveirinha, Portugal.
Rocha, Diana (författare)
USF Sa de Miranda, ACES Cavado II Geres Cabreira, Vila Verde, Portugal.
Marques, Maria Luis (författare)
Hosp Senhora Oliveira, Serv Imunoalergol, Guimaraes, Portugal.
Pascoa, Rosalia (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.;USF Abel Salazar, ACES Gaia, Vila Nova de Gaia, Portugal.
Morais, Daniela (författare)
USF Corgo, ACES Douro I Marao & Douro Norte, Vila Real, Portugal.
Cruz, Ana Margarida (författare)
USF Bom Porto, ACES Grande Porto V Porto Ocidental, Porto, Portugal.
Santalha, Marta (författare)
Hosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal.
Simoes, Jose Augusto (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Caminhos do Certoma, ACES Baixo Mondego, Pampilhosa, Portugal.;Univ Beira Interior, Dept Med Sci, Covilha, Portugal.
da Silva, Sofia (författare)
USF Cuidarte, Unidade Local Saude Alto Minho, Portuzelo, Portugal.
Silva, Diana (författare)
Univ Porto, Fac Med, Porto, Portugal.;Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
Gerardo, Rita (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.
Todo Bom, Filipa (författare)
Hosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.
Morete, Ana (författare)
Inst & Hosp CUF Porto, Allergy Unit, Porto, Portugal.;Ctr Hosp Baixo Vouga, Hosp Infante D Pedro, Serv Imunoalergol, Aveiro, Portugal.
Vieira, Ines (författare)
ACES Pinhal Litoral, Unidade Cuidados Saude Personalizados Arnaldo Sam, Leiria, Portugal.
Vieira, Pedro (författare)
USF Mondego, ACES Baixo Mondego, Coimbra, Portugal.
Monteiro, Rosario (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Homem Do Leme, ACES Porto Ocidental, Porto, Portugal.
Rosario Raimundo, Maria (författare)
USF Marques, ACES Pinhal Litoral, Pombal, Portugal.
Monteiro, Luis (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Esgueira, ACES Baixo Vouga, Esgueira, Portugal.
Neves, Ângela (författare)
USF Araceti, ACES Baixo Mondego, Arazede, Portugal.
Santos, Carlos (författare)
USF Santo Antonio, ACES Cavado Barcelos Esposende 3, Barcelos, Portugal.
Penas, Ana Margarida (författare)
USF Baltar, ACES Tamega Vale Sousa Sul 2, Baltar, Portugal.
Regadas, Rita (författare)
USF Aquilino Ribeiro, ACES Douro Douro Sul 2, Moimenta da Beira, Portugal.
Varanda Marques, José (författare)
USF Viseu Cidade, ACES Dao Lafoes, Viseu, Portugal.
Rosendo, Inês (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Coimbra Ctr, ACES Baixo Mondego, Coimbra, Portugal.
Abreu Aguiar, Margarida (författare)
USF Valongo, ACES Grande Porto Maia Valongo 3, Valongo, Portugal.
Fernandes, Sara (författare)
UCSP Sao Joao da Pesqueira, ACES Douro Sul, Sao Joao da Pesqueira, Portugal.
Seica Cardoso, Carlos (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Condeixa, ACES Baixo Mondego, Condeixa A Nova, Portugal.
Pimenta, Filipa (författare)
UCSP Figueira Da Foz Sul, ACES Baixo Mondego, Lavos, Portugal.
Meireles, Patricia (författare)
USF Almedina, ACES Douro 2, Lamego, Portugal.
Goncalves, Mariana (författare)
USF Antonina, ACES Ave Famalicao, Requiao, Portugal.
Almeida Fonseca, João (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.;MEDIDA Med Educ Invest Desenvolvimento & Avaliaca, Porto, Portugal.
Jácome, 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.
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Univ Porto, Fac Med, 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 Porto, Allergy Unit, Porto, Portugal. (creator_code:org_t)
2023-02-15
2023
Engelska.
Ingår i: Clinical and Translational Allergy. - : John Wiley & Sons. - 2045-7022 .- 2045-7022. ; 13:2
Relaterad länk:
https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • BackgroundPrevious studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of shared decision making. Thus, we aimed to compare different measures of adherence to asthma control inhalers in clinical practice, namely through an app, patient self-report and physician assessment.MethodsThis study is a secondary analysis of three prospective multicentre observational studies with patients (≥13 years old) with persistent asthma recruited from 61 primary and secondary care centres in Portugal. Patients were invited to use the InspirerMundi app and register their inhaled medication. Adherence was measured by the app as the number of doses taken divided by the number of doses scheduled each day and two time points were considered for analysis: 1-week and 1-month. At baseline, patients and physicians independently assessed adherence to asthma control inhalers during the previous week using a Visual Analogue Scale (VAS 0–100).ResultsA total of 193 patients (72% female; median [P25–P75] age 28 [19–41] years old) were included in the analysis. Adherence measured by the app was lower (1 week: 31 [0–71]%; 1 month: 18 [0–48]%) than patient self-report (80 [60–95]) and physician assessment (82 [51–94]) (p < 0.001). A negligible non-significant correlation was found between the app and subjective measurements (ρ 0.118–0.156, p > 0.05). There was a moderate correlation between patient self-report and physician assessment (ρ = 0.596, p < 0.001).ConclusionsAdherence measured by the app was lower than that reported by the patient or the physician. This was expected as objective measurements are commonly lower than subjective evaluations, which tend to overestimate adherence. Nevertheless, the low adherence measured by the app may also be influenced by the use of the app itself and this needs to be considered in future studies.

Ämnesord

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

Nyckelord

asthma
clinical decision support systems
eHealth
medication adherence
mHealth
mobile apps
patient participation
self-management
smartphone
technology assessment

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