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  • Cachim, AfonsoUniv Porto, Fac Med, Porto, Portugal. (författare)

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

  • Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

  • 2023-02-15
  • John Wiley & Sons,2023
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-499390
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-499390URI
  • https://doi.org/10.1002/clt2.12210DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Pereira, Ana MargaridaUniv 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. (författare)
  • Almeida, RuteUniv 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. (författare)
  • Amaral, RitaUppsala 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(Swepub:uu)ritam997 (författare)
  • Alves-Correia, MagnaUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Inst & Hosp CUF Porto, Allergy Unit, Porto, Portugal. (författare)
  • Vieira-Marques, PedroUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal. (författare)
  • Chaves-Loureiro, ClaudiaCtr Hosp & Univ Coimbra, Hosp Univ Coimbra, Pulmonol Dept, Coimbra, Portugal.;Clin Acad Ctr Coimbra, Coimbra, Portugal. (författare)
  • Ribeiro, CarmelitaCtr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal. (författare)
  • Cardia, FranciscaAgrupamento Ctr Saude Dao Lafoes, Unidade Saude Familiar USF Terras Azurara, Mangualde, Portugal. (författare)
  • Gomes, JoanaCtr Hosp Vila Nova de Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova de Gaia, Portugal. (författare)
  • Vidal, CarmenComplejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain. (författare)
  • Silva, EuricoUSF Joao Semana, Agrupamento Ctr Saude ACES Baixo Vouga, Ovar, Portugal. (författare)
  • Rocha, SaraUSF Arte Nova, ACES Baixo Vouga, Oliveirinha, Portugal. (författare)
  • Rocha, DianaUSF Sa de Miranda, ACES Cavado II Geres Cabreira, Vila Verde, Portugal. (författare)
  • Marques, Maria LuisHosp Senhora Oliveira, Serv Imunoalergol, Guimaraes, Portugal. (författare)
  • Pascoa, RosaliaUniv 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. (författare)
  • Morais, DanielaUSF Corgo, ACES Douro I Marao & Douro Norte, Vila Real, Portugal. (författare)
  • Cruz, Ana MargaridaUSF Bom Porto, ACES Grande Porto V Porto Ocidental, Porto, Portugal. (författare)
  • Santalha, MartaHosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal. (författare)
  • Simoes, Jose AugustoUniv 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. (författare)
  • da Silva, SofiaUSF Cuidarte, Unidade Local Saude Alto Minho, Portuzelo, Portugal. (författare)
  • Silva, DianaUniv Porto, Fac Med, Porto, Portugal.;Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal. (författare)
  • Gerardo, RitaCtr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal. (författare)
  • Todo Bom, FilipaHosp Beatriz Angelo, Serv Pneumol, Loures, Portugal. (författare)
  • Morete, AnaInst & Hosp CUF Porto, Allergy Unit, Porto, Portugal.;Ctr Hosp Baixo Vouga, Hosp Infante D Pedro, Serv Imunoalergol, Aveiro, Portugal. (författare)
  • Vieira, InesACES Pinhal Litoral, Unidade Cuidados Saude Personalizados Arnaldo Sam, Leiria, Portugal. (författare)
  • Vieira, PedroUSF Mondego, ACES Baixo Mondego, Coimbra, Portugal. (författare)
  • Monteiro, RosarioUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Homem Do Leme, ACES Porto Ocidental, Porto, Portugal. (författare)
  • Rosario Raimundo, MariaUSF Marques, ACES Pinhal Litoral, Pombal, Portugal. (författare)
  • Monteiro, LuisUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Esgueira, ACES Baixo Vouga, Esgueira, Portugal. (författare)
  • Neves, ÂngelaUSF Araceti, ACES Baixo Mondego, Arazede, Portugal. (författare)
  • Santos, CarlosUSF Santo Antonio, ACES Cavado Barcelos Esposende 3, Barcelos, Portugal. (författare)
  • Penas, Ana MargaridaUSF Baltar, ACES Tamega Vale Sousa Sul 2, Baltar, Portugal. (författare)
  • Regadas, RitaUSF Aquilino Ribeiro, ACES Douro Douro Sul 2, Moimenta da Beira, Portugal. (författare)
  • Varanda Marques, JoséUSF Viseu Cidade, ACES Dao Lafoes, Viseu, Portugal. (författare)
  • Rosendo, InêsUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Coimbra Ctr, ACES Baixo Mondego, Coimbra, Portugal. (författare)
  • Abreu Aguiar, MargaridaUSF Valongo, ACES Grande Porto Maia Valongo 3, Valongo, Portugal. (författare)
  • Fernandes, SaraUCSP Sao Joao da Pesqueira, ACES Douro Sul, Sao Joao da Pesqueira, Portugal. (författare)
  • Seica Cardoso, CarlosUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;USF Condeixa, ACES Baixo Mondego, Condeixa A Nova, Portugal. (författare)
  • Pimenta, FilipaUCSP Figueira Da Foz Sul, ACES Baixo Mondego, Lavos, Portugal. (författare)
  • Meireles, PatriciaUSF Almedina, ACES Douro 2, Lamego, Portugal. (författare)
  • Goncalves, MarianaUSF Antonina, ACES Ave Famalicao, Requiao, Portugal. (författare)
  • Almeida Fonseca, JoãoUniv 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. (författare)
  • Jácome, CristinaUniv 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. (författare)
  • 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)

Sammanhörande titlar

  • Ingår i:Clinical and Translational Allergy: John Wiley & Sons13:22045-7022

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