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  • Jacome, 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)

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

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • 2021-07-15
  • Frontiers Media S.A.2021
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-512876
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-512876URI
  • https://doi.org/10.3389/fmedt.2021.649506DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

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

Anmärkningar

  • 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.

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

  • 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)
  • 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, Allergy Unit, 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)
  • Vieira-Marques, PedroUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal. (författare)
  • Mendes, SandraUniv Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal. (författare)
  • Alves-Correia, MagnaInst & Hosp CUF, Allergy Unit, Porto, Portugal. (författare)
  • Ferreira, Jose AlbertoCtr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal. (författare)
  • Lopes, InesCtr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal. (författare)
  • Gomes, JoanaCtr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal. (författare)
  • Araujo, LuisInst & Hosp CUF, Allergy Unit, Porto, Portugal. (författare)
  • Couto, MarianaInst & Hosp CUF, Allergy Unit, Porto, Portugal. (författare)
  • Chaves Loureiro, ClaudiaHosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal. (författare)
  • Santos, Lilia MaiaHosp Dist Figueira Da Foz, Serv Pneumol, Figueira Da Foz, Portugal. (författare)
  • Arrobas, AnaHosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal. (författare)
  • Valerio, MargaridaHosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal. (författare)
  • Todo Bom, AnaCtr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal. (författare)
  • Azevedo, JoaoCtr Hosp Leiria, Imunoalergol, Leiria, Portugal. (författare)
  • Teixeira, Maria FernandaCtr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal. (författare)
  • Ferreira-Magalhaes, ManuelUniv 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. (författare)
  • Pinto, Paula LeiriaCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal. (författare)
  • Pinto, NicoleCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal. (författare)
  • Neves, Ana CastroCtr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal. (författare)
  • Morete, AnaCtr Hosp Baixo Vouga, Hosp Infante D Pedro, Serv Imunoalergol, Aveiro, Portugal. (författare)
  • Bom, Filipa TodoHosp Beatriz Angelo, Serv Pneumol, Loures, Portugal. (författare)
  • Costa, AlbertoHosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal. (författare)
  • Silva, DianaCtr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal. (författare)
  • Vasconcelos, Maria JoaoCtr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal. (författare)
  • Falcao, HelenaCtr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal. (författare)
  • Marques, Maria LuisCtr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal. (författare)
  • Mendes, AnaCtr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal. (författare)
  • Cardoso, JoaoCtr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal. (författare)
  • Cidrais Rodrigues, Jose CarlosHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal. (författare)
  • Oliveira, GeorgetaHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal. (författare)
  • Carvalho, JoanaHosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal. (författare)
  • Lozoya, CarlosHosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal. (författare)
  • Santos, NatachaCtr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal. (författare)
  • Menezes, FernandoHosp Garcia Orta, Serv Pneumol, Almada, Portugal. (författare)
  • Gomes, RicardoHosp Garcia Orta, Serv Pneumol, Almada, Portugal. (författare)
  • Camara, RitaServ Saude Reg Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal. (författare)
  • Alves, Rodrigo RodriguesHosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal. (författare)
  • Moreira, Ana SofiaHosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal. (författare)
  • Abreu, CarmoHosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal. (författare)
  • Silva, RuiHosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal. (författare)
  • Bordalo, DianaUniv 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. (författare)
  • Alves, Carlos (författare)
  • Lopes, CristinaHosp Pedro Hispano, Unidade Imunoalergol, Unidade Local Saude Matosinhos, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal. (författare)
  • Taborda-Barata, LuisCova 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. (författare)
  • Fernandes, Ricardo M. M.Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal. (författare)
  • Ferreira, RosarioCtr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal. (författare)
  • Chaves-Loureiro, CarlaCtr Hosp & Univ Coimbra, Serv Pediat Ambulatoria, Coimbra, Portugal. (författare)
  • Calix, Maria JoseHosp Sao Teotonio, Ctr Hosp Tondela Viseu, Serv Pediat, Viseu, Portugal. (författare)
  • Alves, AdelaideCtr Hosp Vila Nova De Gaia Espinho, Serv Pneumol, Unidade 1, Vila Nova De Gaia, Portugal. (författare)
  • Fonseca, Joao AlmeidaUniv 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. (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.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)

Sammanhörande titlar

  • Ingår i:Frontiers in Medical Technology: Frontiers Media S.A.32673-3129

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