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WFRF:(Lopez Jose Manuel)
 

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FältnamnIndikatorerMetadata
00012313naa a2201033 4500
001oai:DiVA.org:uu-451567
003SwePub
008210916s2021 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4515672 URI
0247 a https://doi.org/10.2196/264422 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Jacome, Cristinau 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.4 aut
2451 0a Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence :b Mixed Methods Study
264 c 2021-05-25
264 1b JMIR Publications,c 2021
338 a electronic2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Lungmedicin och allergi0 (SwePub)302192 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Respiratory Medicine and Allergy0 (SwePub)302192 hsv//eng
653 a mHealth
653 a smartphone
653 a technology assessment
653 a medication adherence
653 a self-management
653 a gamification
653 a patient participation
7001 a Almeida, Ruteu 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.4 aut
7001 a Pereira, Ana Margaridau 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.4 aut
7001 a Amaral, Ritau 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, Portugal4 aut0 (Swepub:uu)ritam997
7001 a Mendes, Sandrau Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Rua Dr Placido da Costa, P-4200450 Porto, Portugal.4 aut
7001 a Alves-Correia, Magnau Inst & Hosp CUF, Allergy Unit, Porto, Portugal.4 aut
7001 a Vidal, Carmenu Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.4 aut
7001 a Lopez Freire, Sarau Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.4 aut
7001 a Mendez Brea, Paulau Complejo Hosp Univ Santiago, Serv Alergia, Santiago De Compostela, Spain.4 aut
7001 a Araujo, Luisu Inst & Hosp CUF, Allergy Unit, Porto, Portugal.4 aut
7001 a Couto, Marianau Inst & Hosp CUF, Allergy Unit, Porto, Portugal.4 aut
7001 a Antolin-Amerigo, Dariou Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.4 aut
7001 a de la Hoz Caballer, Belenu Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.4 aut
7001 a Barra Castro, Aliciau Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.4 aut
7001 a Gonzalez-De-Olano, Davidu Hosp Univ Ramon y Cajal, Inst Ramon y Cajal Invest Sanitaria, Serv Alergia, Madrid, Spain.4 aut
7001 a Bom, Ana Todou Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.4 aut
7001 a Azevedo, Joaou Ctr Hosp Leiria, Imunoalergol, Leiria, Portugal.4 aut
7001 a Pinto, Paula Leiriau Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.4 aut
7001 a Pinto, Nicoleu Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.4 aut
7001 a Neves, Ana Castrou Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.4 aut
7001 a Palhinha, Anau Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefania, Serv Imunoalergol, Lisbon, Portugal.4 aut
7001 a Bom, Filipa Todou Hosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.4 aut
7001 a Costa, Albertou Hosp Senhora Oliveira, Serv Pediat, Guimaraes, Portugal.4 aut
7001 a Loureiro, Claudia Chavesu Ctr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
7001 a Santos, Lilia Maiau Hosp Dist Figueira Foz, Serv Pneumol, Figueira Da Foz, Portugal.4 aut
7001 a Arrobas, Anau Ctr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
7001 a Valerio, Margaridau Ctr Hosp & Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
7001 a Cardoso, Joaou Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.4 aut
7001 a Emiliano, Madalenau Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.4 aut
7001 a Gerardo, Ritau Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.4 aut
7001 a Rodrigues, Jose Carlos Cidraisu Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.4 aut
7001 a Oliveira, Georgetau Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.4 aut
7001 a Carvalho, Joanau Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.4 aut
7001 a Mendes, Anau Ctr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal.4 aut
7001 a Lozoya, Carlosu Hosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal.4 aut
7001 a Santos, Natachau Ctr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.4 aut
7001 a Menezes, Fernandou Hosp Garcia Orta, Serv Pneumol, Almada, Portugal.4 aut
7001 a Gomes, Ricardou Hosp Garcia Orta, Serv Pneumol, Almada, Portugal.4 aut
7001 a Camara, Ritau Serv Saude Regiao Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal.4 aut
7001 a Alves, Rodrigo Rodriguesu Hosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.4 aut
7001 a Moreira, Ana Sofiau Hosp Divino Espirito Santo, Serv Imunoalergol, Ponta Delgada, Portugal.4 aut
7001 a Bordalo, Dianau 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.4 aut
7001 a Alves, Carlosu Hosp Nossa Senhora Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.4 aut
7001 a Ferreira, Jose Albertou Ctr Hosp Vila Nova de Gaia Espinho, Serv Imunoalergol, Unidade Imunoalergol, Vila Nova De Gaia, Portugal.4 aut
7001 a Lopes, Cristinau Hosp Pedro Hispano, Unidade Local Saude Matosinhos, Unidade Imunoalergol, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal.4 aut
7001 a Silva, Dianau Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.4 aut
7001 a Vasconcelos, Maria Joaou Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.4 aut
7001 a Teixeira, Maria Fernandau Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.4 aut
7001 a Ferreira-Magalhaes, Manuelu 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.4 aut
7001 a Taborda-Barata, Luisu 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.4 aut
7001 a Calix, Maria Joseu Hosp Sao Teotonio, Ctr Hosp TondelaViseu, Serv Pediat, Viseu, Portugal.4 aut
7001 a Alves, Adelaideu Ctr Hosp Vila Nova de Gaia Espinho, Serv Pneumol, Vila Nova Gaia, Unidade 1, Vila Nova De Gaia, Portugal.4 aut
7001 a Fonseca, Joao Almeidau 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.4 aut
7102 a 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.b 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.4 org
7730 t JMIR mhealth and uhealthd : JMIR Publicationsg 9:5q 9:5x 2291-5222
8564 u https://doi.org/10.2196/26442y Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1594724/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://mhealth.jmir.org/2021/5/e26442/PDF
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-451567
8564 8u https://doi.org/10.2196/26442

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