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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00011904naa a2201033 4500
001oai:DiVA.org:uu-512876
003SwePub
008231002s2021 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5128762 URI
0247 a https://doi.org/10.3389/fmedt.2021.6495062 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 CINTESIS, Porto, Portugal.;Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Porto, Portugal.4 aut
2451 0a Monitoring Adherence to Asthma Inhalers Using the InspirerMundi App :b Analysis of Real-World, Medium-Term Feasibility Studies
264 c 2021-07-15
264 1b Frontiers Media S.A.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. 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.
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 patient participation
7001 a Almeida, Ruteu 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.4 aut
7001 a Pereira, Ana Margaridau 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.4 aut
7001 a Amaral, Ritau 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.4 aut0 (Swepub:uu)ritam997
7001 a Vieira-Marques, Pedrou Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.4 aut
7001 a Mendes, Sandrau Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.4 aut
7001 a Alves-Correia, Magnau Inst & Hosp CUF, Allergy Unit, Porto, Portugal.4 aut
7001 a Ferreira, Jose Albertou Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.4 aut
7001 a Lopes, Inesu Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.4 aut
7001 a Gomes, Joanau Ctr Hosp Vila Nova De Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.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 Chaves Loureiro, Claudiau Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
7001 a Santos, Lilia Maiau Hosp Dist Figueira Da Foz, Serv Pneumol, Figueira Da Foz, Portugal.4 aut
7001 a Arrobas, Anau Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
7001 a Valerio, Margaridau Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
7001 a Todo Bom, Anau Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.4 aut
7001 a Azevedo, Joaou Ctr Hosp Leiria, Imunoalergol, Leiria, 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 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.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 Morete, Anau Ctr Hosp Baixo Vouga, Hosp Infante D Pedro, Serv Imunoalergol, Aveiro, 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 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 Falcao, Helenau Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.4 aut
7001 a Marques, Maria Luisu Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.4 aut
7001 a Mendes, Anau Ctr Hosp Univ Lisboa Norte, Hosp Santa Maria, Serv Imunoalergol, Lisbon, Portugal.4 aut
7001 a Cardoso, Joaou Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Serv Pneumol, Lisbon, Portugal.4 aut
7001 a Cidrais Rodrigues, Jose Carlosu 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 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 Reg 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 Abreu, Carmou Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.4 aut
7001 a Silva, Ruiu Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.4 aut
7001 a Bordalo, Dianau 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.4 aut
7001 a Alves, Carlos4 aut
7001 a Lopes, Cristinau Hosp Pedro Hispano, Unidade Imunoalergol, Unidade Local Saude Matosinhos, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Bas & Clin, Porto, Portugal.4 aut
7001 a Taborda-Barata, Luisu 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.4 aut
7001 a Fernandes, Ricardo M. M.u Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.4 aut
7001 a Ferreira, Rosariou Ctr Hosp Lisboa Norte, Hosp Santa Maria, Dept Pediat, Lisbon, Portugal.4 aut
7001 a Chaves-Loureiro, Carlau Ctr Hosp & Univ Coimbra, Serv Pediat Ambulatoria, Coimbra, Portugal.4 aut
7001 a Calix, Maria Joseu Hosp Sao Teotonio, Ctr Hosp Tondela Viseu, Serv Pediat, Viseu, Portugal.4 aut
7001 a Alves, Adelaideu Ctr Hosp Vila Nova De Gaia Espinho, Serv Pneumol, Unidade 1, Vila Nova De Gaia, Portugal.4 aut
7001 a Fonseca, Joao Almeidau 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.4 aut
7102 a 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.b 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.4 org
7730 t Frontiers in Medical Technologyd : Frontiers Media S.A.g 3q 3x 2673-3129
8564 u https://doi.org/10.3389/fmedt.2021.649506y Fulltext
8564 u https://uu.diva-portal.org/smash/get/diva2:1801455/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://www.frontiersin.org/articles/10.3389/fmedt.2021.649506/pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-512876
8564 8u https://doi.org/10.3389/fmedt.2021.649506

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