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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

2023-02-15Journal article Open access
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dc.contributor.authorCachim, Afonso
dc.contributor.authorPereira, Ana Margarida
dc.contributor.authorAlmeida, Rute
dc.contributor.authorAmaral, Rita
dc.contributor.authorCorreia, Magna Alves
dc.contributor.authorMarques, Pedro Vieira
dc.contributor.authorLoureiro, ClĂĄudia Chaves
dc.contributor.authorRibeiro, Carmelita
dc.contributor.authorCardia, Francisca
dc.contributor.authorGomes, Joana
dc.contributor.authorVidal, Carmen
dc.contributor.authorSilva, Eurico
dc.contributor.authorRocha, Sara
dc.contributor.authorRocha, Diana
dc.contributor.authorMarques, Maria LuĂ­s
dc.contributor.authorPĂĄscoa, RosĂĄlia
dc.contributor.authorMorais, Daniela
dc.contributor.authorCruz, Ana Margarida
dc.contributor.authorSantalha, Marta
dc.contributor.authorSimĂľes, JosĂŠ Augusto Rodrigues
dc.contributor.authorSilva, Sofia da
dc.contributor.authorSilva, Diana
dc.contributor.authorGerardo, Rita
dc.contributor.authorBom, Filipa Todo
dc.contributor.authorMorete, Ana
dc.contributor.authorVieira, InĂŞs
dc.contributor.authorVieira, Pedro
dc.contributor.authorMonteiro, RosĂĄrio
dc.contributor.authorRaimundo, RosĂĄrio
dc.contributor.authorMonteiro, LuĂ­s
dc.contributor.authorNeves, Ângela
dc.contributor.authorSantos, Carlos
dc.contributor.authorPenas, Ana Margarida
dc.contributor.authorRegadas, Rita
dc.contributor.authorMarques, JosĂŠ Varanda
dc.contributor.authorRosendo, InĂŞs
dc.contributor.authorAguiar, Margarida Abreu
dc.contributor.authorFernandes, Sara
dc.contributor.authorCardoso, Carlos Seiça
dc.contributor.authorPimenta, F.
dc.contributor.authorMeireles, PatrĂ­cia
dc.contributor.authorGonçalves, Mariana
dc.contributor.authorFonseca, Joao A
dc.contributor.authorJĂĄcome, Cristina
dc.date.accessioned2023-02-17T09:40:32Z
dc.date.available2023-02-17T09:40:32Z
dc.date.issued2023-02-15
dc.description.abstractBackground Previous 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. Methods This 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). Results A 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). Conclusions Adherence 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCachim, A, Pereira, AM, Almeida, R, et al. Measuring adherence to inhaled control medication in patients with asthma: comparison among an asthma app, patient self-report and physician assessment. Clin Transl Allergy. 2023;e12210.pt_PT
dc.identifier.doi10.1002/clt2.12210pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.6/12906
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWiley Online Librarypt_PT
dc.relationCenter for Health Technology and Services Research
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1002/clt2.12210pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAsthmapt_PT
dc.subjectClinical decision support systemspt_PT
dc.subjecteHealthpt_PT
dc.subjectMedication adherencept_PT
dc.subjectmHealthpt_PT
dc.subjectMobile appspt_PT
dc.subjectPatient participationpt_PT
dc.subjectSelf-managementpt_PT
dc.subjectSmartphonept_PT
dc.subjectTechnology assessmentpt_PT
dc.titleMeasuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self‐report and physician assessmentpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleCenter for Health Technology and Services Research
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04255%2F2020/PT
oaire.citation.issue2pt_PT
oaire.citation.startPagee12210pt_PT
oaire.citation.titleClinical and Translational Allergypt_PT
oaire.citation.volume13pt_PT
oaire.fundingStream6817 - DCRRNI ID
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