Portal de investigação
Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence: Mixed Methods Study
Data de publicação:
Autores da FMUP
Participantes de fora da FMUP
- Mendes, S
- Alves Correia, M
- Vidal, C
- Freire, SL
- Brea, PM
- Couto, M
- Antolin Amerigo, D
- Caballer, BD
- Castro, AB
- Gonzalez De Olano, D
- Bom, AT
- Azevedo, J
- Pinto, PL
- Pinto, N
- Neves, AC
- Palhinha, A
- Bom, FT
- Costa, A
- Loureiro, CC
- Santos, LM
- Arrobas, A
- Valerio, M
- Cardoso, J
- Emiliano, M
- Gerardo, R
- Rodrigues, JCC
- Oliveira, G
- Carvalho, J
- Mendes, A
- Lozoya, C
- Santos, N
- Menezes, F
- Gomes, R
- Câmara, R
- Alves, RR
- Moreira, AS
- Alves, C
- Ferreira, JA
- Lopes Abreu, C.
- Vasconcelos, MJ
- Teixeira, MF
- Ferreira Magalhaes, M
- Taborda Barata, L
- Calix, MJ
- Alves, A
Unidades de investigação
Abstract
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.
Dados da publicação
- ISSN/ISSNe:
- 2291-5222,
- Tipo:
- Article
- Páginas:
- -
- DOI:
- 10.2196/26442
- Link para outro recurso:
- www.scopus.com
JMIR mHealth and uHealth JMIR Publications Inc.
Citações Recebidas na Web of Science: 12
Citações Recebidas na Scopus: 20
Documentos
- Não há documentos
Filiações
Keywords
- mHealth; smartphone; technology assessment; medication adherence; self-management; gamification; patient participation
Campos de estudo
Financiamento
Proyectos asociados
Prevalence and Characterisation of Asthma Patients According to Disease Severity in Portugal (EPI-ASTHMA) - NCT05169619
Investigador Principal: João de Almeida Lopes da Fonseca
Estudo Clínico Observacional (EPI-ASTHMA) . AstraZeneca . 2021
Utilização em estudos observacionais do Registo de Asma Grave Portugal.
Investigador Principal: João de Almeida Lopes da Fonseca
Estudo Observacional Académico (RAG) . 2020
Use of secondary data, health technology assessment methods and economic modelling applied to penicillin allergy
Investigador Principal: João de Almeida Lopes da Fonseca
Estudo Clínico Académico . 2020
Using different data sources for the identification of asthma patients and those at high risk of adverse outcomes
Investigador Principal: João de Almeida Lopes da Fonseca
Estudo Clínico Académico . 2020
Phenotypes of Chronic Diseases of the Airways: Towards Multidimensional Data -Driven Profiling
Investigador Principal: João de Almeida Lopes da Fonseca
Estudo Clínico Académico . 2020
Citar a publicação
Jácome C,Almeida R,Pereira A,Amaral R,Mendes S,Alves M,Vidal C,Freire SL,Brea PM,Araujo L,Couto M,Antolin D,Caballer BD,Castro AB,Gonzalez De Olano D,Bom AT,Azevedo J,Pinto PL,Pinto N,Neves AC,Palhinha A,Bom FT,Costa A,Loureiro CC,Santos LM,Arrobas A,Valerio M,Cardoso J,Emiliano M,Gerardo R,Rodrigues JCC,Oliveira G,Carvalho J,Mendes A,Lozoya C,Santos N,Menezes F,Gomes R,Câmara R,Alves RR,Moreira AS,Bordalo D,Alves C,Ferreira JA,Lopes C,Silva D,Vasconcelos MJ,Teixeira MF,Ferreira M,Taborda L,Calix MJ,Alves A,Fonseca J. Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence: Mixed Methods Study. JMIR mHealth uHealth. 2021. 9. (5):e26442. IF:4,947. (1).
