1. Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence : Mixed Methods Study
- Author
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Jacome, Cristina, Almeida, Rute, Pereira, Ana Margarida, Amaral, Rita, Mendes, Sandra, Alves-Correia, Magna, Vidal, Carmen, Lopez Freire, Sara, Mendez Brea, Paula, Araujo, Luis, Couto, Mariana, Antolin-Amerigo, Dario, de la Hoz Caballer, Belen, Barra Castro, Alicia, Gonzalez-De-Olano, David, Bom, Ana Todo, Azevedo, Joao, Pinto, Paula Leiria, Pinto, Nicole, Neves, Ana Castro, Palhinha, Ana, Bom, Filipa Todo, Costa, Alberto, Loureiro, Claudia Chaves, Santos, Lilia Maia, Arrobas, Ana, Valerio, Margarida, Cardoso, Joao, Emiliano, Madalena, Gerardo, Rita, Rodrigues, Jose Carlos Cidrais, Oliveira, Georgeta, Carvalho, Joana, Mendes, Ana, Lozoya, Carlos, Santos, Natacha, Menezes, Fernando, Gomes, Ricardo, Camara, Rita, Alves, Rodrigo Rodrigues, Moreira, Ana Sofia, Bordalo, Diana, Alves, Carlos, Ferreira, Jose Alberto, Lopes, Cristina, Silva, Diana, Vasconcelos, Maria Joao, Teixeira, Maria Fernanda, Ferreira-Magalhaes, Manuel, Taborda-Barata, Luis, Calix, Maria Jose, Alves, Adelaide, Fonseca, Joao Almeida, Jacome, Cristina, Almeida, Rute, Pereira, Ana Margarida, Amaral, Rita, Mendes, Sandra, Alves-Correia, Magna, Vidal, Carmen, Lopez Freire, Sara, Mendez Brea, Paula, Araujo, Luis, Couto, Mariana, Antolin-Amerigo, Dario, de la Hoz Caballer, Belen, Barra Castro, Alicia, Gonzalez-De-Olano, David, Bom, Ana Todo, Azevedo, Joao, Pinto, Paula Leiria, Pinto, Nicole, Neves, Ana Castro, Palhinha, Ana, Bom, Filipa Todo, Costa, Alberto, Loureiro, Claudia Chaves, Santos, Lilia Maia, Arrobas, Ana, Valerio, Margarida, Cardoso, Joao, Emiliano, Madalena, Gerardo, Rita, Rodrigues, Jose Carlos Cidrais, Oliveira, Georgeta, Carvalho, Joana, Mendes, Ana, Lozoya, Carlos, Santos, Natacha, Menezes, Fernando, Gomes, Ricardo, Camara, Rita, Alves, Rodrigo Rodrigues, Moreira, Ana Sofia, Bordalo, Diana, Alves, Carlos, Ferreira, Jose Alberto, Lopes, Cristina, Silva, Diana, Vasconcelos, Maria Joao, Teixeira, Maria Fernanda, Ferreira-Magalhaes, Manuel, Taborda-Barata, Luis, Calix, Maria Jose, Alves, Adelaide, and Fonseca, Joao Almeida
- 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 highl
- Published
- 2021
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