Anticipated barriers and facilitators for implementing smart inhalers in asthma medication adherence management.

Autor: van de Hei SJ; Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.; Groningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands.; General Practitioners Research Institute, Groningen, the Netherlands., Stoker N; General Practitioners Research Institute, Groningen, the Netherlands., Flokstra-de Blok BMJ; Groningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands.; General Practitioners Research Institute, Groningen, the Netherlands.; Department of Pediatric Pulmonology and Pediatric Allergology, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands., Poot CC; Department of Primary Care and Public Health, Leiden University Medical Center, Leiden, The Netherlands.; National eHealth Living Lab, Leiden, The Netherlands., Meijer E; Department of Primary Care and Public Health, Leiden University Medical Center, Leiden, The Netherlands.; National eHealth Living Lab, Leiden, The Netherlands., Postma MJ; Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands., Chavannes NH; Department of Primary Care and Public Health, Leiden University Medical Center, Leiden, The Netherlands.; National eHealth Living Lab, Leiden, The Netherlands., Kocks JWH; Groningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands.; General Practitioners Research Institute, Groningen, the Netherlands.; Observational and Pragmatic Research Institute, Singapore, Singapore.; Medication Adherence Expertise Center of the northern Netherlands (MAECON), Groningen, The Netherlands., van Boven JFM; Groningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands. j.f.m.van.boven@umcg.nl.; Medication Adherence Expertise Center of the northern Netherlands (MAECON), Groningen, The Netherlands. j.f.m.van.boven@umcg.nl.; Department of Clinical Pharmacy & Pharmacology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. j.f.m.van.boven@umcg.nl.; Centre for Medicine Use and Safety, Monash Institute of Pharmaceutical Sciences, Monash University, Melbourne, VIC, Australia. j.f.m.van.boven@umcg.nl.
Jazyk: angličtina
Zdroj: NPJ primary care respiratory medicine [NPJ Prim Care Respir Med] 2023 May 20; Vol. 33 (1), pp. 22. Date of Electronic Publication: 2023 May 20.
DOI: 10.1038/s41533-023-00343-w
Abstrakt: Smart inhalers are electronic monitoring devices which are promising in increasing medication adherence and maintaining asthma control. A multi-stakeholder capacity and needs assessment is recommended prior to implementation in healthcare systems. This study aimed to explore perceptions of stakeholders and to identify anticipated facilitators and barriers associated with the implementation of smart digital inhalers in the Dutch healthcare system. Data were collected through focus group discussions with female patients with asthma (n = 9) and healthcare professionals (n = 7) and through individual semi-structured interviews with policy makers (n = 4) and smart inhaler developers (n = 4). Data were analysed using the Framework method. Five themes were identified: (i) perceived benefits, (ii) usability, (iii) feasibility, (iv) payment and reimbursement, and (v) data safety and ownership. In total, 14 barriers and 32 facilitators were found among all stakeholders. The results of this study could contribute to the design of a tailored implementation strategy for smart inhalers in daily practice.
(© 2023. The Author(s).)
Databáze: MEDLINE
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