Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence: Mixed Methods Study

Autor: Diana Silva, Ana Mendes, Joana Carvalho, Ana Arrobas, Paula Méndez Brea, Filipa Todo Bom, Sara López Freire, Alberto Costa, Ricardo Gomes, Carlos Lozoya, Maria João Vasconcelos, Madalena Emiliano, Alicia Barra Castro, Carmen Vidal, João Lúcio de Azevedo, Margarida Valério, José Alberto Ferreira, Sandra Mendes, Maria José Cálix, Cristina Jácome, Adelaide Alves, Maria Fernanda Teixeira, David Gonzalez-De-Olano, Rita Amaral, Darío Antolín-Amérigo, Manuel Ferreira-Magalhães, Ana Palhinha, Lilia Maia Santos, José Carlos Cidrais Rodrigues, João Cardoso, Rita Câmara, Fernando Menezes, Rodrigo Rodrigues Alves, Magna Alves-Correia, Ana Sofia Moreira, Cristina Lopes, Belén de la Hoz Caballer, Ana Todo Bom, Ana Margarida Pereira, João Fonseca, Mariana Couto, Luis Araujo, Luís Taborda-Barata, Diana Bordalo, Rita Gerardo, Carlos Alves, Natacha Santos, Rute Almeida, Paula Leiria Pinto, Cláudia Chaves Loureiro, Ana Castro Neves, Georgeta Oliveira, Nicole Pinto
Přispěvatelé: Repositório Científico do Instituto Politécnico do Porto
Jazyk: angličtina
Rok vydání: 2021
Předmět:
self-management
020205 medical informatics
Respiratory Medicine and Allergy
02 engineering and technology
smartphone
0302 clinical medicine
HDE ALER
0202 electrical engineering
electronic engineering
information engineering
030212 general & internal medicine
mHealth
Lungmedicin och allergi
Self-management
Technology assessment
T58.5-58.64
Mobile Applications
Gamification
Smartphone
Public aspects of medicine
RA1-1270
patient participation
Adult
medicine.medical_specialty
Adolescent
Medication adherence
Health Informatics
Information technology
Medication Adherence
03 medical and health sciences
Social support
medicine
Humans
gamification
Patient participation
Asma
Asthma
Original Paper
business.industry
Inhaler
technology assessment
medicine.disease
Spain
Physical therapy
Feasibility Studies
Observational study
business
Adesão à Medicação
Zdroj: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação
instacron:RCAAP
JMIR mHealth and uHealth
JMIR mHealth and uHealth, Vol 9, Iss 5, p e26442 (2021)
Popis: 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.
Databáze: OpenAIRE
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