| Autor: |
Giselle S, Mosnaim, David A, Stempel, Candy, Gonzalez, Brittney, Adams, Naomi, BenIsrael-Olive, Rahul, Gondalia, Leanne, Kaye, Madeleine, Shalowitz, Stanley, Szefler |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
The Journal of asthma : official journal of the Association for the Care of Asthma. 59(10) |
| ISSN: |
1532-4303 |
| Popis: |
Current standard of care, patient self-report and clinician estimation, overestimates true inhaled corticosteroids (ICS) adherence. We compare self-reported inhaled ICS and short-acting beta 2-agonists (SABA) use with objective data from electronic medication monitors (EMMs).Adults with uncontrolled asthma and prescribed ICS and SABA were enrolled. At visit one, participants' ICS and SABA inhalers were fitted with EMMs to track real-time medication usage over 14 days. Participants were asked to complete paper diaries to self-report medication usage over the same period. Participant self-report of ICS adherence and SABA use versus objective ICS adherence and SABA use was compared using Wilcoxon signed-rank tests.One hundred participants (80% female, mean age 48.5 years, 60% completed college, 80% privately insured) had complete data. Participant self-report (median (IQR): 0.8 (0.0, 2.0)) was greater than objectively measured (median (IQR): 0.43 (0.1, 2.1)) SABA use, but the difference was not statistically significant (Significant discrepancies between self-report and objective ICS usage were observed. EMM can provide clinicians with accurate data on ICS medication taking behavior, thus reducing medication regimen complexity, side effects, and costs. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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