Browsing by Author "Rute, Almeida"
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- Feasibility of a mobile app to improve inhaler adherence in real‐world patients with asthma: A multicentre observational study in Portugal and SpainPublication . Jácome, Cristina; Rute, Almeida; Amaral, Rita; Pereira, Ana Margarida; Vidal, Carmen; Freire, Sara Lopéz; Mendez Brea, Paula; Antolín- Amerigo, Dario; De La Hoz Caballer, Belen; Barra Castro, Alicia; González de Olano, David; Todo-Bom, Ana; Azevedo, João; Pinto, Paula Leiria; Neuparth, Nuno; Todo-Bom, Filipa; Costa, A.; Loureiro, Cláudia Chaves; Maia Santos, L.; Arrobas, Ana Maria; Valério, M.; Cardoso, João; Emiliano, Madalena; Gerardo, Rita; Cidrais Rodrigues, J. C.; Oliveira, G.; Carvalho, J.; Mendes, Ana; Lozoya, Carlos; Santos, Natacha; Menezes, F.; Gomes, Ricardo; Câmara, R.; Rodrigues Alves, Rodrigo; Moreira, Ana Sofia; Bordalo, Diana; Alves, C.; Coelho, D.; Ferreira, J. A.; Lopes, Cristina; Vasconcelos, M. J.; Teixeira, M. F.; Taborda-Barata, L.; Cálix, M. J.; Alves, A.; Almeida Fonseca, J.InspirerMundi app aims to transform adherence into a positive experience through gamification and social support, while allowing objective monitoring of inhaler adherence. This study assessed the feasibility of the app in adolescents and adults with persistent asthma.
- InspirerMundi—remote monitoring of inhaled medication adherence through objective verification based on combined image processing techniquesPublication . Pedro, Vieira-Marques; Rute, Almeida; Teixeira, João F.; Valente, José; Jácome, Cristina; Cachim, Afonso; Guedes, Rui; Pereira, Ana; Jacinto, Tiago; Fonseca, João A.The adherence to inhaled controller medications is of critical importance for achieving good clinical results in patients with chronic respiratory diseases. Self-management strategies can result in improved health outcomes and reduce unscheduled care and improve disease control. However, adherence assessment suffers from difficulties on attaining a high grade of trustworthiness given that patient self-reports of high-adherence rates are known to be unreliable. Objective Aiming to increase patient adherence to medication and allow for remote monitoring by health professionals, a mobile gamified application was developed where a therapeutic plan provides insight for creating a patient-oriented self-management system. To allow a reliable adherence measurement, the application includes a novel approach for objective verification of inhaler usage based on real-time video capture of the inhaler's dosage counters. This approach uses template matching image processing techniques, an off-the-shelf machine learning framework, and was developed to be reusable within other applications. The proposed approach was validated by 24 participants with a set of 12 inhalers models. Results Performed tests resulted in the correct value identification for the dosage counter in 79% of the registration events with all inhalers and over 90% for the three most widely used inhalers in Portugal. These results show the potential of exploring mobile-embedded capabilities for acquiring additional evidence regarding inhaler adherence. This system helps to bridge the gap between the patient and the health professional. By empowering the first with a tool for disease self-management and medication adherence and providing the later with additional relevant data, it paves the way to a better-informed disease management decision.