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Feasibility and acceptability of an asthma app to monitor medication adherence: mixed methods study

2021-05-25Journal article Open access
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dc.contributor.authorJácome, Cristina
dc.contributor.authorAlmeida, Rute
dc.contributor.authorPereira, Ana Margarida
dc.contributor.authorAmaral, Rita
dc.contributor.authorMendes, Sandra
dc.contributor.authorAlves-Correia, Magna
dc.contributor.authorVidal, Carmen
dc.contributor.authorFreire, Sara López
dc.contributor.authorBrea, Paula Méndez
dc.contributor.authorAraújo, Luís
dc.contributor.authorCouto, Mariana
dc.contributor.authorAntolín-Amérigo, Darío
dc.contributor.authorCaballer, Belén de la Hoz
dc.contributor.authorCastro, Alicia Barra
dc.contributor.authorGonzalez-De-Olano, David
dc.contributor.authorBom, Ana Todo
dc.contributor.authorAzevedo, João
dc.contributor.authorPinto, Paula Leiria
dc.contributor.authorPinto, Nicole
dc.contributor.authorNeves, Ana Castro
dc.contributor.authorPalhinha, Ana
dc.contributor.authorBom, Filipa Todo
dc.contributor.authorCosta, Alberto
dc.contributor.authorLoureiro, Cláudia Chaves
dc.contributor.authorSantos, Lilia Maia
dc.contributor.authorArrobas, Ana
dc.contributor.authorValério, Margarida
dc.contributor.authorCardoso, João
dc.contributor.authorEmiliano, Madalena
dc.contributor.authorGerardo, Rita
dc.contributor.authorRodrigues, José Carlos Cidrais
dc.contributor.authorOliveira, Georgeta
dc.contributor.authorCarvalho, Joana
dc.contributor.authorMendes, Ana
dc.contributor.authorLozoya, Carlos
dc.contributor.authorSantos, Natacha
dc.contributor.authorMenezes, Fernando
dc.contributor.authorGomes, Ricardo
dc.contributor.authorCâmara, Rita
dc.contributor.authorAlves, Rodrigo Rodrigues
dc.contributor.authorMoreira, Ana Sofia
dc.contributor.authorBordalo, Diana
dc.contributor.authorAlves, Carlos
dc.contributor.authorFerreira, José Alberto
dc.contributor.authorLopes, Cristina
dc.contributor.authorSilva, Diana
dc.contributor.authorVasconcelos, Maria João
dc.contributor.authorTeixeira, Maria Fernanda
dc.contributor.authorFerreira-Magalhães, Manuel
dc.contributor.authorTaborda-Barata, Luís
dc.contributor.authorCálix, Maria José
dc.contributor.authorAlves, Adelaide
dc.contributor.authorFonseca, João Almeida
dc.date.accessioned2022-04-28T09:41:36Z
dc.date.available2022-04-28T09:41:36Z
dc.date.issued2021-05-25
dc.description.abstractPoor 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. 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). 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. 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%). 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJácome C, Almeida R, Pereira A, Amaral R, Mendes S, Alves-Correia M, Vidal C, López Freire S, Méndez Brea P, Araújo L, Couto M, Antolín-Amérigo D, de la Hoz Caballer B, Barra Castro A, Gonzalez-De-Olano D, Todo Bom A, Azevedo J, Leiria Pinto P, Pinto N, Castro Neves A, Palhinha A, Todo Bom F, Costa A, Chaves Loureiro C, Maia Santos L, Arrobas A, Valério M, Cardoso J, Emiliano M, Gerardo R, Cidrais Rodrigues J, Oliveira G, Carvalho J, Mendes A, Lozoya C, Santos N, Menezes F, Gomes R, Câmara R, Rodrigues Alves R, Moreira A, Bordalo D, Alves C, Ferreira J, Lopes C, Silva D, Vasconcelos M, Teixeira M, Ferreira-Magalhães M, Taborda-Barata L, Cálix M, Alves A, Almeida Fonseca J Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence: Mixed Methods Study JMIR Mhealth Uhealth 2021;9(5):e26442 URL: https://mhealth.jmir.org/2021/5/e26442 DOI: 10.2196/26442pt_PT
dc.identifier.doi10.2196/26442pt_PT
dc.identifier.issn2291-5222
dc.identifier.urihttp://hdl.handle.net/10400.22/20414
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJMIR Publicationspt_PT
dc.relation.publisherversionhttps://mhealth.jmir.org/2021/5/e26442/pt_PT
dc.subjectmHealthpt_PT
dc.subjectSmartphonept_PT
dc.subjectTechnology assessmentpt_PT
dc.subjectMedication adherencept_PT
dc.subjectSelf-managementpt_PT
dc.subjectGamificationpt_PT
dc.subjectPatient participationpt_PT
dc.titleFeasibility and acceptability of an asthma app to monitor medication adherence: mixed methods studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage17pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJMIR Mhealth Uhealthpt_PT
oaire.citation.volume9pt_PT
person.familyNameAmaral
person.givenNameRita
person.identifierR-00H-83K
person.identifier.ciencia-id1A1E-751F-50F0
person.identifier.orcid0000-0002-0233-830X
person.identifier.ridE-5535-2017
person.identifier.scopus-author-id56067841600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication790fdd33-acdb-4dfe-88dc-38538486c9b3
relation.isAuthorOfPublication.latestForDiscovery790fdd33-acdb-4dfe-88dc-38538486c9b3

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