| Title |
Feasibility of a novel mHealth management system to capture and improve medication adherence among adolescents with asthma
|
|---|---|
| Published in |
Patient preference and adherence, November 2016
|
| DOI | 10.2147/ppa.s115713 |
| Pubmed ID | |
| Authors |
Anna Cushing, Melissa P Manice, Andrew Ting, Michael K Parides |
| Abstract |
Currently, 7.1 million children in the United States have asthma. Nonadherence to daily controller asthma medication is common, leading to more severe symptoms, overuse of rescue medication, and increased hospitalizations. The purpose of this study was to develop and evaluate the feasibility and acceptability of a novel mHealth management system composed of a sensored device, which is connected to mobile phone app that is designed to monitor and improve asthma medication adherence. The asthma management system was designed using well-established behavioral theory. Seven adolescents aged 11-18 years were enrolled and given an adherence sensor, and four of those also received a mobile phone app with game features and reminders. Five patients completed the study, and one was lost to follow-up in each group. Mobile app users and their parents participated in focus groups to assess patient preferences. Feasibility was assessed by the ability of sensors to capture real-time medication data. Acceptability was assessed by patient questionnaire and focus group analysis. Successful upload of real-time data from six of seven inhaler sensors to the HIPAA-compliant server demonstrates the feasibility of at-home patient monitoring using the sensor device. All three mobile app users who completed the study reported interest in continued use of the management system and would recommend the app to friends. Unstructured interviews and focus groups revealed that patients felt that the intervention helped their sense of asthma control. This study demonstrates the feasibility of using the sensor device to remotely monitor real-time medication usage, and user feedback demonstrates the acceptability of the intervention for patient use. The findings provide guidance for the improvement of study design and technology development. Further research is needed to assess the efficacy of the intervention. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | 33% |
| South Africa | 1 | 33% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 152 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Netherlands | 1 | <1% |
| Switzerland | 1 | <1% |
| Australia | 1 | <1% |
| Unknown | 149 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 26 | 17% |
| Student > Ph. D. Student | 24 | 16% |
| Student > Bachelor | 15 | 10% |
| Student > Master | 12 | 8% |
| Student > Doctoral Student | 12 | 8% |
| Other | 20 | 13% |
| Unknown | 43 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 18 | 12% |
| Medicine and Dentistry | 17 | 11% |
| Psychology | 13 | 9% |
| Social Sciences | 11 | 7% |
| Computer Science | 10 | 7% |
| Other | 31 | 20% |
| Unknown | 52 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 November 2016.
All research outputs
#14,915,133
of 25,374,917 outputs
Outputs from Patient preference and adherence
#778
of 1,757 outputs
Outputs of similar age
#170,011
of 317,812 outputs
Outputs of similar age from Patient preference and adherence
#23
of 45 outputs
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We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one is in the 46th percentile – i.e., 46% of its contemporaries scored the same or lower than it.