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面向消费者的哮喘吸入器监测移动医疗应用的横断面分析。

Cross-sectional analysis of consumer-facing mHealth apps associated with inhaler monitoring for asthma.

出版信息

J Am Pharm Assoc (2003). 2020 Nov-Dec;60(6):e162-e167. doi: 10.1016/j.japh.2020.05.007. Epub 2020 Jun 23.

DOI:10.1016/j.japh.2020.05.007
PMID:32586716
Abstract

OBJECTIVE

This study aimed to describe the current landscape of consumer-directed mHealth apps that communicate with inhalers for asthma.

METHODS

We performed a cross-sectional and systematic analysis of Google Play and the Apple App Stores to identify apps that are consumer-direct and available in English, intended for patients with asthma and communicate with an inhaler-based sensor. We collected information about each app using the app stores and publicly available manufacturer websites. We reported the results descriptively.

RESULTS

We identified 6 apps, released as early as 2012. Of these, 5 apps require an external sensor available over the counter to be attached to the patient's inhaler, and 1 app communicates with a prescription-only inhaler that has a built-in sensor and will be dispensed from the pharmacy. Aside from passively monitoring inhaler adherence, all apps facilitate provider communication; serve as a diary; and use notifications, reminders, or alarms for things such as inhaler dose reminders. Additional features vary across apps, including direct pharmacy access for refill requests and telehealth and artificial intelligence to predict future asthma exacerbations.

CONCLUSION

We identified 6 consumer-directed mHealth apps that communicate with inhalers for asthma management. Pharmacists must be prepared to evaluate these apps, particularly in comparison with the first prescription-only inhaler built to communicate with an mHealth app to be released this year. To do so, further research on the outcomes and use of these apps is needed so that pharmacists can make evidence-based recommendations.

摘要

目的

本研究旨在描述目前与哮喘吸入器进行通信的消费者导向型移动医疗应用程序的现状。

方法

我们对 Google Play 和 Apple App Store 进行了横断面和系统分析,以确定针对哮喘患者且与基于吸入器的传感器进行通信的、以消费者为导向且提供英文版本的应用程序。我们使用应用商店和制造商网站上的公开信息收集了每个应用程序的信息。我们对结果进行了描述性报告。

结果

我们共确定了 6 个应用程序,最早发布于 2012 年。其中,5 个应用程序需要使用可在柜台购买的外部传感器来连接患者的吸入器,而 1 个应用程序与处方专用的内置传感器吸入器通信,该吸入器将从药房发放。除了被动监测吸入器的依从性外,所有应用程序都促进了提供者的沟通;作为日记使用;并使用通知、提醒或警报来提醒吸入器剂量等事项。各应用程序的附加功能各不相同,包括直接向药房提出续药请求以及远程医疗和人工智能以预测未来的哮喘加重。

结论

我们确定了 6 个用于哮喘管理的与吸入器进行通信的消费者导向型移动医疗应用程序。药剂师必须准备好评估这些应用程序,特别是与今年即将推出的首个与移动医疗应用程序进行通信的处方专用吸入器进行比较。为此,需要对这些应用程序的结果和使用情况进行进一步研究,以便药剂师能够提出基于证据的建议。

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