Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal.
Service of Immunoallergology, Hospital Pêro da Covilhã, Cova da Beira Hospital Center, Covilhã Portugal.
Eur Ann Allergy Clin Immunol. 2021 Nov;53(6):267-276. doi: 10.23822/EurAnnACI.1764-1489.175. Epub 2020 Nov 13.
We assessed adherence to treatment and management needs of adults with persistent asthma and their interest in using apps for asthma management. Secondarily, we explored opinions of patients about an app to assess and improve adherence to treatment. A cross-sectional study was conducted with 40 adults with persistent asthma (49.9 ± 15.8 years) recruited at outpatient clinics from a district hospital. Participants answered a survey on sociodemographic, asthma control, treatment adherence and use of mobile devices, social networks and apps. Four patients participated in a prospective extension of the study, in which they were invited to use the InspirerMundi app. 48 percent of the participants had at least greater-equal than 1 exacerbation in the previous year and 85 percent had uncontrolled asthma. Self-reported adherence to treatment showed that one in four participants had low adherence. At least daily, 55 percent of participants navigated on the internet with their smartphone-tablet, 35 percent used apps and 93 percent social networks. Nine (22 percent) participants had previously used health-fitness apps and 65 percent would like to use apps to improve inhaler adherence. Most participants had uncontrolled asthma, reported high adherence to treatment and were daily users of social networks and the internet. Only 1/4 used apps but 2/3 would like to use apps to support asthma management.
我们评估了成年持续性哮喘患者的治疗依从性和管理需求，以及他们对使用哮喘管理应用程序的兴趣。其次，我们探讨了患者对评估和改善治疗依从性的应用程序的意见。这项横断面研究共纳入 40 名成年持续性哮喘患者（49.9±15.8 岁），他们在一家地区医院的门诊接受治疗。参与者回答了一份关于社会人口统计学、哮喘控制、治疗依从性以及移动设备、社交网络和应用程序使用情况的调查问卷。4 名患者参与了该研究的前瞻性扩展部分，他们被邀请使用 InspirerMundi 应用程序。48%的参与者在过去一年中至少有一次加重，85%的患者哮喘未得到控制。自我报告的治疗依从性表明，四分之一的参与者依从性较低。至少每天有 55%的参与者使用智能手机和平板电脑上网，35%的参与者使用应用程序，93%的参与者使用社交网络。9 名（22%）参与者之前使用过健康健身应用程序，65%的参与者希望使用应用程序来提高吸入器的依从性。大多数参与者的哮喘未得到控制，但报告的治疗依从性较高，并且每天都在使用社交网络和互联网。只有四分之一的人使用应用程序，但三分之二的人希望使用应用程序来支持哮喘管理。
