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使用移动技术提高舌下免疫疗法的依从性:一项针对新应用程序/网络平台AllergyVax®的真实世界研究。

Using mobile technology to increase adherence to sublingual immunotherapy: Real-world study with a new app/web platform AllergyVax®.

作者信息

Aarestrup Matheus Fonseca, Nagato Akinori Cardozo, Aarestrup Paula Fonseca, Cheloni Edir Paula, Aarestrup Beatriz Julião V, Amaral Correa José Otávio, Aarestrup Fernando Monteiro

机构信息

Allergy and Immunology Department - Hospital Maternidade Therezinha de Jesus - HMTJ, Juiz de Fora, MG, Brazil.

Physiology Department, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil.

出版信息

World Allergy Organ J. 2025 May 12;18(6):101064. doi: 10.1016/j.waojou.2025.101064. eCollection 2025 Jun.

Abstract

Allergen immunotherapy (AIT) is a key therapeutic approach for allergic rhinitis and asthma, demonstrating the ability to modify disease progression by targeting type 2 inflammation. This study evaluates the efficacy of a mobile application (app/web platform) AllergyVax®, designed to implement a patient-centered care (PCC) strategy to increase patient engagement in the treatment. A retrospective cross-sectional analysis was conducted with 482 patients diagnosed with respiratory allergic diseases who initiated sublingual immunotherapy (SLIT). Participants were divided into 2 groups: Group A received standard information, while Group B utilized the AllergyVax® app for managing treatment. This app provided daily reminders, evaluated symptom control through standardized questionnaires, and facilitated communication between patients and healthcare providers. Results indicated a significant increase in adherence rates among app users, with 92.11% adhering to SLIT compared to 46.32% in the non-app group. The app users exhibited a 2.42 times greater likelihood of maintaining adherence and reduced dropout rates by 82%. The AllergyVax® app improved adherence across all demographics, emphasizing the importance of innovative digital tools in enhancing patient engagement and treatment outcomes. In conclusion, this study highlights the critical role of mobile technology in promoting adherence to SLIT, suggesting that integrating digital solutions into AIT can lead to better management of allergic diseases and improved patient outcomes.

摘要

变应原免疫疗法(AIT)是治疗过敏性鼻炎和哮喘的关键方法,显示出通过靶向2型炎症来改变疾病进展的能力。本研究评估了一款移动应用程序(应用程序/网络平台)AllergyVax®的疗效,该应用旨在实施以患者为中心的护理(PCC)策略,以提高患者对治疗的参与度。对482名开始接受舌下免疫疗法(SLIT)的呼吸道过敏性疾病患者进行了回顾性横断面分析。参与者分为两组:A组接受标准信息,而B组使用AllergyVax®应用程序来管理治疗。该应用程序提供每日提醒,通过标准化问卷评估症状控制情况,并促进患者与医疗服务提供者之间的沟通。结果表明,应用程序用户的依从率显著提高,92.11%的用户坚持SLIT治疗,而非应用程序组的这一比例为46.32%。应用程序用户保持依从性的可能性高出2.42倍,辍学率降低了82%。AllergyVax®应用程序在所有人口统计学群体中均提高了依从性,强调了创新数字工具在提高患者参与度和治疗效果方面的重要性。总之,本研究突出了移动技术在促进SLIT依从性方面的关键作用,表明将数字解决方案整合到AIT中可实现对过敏性疾病的更好管理并改善患者预后。

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本文引用的文献

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The Art of Immunotherapy.免疫疗法艺术。
J Allergy Clin Immunol Pract. 2024 Jan;12(1):1-10. doi: 10.1016/j.jaip.2023.10.039. Epub 2023 Oct 28.
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The role of adherence in patients with chronic diseases.慢性病患者的依从性作用。
Eur J Intern Med. 2024 Jan;119:1-5. doi: 10.1016/j.ejim.2023.07.008. Epub 2023 Jul 20.

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