Effectiveness of Text Message Reminders on Adherence to Inhaled Therapy in Patients With Asthma: Prospective Multicenter Randomized Clinical Trial

被引：2

作者：

Almonacid, Carlos ^{[1
]}

Melero, Carlos ^{[2
]}

Vina, Antolin Lopez ^{[3
]}

Cisneros, Carolina ^{[4
]}

de Llano, Luis Perez ^{[5
]}

Plaza, Vicente ^{[6
]}

Garcia-Rivero, Juan Luis ^{[7
]}

Falcon, Auxiliadora Romero ^{[8
]}

Ramos, Jacinto ^{[9
]}

Gonzalez, Teresa Bazus ^{[10
]}

Prado, Maria Andres ^{[11
]}

Muriel, Alfonso ^{[12
]}

机构：

[1] Univ Alcala Henares, Inst Ramon Y Cajal Invest Sanitaria, Dept Resp Med, Ctra Colmenar Viejo,Km 9,100, Madrid, Spain

[2] Univ Complutense Madrid, Hosp Univ 12 Octubre, Inst Hlth Res I 12, Dept Resp Med, Madrid, Spain

[3] Univ Autonoma Madrid, Hosp Univ Puerta Hierro, Dept Resp Med, Majadahonda, Spain

[4] Univ Autonoma Madrid, Hosp Univ Princesa, Dept Resp Med, Madrid, Spain

[5] Univ Lugo, Hosp Univ Lucus Augusti, Dept Resp Med, Lugo, Spain

[6] Autonoma Univ Barcelona, Dept Resp Med, Hosp Santa Creu & St Pau Inst, Inst Invest Biomed St Pau, Barcelona, Spain

[7] Laredo Hosp, Dept Resp Med, Laredo, Spain

[8] Univ Cordoba, Hosp Univ Reina Sofia, Dept Resp Med, Cordoba, Spain

[9] Univ Salamanca, Hosp Univ Salamanca, Dept Resp Med, Salamanca, Spain

[10] Univ Oviedo, Hosp Univ Cent Asturias, Dept Resp Med, Oviedo, Spain

[11] Fdn Jimenez Diaz, Dept Hlth Informat Management, Madrid, Spain

[12] Univ Alcala Henares, Consorcio Ctr Invest Biomed Red Epidemiol & Salud, Inst Ramon Y Cajal Invest Sanitaria, Unit Clin Biostat, Madrid, Spain

来源：

JMIR FORMATIVE RESEARCH | 2021年 / 5卷 / 02期

关键词：

asthma; adherence; SMS; control; cell phone; inhaler; Smartinhaler; MOBILE PHONE TECHNOLOGY; NITRIC-OXIDE LEVELS; MEDICATION ADHERENCE; IMPROVE ADHERENCE; ADULTS; MANAGEMENT; CORTICOSTEROIDS; NONADHERENCE; VALIDATION; DEVICE;

D O I：

10.2196/12218

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Poor adherence to inhaled medication in asthma patients is of great concern. It is one of the main reasons for inadequate asthma control. Objective: The goal of the research was to determine if motivational messages using short message service (SMS, or text) improved adherence to inhaled medication in patients with asthma. Methods: A prospective multicenter randomized parallel-group clinical trial was conducted in 10 asthma clinics in Spain. Adherence was assessed with electronic monitors (Smartinhaler, Adherium Ltd) connected to inhalers. Patients in the SMS group received psychologist-developed motivational messages every 3 days for 6 months. Results: There were 53 patients in the SMS group and 88 patients in the control group. After 6 months, mean electronic adherence was 70% (SD 17%) in the intervention group and 69% (SD 17%) in the control group (P=.82). Significant differences between the study groups in morning and evening adherence to inhaled therapy, asthma control, exhaled nitric oxide levels, or improvement of lung functions were not observed. Conclusions: Motivational messages were not useful to improve adherence to inhaled asthma medication compared with usual care.

引用

页数：11

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