Electronic monitoring of adherence to inhaled medication in asthma

The main treatment of asthma is inhaled corticosteroids. However adherence to these medications in asthma is often poor, with low adherence associated with excessive health care costs and an increased risk of emergency room visits and mortality. Although various methods are used to indirectly assess...

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Main Authors: Howard, Sam, Lang, Alexandra, Patel, Mitesh Dilipkumar Kantilal, Sharples, Sarah, Shaw, Dominick E.
Format: Article
Published: Bentham Science 2014
Subjects:
Online Access:https://eprints.nottingham.ac.uk/29556/
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author Howard, Sam
Lang, Alexandra
Patel, Mitesh Dilipkumar Kantilal
Sharples, Sarah
Shaw, Dominick E.
author_facet Howard, Sam
Lang, Alexandra
Patel, Mitesh Dilipkumar Kantilal
Sharples, Sarah
Shaw, Dominick E.
author_sort Howard, Sam
building Nottingham Research Data Repository
collection Online Access
description The main treatment of asthma is inhaled corticosteroids. However adherence to these medications in asthma is often poor, with low adherence associated with excessive health care costs and an increased risk of emergency room visits and mortality. Although various methods are used to indirectly assess adherence, all have significant limitations whether used in clinical or research practice. The recent development of electronic monitoring devices (EMDs) for use with inhalers presents an exciting opportunity to easily and accurately measure inhaler adherence. This article summarises the current devices available; for each device features and limitations are considered, followed by a review of both the current clinical literature and data on reliability and accuracy. An overall summary is also provided to aid comparison of capabilities between devices and future issues pertaining to the use of EMDs are discussed, including barriers to adoption, stakeholder involvement, novel methods of communicating adherence data, recording of data and cloud storage. Finally key areas that still require investigation are highlighted.
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spelling nottingham-295562020-05-04T20:16:54Z https://eprints.nottingham.ac.uk/29556/ Electronic monitoring of adherence to inhaled medication in asthma Howard, Sam Lang, Alexandra Patel, Mitesh Dilipkumar Kantilal Sharples, Sarah Shaw, Dominick E. The main treatment of asthma is inhaled corticosteroids. However adherence to these medications in asthma is often poor, with low adherence associated with excessive health care costs and an increased risk of emergency room visits and mortality. Although various methods are used to indirectly assess adherence, all have significant limitations whether used in clinical or research practice. The recent development of electronic monitoring devices (EMDs) for use with inhalers presents an exciting opportunity to easily and accurately measure inhaler adherence. This article summarises the current devices available; for each device features and limitations are considered, followed by a review of both the current clinical literature and data on reliability and accuracy. An overall summary is also provided to aid comparison of capabilities between devices and future issues pertaining to the use of EMDs are discussed, including barriers to adoption, stakeholder involvement, novel methods of communicating adherence data, recording of data and cloud storage. Finally key areas that still require investigation are highlighted. Bentham Science 2014 Article NonPeerReviewed Howard, Sam, Lang, Alexandra, Patel, Mitesh Dilipkumar Kantilal, Sharples, Sarah and Shaw, Dominick E. (2014) Electronic monitoring of adherence to inhaled medication in asthma. Current Respiratory Medicine Reviews, 10 (1). pp. 50-63. ISSN 1875-6387 asthma adherence electronic monitoring inhaled medication data http://beta.eurekaselect.com/121880/article doi:10.2174/1573398X10666140429005007 doi:10.2174/1573398X10666140429005007
spellingShingle asthma
adherence
electronic monitoring
inhaled medication
data
Howard, Sam
Lang, Alexandra
Patel, Mitesh Dilipkumar Kantilal
Sharples, Sarah
Shaw, Dominick E.
Electronic monitoring of adherence to inhaled medication in asthma
title Electronic monitoring of adherence to inhaled medication in asthma
title_full Electronic monitoring of adherence to inhaled medication in asthma
title_fullStr Electronic monitoring of adherence to inhaled medication in asthma
title_full_unstemmed Electronic monitoring of adherence to inhaled medication in asthma
title_short Electronic monitoring of adherence to inhaled medication in asthma
title_sort electronic monitoring of adherence to inhaled medication in asthma
topic asthma
adherence
electronic monitoring
inhaled medication
data
url https://eprints.nottingham.ac.uk/29556/
https://eprints.nottingham.ac.uk/29556/
https://eprints.nottingham.ac.uk/29556/