What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective

Introduction Electronic monitoring devices (EMDs) are the optimal method for collecting objective data on inhaler use in asthma. Recent research has investigated the attitudes of patients with asthma towards these devices. However, no research to date has formally considered the opinions of stak...

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Main Authors: Howard, Sam, Lang, Alexandra. R., Sharples, Sarah, Shaw, Dominick E.
Format: Article
Published: BMJ Publishing Group 2016
Online Access:https://eprints.nottingham.ac.uk/39833/
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author Howard, Sam
Lang, Alexandra. R.
Sharples, Sarah
Shaw, Dominick E.
author_facet Howard, Sam
Lang, Alexandra. R.
Sharples, Sarah
Shaw, Dominick E.
author_sort Howard, Sam
building Nottingham Research Data Repository
collection Online Access
description Introduction Electronic monitoring devices (EMDs) are the optimal method for collecting objective data on inhaler use in asthma. Recent research has investigated the attitudes of patients with asthma towards these devices. However, no research to date has formally considered the opinions of stakeholders and decision-makers in asthma care. These individuals have important clinical requirements that need to be taken into account if EMDs are to be successfully provisioned, making collecting their opinions on the key barriers facing these devices a valuable process. Methods Three rounds of surveys in a Delphi format were used to assess the most important pros and cons of EMDs for asthma care in a sample of 31 stakeholders which included healthcare professionals and members of clinical commissioning groups. Results The respondents identified 29 pros and 32 cons. Pros that were rated as most important included new visual evidence to aid clinical discussions with a patient and an increase in patient involvement and motivation. The cons that were rated as most important included a need for more clinical evidence of the effectiveness of EMDs, as well as better clarity over who has responsibilities in managing, interpreting and discussing data with a patient. Conclusions The research provides a guide for EMD developers by highlighting where these devices may provide the most benefit as well as prioritising the key issues that need addressing if they are to be used effectively in everyday asthma care.
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spelling nottingham-398332020-05-04T18:19:41Z https://eprints.nottingham.ac.uk/39833/ What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective Howard, Sam Lang, Alexandra. R. Sharples, Sarah Shaw, Dominick E. Introduction Electronic monitoring devices (EMDs) are the optimal method for collecting objective data on inhaler use in asthma. Recent research has investigated the attitudes of patients with asthma towards these devices. However, no research to date has formally considered the opinions of stakeholders and decision-makers in asthma care. These individuals have important clinical requirements that need to be taken into account if EMDs are to be successfully provisioned, making collecting their opinions on the key barriers facing these devices a valuable process. Methods Three rounds of surveys in a Delphi format were used to assess the most important pros and cons of EMDs for asthma care in a sample of 31 stakeholders which included healthcare professionals and members of clinical commissioning groups. Results The respondents identified 29 pros and 32 cons. Pros that were rated as most important included new visual evidence to aid clinical discussions with a patient and an increase in patient involvement and motivation. The cons that were rated as most important included a need for more clinical evidence of the effectiveness of EMDs, as well as better clarity over who has responsibilities in managing, interpreting and discussing data with a patient. Conclusions The research provides a guide for EMD developers by highlighting where these devices may provide the most benefit as well as prioritising the key issues that need addressing if they are to be used effectively in everyday asthma care. BMJ Publishing Group 2016-11-29 Article PeerReviewed Howard, Sam, Lang, Alexandra. R., Sharples, Sarah and Shaw, Dominick E. (2016) What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective. BMJ Open Respiratory Research, 3 (1). e000159/1-e000159/10. ISSN 2052-4439 http://dx.doi.org/10.1136/bmjresp-2016-000159 doi:10.1136/bmjresp-2016-000159 doi:10.1136/bmjresp-2016-000159
spellingShingle Howard, Sam
Lang, Alexandra. R.
Sharples, Sarah
Shaw, Dominick E.
What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective
title What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective
title_full What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective
title_fullStr What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective
title_full_unstemmed What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective
title_short What are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective
title_sort what are the pros and cons of electronically monitoring inhaler use in asthma?: a multistakeholder perspective
url https://eprints.nottingham.ac.uk/39833/
https://eprints.nottingham.ac.uk/39833/
https://eprints.nottingham.ac.uk/39833/