کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3204265 | 1587147 | 2013 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Adherence Monitoring and E-Health: How Clinicians and Researchers Can Use Technology to Promote Inhaler Adherence for Asthma
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کلمات کلیدی
PLSFDApMDIMDIICSAADDSSEMDmaterials testing - آزمایش موادAsthma - آسمUS Food and Drug Administration - اداره غذا و داروی ایالات متحدهLCD - ال سی دیAdherence - تبعیتMetered-dose inhaler - دز انسداد مرسومGPS - سامانه موقعیتیاب جهانیGlobal Positioning System - سیستم موقعیت یاب جهانیliquid crystal display - صفحه نمایش کریستال مایعPressurized metered-dose inhaler - فشار انسداد مضرInhaled corticosteroid - کورتیکواستروئیدهای استنشاقی
موضوعات مرتبط
علوم زیستی و بیوفناوری
ایمنی شناسی و میکروب شناسی
ایمونولوژی
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چکیده انگلیسی
In the past decade, rapid technological developments have advanced electronic monitoring devices (EMD) for asthma inhalers beyond simple recording of actuations to providing adherence promotion features and detailed information about patterns of medication use. This article describes currently available EMDs, discusses their utility and limitations in assessing adherence, and describes the potential for EMD-based adherence promotion interventions in clinical settings. To date, the main use of EMDs has been in clinical research. In selected populations, simple EMD-based adherence interventions, delivered either through clinician-to-patient feedback about medication use or by direct-to-patient reminders for missed doses, can significantly improve adherence. Further work is now needed to determine the impact of EMDs on clinical outcomes and their cost-effectiveness and feasibility for different clinical settings, including in disadvantaged populations. If this evidence can be provided, then the use of EMDs could expand into the management of asthma in populations with high health care costs, eg, severe asthma. In the future, medication monitoring could help distinguish poor treatment response from poor adherence, guide prescribing decisions, and prompt providers to discuss barriers to adherence; electronic health records may provide the gateway for integrating medication-use monitoring into digital chronic care management.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Allergy and Clinical Immunology: In Practice - Volume 1, Issue 5, SeptemberâOctober 2013, Pages 446-454
Journal: The Journal of Allergy and Clinical Immunology: In Practice - Volume 1, Issue 5, SeptemberâOctober 2013, Pages 446-454
نویسندگان
Amy Hai Yan BPharm(Hons), Helen Kathryn MBBS, PhD, Andrea MSc, MA, MD, Michelle PhD, Kristin PhD, Juliet Michelle PhD,