RT Journal Article
SR Electronic
T1 Assessing adherence to inhaled therapies in asthma and the emergence of electronic monitoring devices
JF European Respiratory Review
JO EUROPEAN RESPIRATORY REVIEW
FD European Respiratory Society
SP 210271
DO 10.1183/16000617.0271-2021
VO 31
IS 164
A1 Hetal Dhruve
A1 David J. Jackson
YR 2022
UL http://err.ersjournals.com/content/31/164/210271.abstract
AB Infrequent use of inhaled corticosteroids (ICS) and/or over-reliance of short-acting β-agonists (SABA) are recognised as key contributors to increased morbidity and mortality in asthma. The most frequent measures of ICS adherence and SABA use rely on patient-reported questionnaires or prescription refill records, neither of which are considered sufficiently reliable. Technological advancements in the development of electronic monitoring of inhaler devices allow for monitoring of use, as well as recording of and feedback on inhaler technique for some devices. Most electronic monitoring devices (EMDs) are paired with a smartphone application, allowing patients to set reminders and display both preventer and reliever use over time. This allows identification of intentional and unintentional ICS non-adherence as well as frequency of SABA use. This information assists clinicians in distinguishing difficult-to-control from severe asthma. Although additional evidence is required to assess the impact of EMDs on clinical outcome measures such as exacerbation rate, the introduction of EMDs into the asthma armoury is a significant step forward in asthma care with the potential to improve asthma-related outcomes.Technological advancements in the development of electronic monitoring devices allow for identification of intentional and unintentional ICS non-adherence in asthma. https://bit.ly/37MPYip