Effectiveness of Text Message Reminders on Adherence to Inhaled Therapy in Patients With Asthma : Prospective Multicenter Randomized Clinical Trial
Almonacid, Carlos (University of Alcala de Henares. Instituto Ramón y Cajal de Investigación Sanitaria. Department of Respiratory Medicine)
Melero, Carlos (Hospital Universitario 12 de Octubre (Madrid))
López Viña, Antolín (Hospital Universitario Puerta de Hierro Majadahonda (Madrid))
Cisneros, Carolina (Hospital Universitario de la Princesa (Madrid))
Pérez de Llano, Luis (Hospital Universitario Lucus Augusti (Lugo))
Plaza, Vicente (Institut d'Investigació Biomèdica Sant Pau)
García-Rivero, Juan Luis (Laredo Hospital. Department of Respiratory Medicine)
Romero Falcón, Auxiliadora (Hospital Universitario Reina Sofía (Còrdova, Espanya))
Ramos, Jacinto (Hospital Universitario de Salamanca)
Bazús González, Teresa (Hospital Universitario Central de Asturias)
Andrés Prado, María (Hospital Universitario Fundación Jiménez Díaz)
Muriel, Alfonso (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Universitat Autònoma de Barcelona

Date:	2021
Abstract:	Poor adherence to inhaled medication in asthma patients is of great concern. It is one of the main reasons for inadequate asthma control. 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. 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. 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. Motivational messages were not useful to improve adherence to inhaled asthma medication compared with usual care.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Asthma ; Adherence ; SMS ; Control ; Cell phone ; Inhaler ; Smartinhaler
Published in:	JMIR Formative Research, Vol. 5 (february 2021) , ISSN 2561-326X

DOI: 10.2196/12218
PMID: 33560235

11 p, 429.6 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles