Electronic medication monitoring versus self-reported use of inhaled corticosteroids and short-acting beta2-agonists in uncontrolled asthma.
J Asthma
; 59(10): 2024-2027, 2022 Oct.
Article
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| MEDLINE
| ID: mdl-34699302
ABSTRACT
OBJECTIVE:
Current standard of care, patient self-report and clinician estimation, overestimates true inhaled corticosteroids (ICS) adherence. We compare self-reported inhaled ICS and short-acting beta 2-agonists (SABA) use with objective data from electronic medication monitors (EMMs).METHODS:
Adults with uncontrolled asthma and prescribed ICS and SABA were enrolled. At visit one, participants' ICS and SABA inhalers were fitted with EMMs to track real-time medication usage over 14 days. Participants were asked to complete paper diaries to self-report medication usage over the same period. Participant self-report of ICS adherence and SABA use versus objective ICS adherence and SABA use was compared using Wilcoxon signed-rank tests.RESULTS:
One hundred participants (80% female, mean age 48.5 years, 60% completed college, 80% privately insured) had complete data. Participant self-report (median (IQR) 0.8 (0.0, 2.0)) was greater than objectively measured (median (IQR) 0.43 (0.1, 2.1)) SABA use, but the difference was not statistically significant (P = 0.64). Participant self-report (median (IQR) 97 (67, 100)) was significantly greater than objectively measured (median (IQR) 75 (54, 93)) ICS adherence (P = 0.002).CONCLUSIONS:
Significant discrepancies between self-report and objective ICS usage were observed. EMM can provide clinicians with accurate data on ICS medication taking behavior, thus reducing medication regimen complexity, side effects, and costs.Palabras clave
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Base de datos:
MEDLINE
Asunto principal:
Asma
Idioma:
En
Revista:
J Asthma
Año:
2022
Tipo del documento:
Article