Skip to main content

Research Repository

Advanced Search

Electronic monitoring of adherence to inhaled medication in asthma

Howard, Sam; Lang, Alexandra; Patel, Mitesh Dilipkumar Kantilal; Sharples, Sarah; Shaw, Dominick E.

Authors

Sam Howard sam.howard@nottingham.ac.uk

Mitesh Dilipkumar Kantilal Patel mitesh.patel@nottingham.ac.uk



Abstract

The main treatment of asthma is inhaled corticosteroids. However adherence to these medications in asthma is often poor, with low adherence associated with excessive health care costs and an increased risk of emergency room visits and mortality. Although various methods are used to indirectly assess adherence, all have significant limitations whether used in clinical or research practice. The recent development of electronic monitoring devices (EMDs) for use with inhalers presents an exciting opportunity to easily and accurately measure inhaler adherence. This article summarises the current devices available; for each device features and limitations are considered, followed by a review of both the current clinical literature and data on reliability and accuracy. An overall summary is also provided to aid comparison of capabilities between devices and future issues pertaining to the use of EMDs are discussed, including barriers to adoption, stakeholder involvement, novel methods of communicating adherence data, recording of data and cloud storage. Finally key areas that still require investigation are highlighted.

Citation

Howard, S., Lang, A., Patel, M. D. K., Sharples, S., & Shaw, D. E. (2014). Electronic monitoring of adherence to inhaled medication in asthma. Current Respiratory Medicine Reviews, 10(1), https://doi.org/10.2174/1573398X10666140429005007

Journal Article Type Article
Publication Date Jan 1, 2014
Deposit Date Aug 12, 2015
Publicly Available Date Aug 12, 2015
Journal Current Respiratory Medicine Reviews
Print ISSN 1573-398X
Electronic ISSN 1875-6387
Publisher Bentham Science Publishers
Peer Reviewed Not Peer Reviewed
Volume 10
Issue 1
DOI https://doi.org/10.2174/1573398X10666140429005007
Keywords asthma, adherence, electronic monitoring, inhaled medication, data
Public URL http://eprints.nottingham.ac.uk/id/eprint/29556
Publisher URL http://beta.eurekaselect.com/121880/article
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf
Additional Information Mitesh Patel is funded by a National Institute for Health Research (NIHR) Clinical Lectureship. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.

Files


first draft submitted Electronic Monitoring of Adherence.pdf (470 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





You might also like



Downloadable Citations