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- Title
Effectiveness of Text Message Reminders on Adherence to Inhaled Therapy in Patients With Asthma: Prospective Multicenter Randomized Clinical Trial.
- Authors
Almonacid, Carlos; Melero, Carlos; Viña, Antolín López; Cisneros, Carolina; Llano, Luis Pérez de; Plaza, Vicente; García-Rivero, Juan Luis; Falcón, Auxiliadora Romero; Ramos, Jacinto; González, Teresa Bazús; Prado, María Andrés; Muriel, Alfonso
- Abstract
Background: Poor adherence to inhaled medication in asthma patients is of great concern. It is one of the main reasons for inadequate asthma control. Objective: 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. Methods: 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. Results: 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. Conclusions: Motivational messages were not useful to improve adherence to inhaled asthma medication compared with usual care. JMIR Form Res 2021;5(2):e12218 doi:10.2196/12218
- Subjects
SPAIN; HEALTH care reminder systems; INHALERS; ASTHMATICS; TEXT messages; CLINICAL trials; PATIENT compliance; ELECTRONIC surveillance
- Publication
Journal of Medical Internet Research, 2021, Vol 23, Issue 2, pN.PAG
- ISSN
1439-4456
- Publication type
Article
- DOI
10.2196/12218