Electronic monitoring of adherence to inhaled medication in asthma

Howard, Sam and Lang, Alexandra and Patel, Mitesh Dilipkumar Kantilal and Sharples, Sarah and Shaw, Dominick E. (2014) Electronic monitoring of adherence to inhaled medication in asthma. Current Respiratory Medicine Reviews, 10 (1). pp. 50-63. ISSN 1875-6387

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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.

Item Type: Article
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.
Keywords: asthma, adherence, electronic monitoring, inhaled medication, data
Schools/Departments: University of Nottingham UK Campus > Faculty of Engineering
University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Respiratory Medicine
Identification Number: https://doi.org/10.2174/1573398X10666140429005007
Depositing User: Patel, Mitesh
Date Deposited: 12 Aug 2015 13:32
Last Modified: 14 Sep 2016 07:52
URI: http://eprints.nottingham.ac.uk/id/eprint/29556

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