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Adherence to treatment in allergic rhinitis using mobile technology: The MASK Study
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2019 (English)In: Clinical and Experimental Allergy, ISSN 0954-7894, E-ISSN 1365-2222, Vol. 49, no 4, p. 442-460Article in journal (Refereed) Published
Abstract [en]

Background: Mobile technology may help to better understand the adherence to treatment. MASK-rhinitis (Mobile Airways Sentinel NetworK for allergic rhinitis) is a patient-centred ICT system. A mobile phone app (the Allergy Diary) central to MASK is available in 22 countries. Objectives: To assess the adherence to treatment in allergic rhinitis patients using the Allergy Diary App. Methods: An observational cross-sectional study was carried out on all users who filled in the Allergy Diary from 1 January 2016 to 1 August 2017. Secondary adherence was assessed by using the modified Medication Possession Ratio (MPR) and the Proportion of days covered (PDC) approach. Results: A total of 12143 users were registered. A total of 6949 users reported at least one VAS data recording. Among them, 1887 users reported >= 7 VAS data. About 1195 subjects were included in the analysis of adherence. One hundred and thirty-six (11.28%) users were adherent (MPR >= 70% and PDC <= 1.25), 51 (4.23%) were partly adherent (MPR >= 70% and PDC = 1.50) and 176 (14.60%) were switchers. On the other hand, 832 (69.05%) users were non-adherent to medications (MPR <70%). Of those, the largest group was non-adherent to medications and the time interval was increased in 442 (36.68%) users. Conclusion and clinical relevance: Adherence to treatment is low. The relative efficacy of continuous vs on-demand treatment for allergic rhinitis symptoms is still a matter of debate. This study shows an approach for measuring retrospective adherence based on a mobile app. This also represents a novel approach for analysing medication-taking behaviour in a real-world setting.

Place, publisher, year, edition, pages
WILEY , 2019. Vol. 49, no 4, p. 442-460
Keywords [en]
adherence, mHealth, mobile technology, observational study, rhinitis, treatment
National Category
Social and Clinical Pharmacy
Identifiers
URN: urn:nbn:se:umu:diva-162486DOI: 10.1111/cea.13333ISI: 000463761700007PubMedID: 30597673OAI: oai:DiVA.org:umu-162486DiVA, id: diva2:1344515
Available from: 2019-08-21 Created: 2019-08-21 Last updated: 2019-08-21Bibliographically approved

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Eklund, Patrik

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Costa, ElisioMidao, LuisCecchi, LorenzoFonseca, JoaoToppila-Salmi, SannaBindslev-Jensen, CarstenEklund, Patrik
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Clinical and Experimental Allergy
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