Effect of a mHealth intervention on adherence in adolescents with asthma: A randomized controlled trial

Respiratory Medicine
Richelle C KosseEllen S Koster

Abstract

Adherence rates among asthma patients are generally low and decrease during adolescence, resulting in poorly controlled asthma. The aim of our study was to evaluate the effectiveness of the ADolescent Adherence Patient Tool (ADAPT), an interactive mobile health (mHealth) intervention, in supporting self-management and improving inhaled corticosteroid adherence in adolescents with asthma. We conducted a cluster randomized controlled trial in 66 Dutch community pharmacies. Asthma patients aged 12-18 years were invited to participate, based on pharmacy medication refill records. The main study outcome was self-reported medication adherence, measured with the Medication Adherence Report Scale (MARS). Secondary outcomes were asthma control and quality of life. Outcomes were measured at start (t = 0 months) and at the end of follow-up (t = 6 months). Mixed-effects models were used to analyze the effect. In total, 234 adolescents (147 in the control group and 87 in the intervention group) completed the study; mean age 15.1 ± 1.9 years and 52.6% females. Adherence rates of patients with low baseline adherence (MARS scores ≤19; n = 76) increased with 1.42 points in the intervention group (n = 26). Adherence rates of patients in the cont...Continue Reading

References

Feb 1, 1996·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·E F JuniperM Townsend
Jun 17, 2003·Journal of Pediatric Psychology·Elizabeth L McQuaidGregory K Fritz
Sep 26, 2008·Respiratory Medicine·John HaughneyLeif Bjermer
Jan 3, 2009·Paediatrics & Child Health·Danielle TaddeoJean-Yves Frappier
Jun 2, 2009·Respiratory Medicine·Rosita SundbergKjell Torén
Jun 8, 2011·Archives of Pediatrics & Adolescent Medicine·Hyekyun RheeJudith Brasch
Feb 16, 2013·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Pedro AzevedoUNKNOWN WHO Collaborative Center for Asthma and Rhinitis, Montpellier
Aug 15, 2014·Respiratory Care·Camilla Boslev Bårnes, Charlotte Suppli Ulrik
Oct 18, 2014·The European Respiratory Journal·Marjolein EngelkesKatia M C Verhamme
Nov 21, 2014·The Cochrane Database of Systematic Reviews·Robby NieuwlaatR Brian Haynes
Mar 3, 2015·The Journal of Allergy and Clinical Immunology. in Practice·Ann Chen WuBlanca E Himes
Mar 31, 2015·Patient Education and Counseling·Jane N T SattoeAnneLoes van Staa
Jun 4, 2015·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Ellen S KosterMarcel L Bouvy
Oct 10, 2015·European Journal of Clinical Pharmacology·B MulderCcm Schuiling-Veninga
May 28, 2016·The European Respiratory Journal·Erwin C VasbinderPatricia M L A van den Bemt
Sep 27, 2016·The Lancet. Respiratory Medicine·Oliver FuchsErika von Mutius
Nov 2, 2016·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·J A M EmonsR Gerth van Wijk
Feb 28, 2017·JAMA Internal Medicine·Niteesh K ChoudhryJessica M Franklin
Mar 31, 2017·Patient Preference and Adherence·Richelle C KosseEllen S Koster
Apr 13, 2017·Journal of Medical Internet Research·Dorian PetersJuliet M Foster
Sep 14, 2017·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Richelle C KosseEllen S Koster
Oct 17, 2017·Current Opinion in Pulmonary Medicine·Matteo Bonini, Omar S Usmani
Jan 29, 2018·Archives of Disease in Childhood. Education and Practice Edition·Laura A Dawson

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Citations

Jun 22, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Richelle C KosseMarcel L Bouvy
Mar 28, 2019·JMIR MHealth and UHealth·Richelle C KosseEllen S Koster
Apr 28, 2019·International Journal of Clinical Pharmacy·Richelle C KosseEllen S Koster
Jan 8, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Jane MurphyGerard J Molloy
Aug 8, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Philip Crilly, Reem Kayyali
Mar 7, 2020·The Journal of Allergy and Clinical Immunology. in Practice·Rishi J KhusialUNKNOWN myAirCoach study group
Aug 25, 2019·The Journal of Allergy and Clinical Immunology. in Practice·Jean BousquetTorsten Zuberbier
Nov 12, 2020·JMIR MHealth and UHealth·Rachel M MorseGraeme Hoddinott
Dec 30, 2020·Clinical and Translational Allergy·Anna VanoverscheldeLies Lahousse
Nov 6, 2020·JMIR MHealth and UHealth·Bart F SeppenWouter H Bos
Mar 3, 2021·The Journal of Allergy and Clinical Immunology. in Practice·Giselle MosnaimRajan K Merchant
Oct 21, 2020·International Journal of Medical Informatics·Flory L NkoyBryan L Stone
Oct 17, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Jennifer R MammenKimberly Arcoleo
Jul 10, 2021·Journal of the International Association of Providers of AIDS Care·Tiffany ChennevilleLisa Hightow-Weidman
Aug 4, 2021·Journal of Pediatric Psychology·Andrea FidlerDavid Fedele
Oct 1, 2021·Health Informatics Journal·Mohammad K Al-NawaysehShereen M Aleidi
Dec 3, 2021·Informatics for Health & Social Care·João BarataAnabela Mascarenhas

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