Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device

Background: The INhaler Compliance Assessment (INCA(TM)) device is an electronic monitoring device (EMD) that assesses both patient’s adherence and inhaler technique (IT). This study aimed, first, to assess the value of using the INCA(TM) device as an objective measure during medicine use review (MU...

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Autores principales: Hesso, Iman, Nabhani-Gebara, Shereen, Kayyali, Reem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304614/
https://www.ncbi.nlm.nih.gov/pubmed/37368420
http://dx.doi.org/10.3390/pharmacy11030094
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author Hesso, Iman
Nabhani-Gebara, Shereen
Kayyali, Reem
author_facet Hesso, Iman
Nabhani-Gebara, Shereen
Kayyali, Reem
author_sort Hesso, Iman
collection PubMed
description Background: The INhaler Compliance Assessment (INCA(TM)) device is an electronic monitoring device (EMD) that assesses both patient’s adherence and inhaler technique (IT). This study aimed, first, to assess the value of using the INCA(TM) device as an objective measure during medicine use review (MUR) consultations provided by community pharmacists (CPs) on patients’ adherence and IT. Second, we aimed to explore patients’ perceptions about the INCA(TM) device. Methods: A mixed methods approach was used, involving two phases. Phase one was a service evaluation in independent community pharmacies in London with a before-and-after study design. The service included provision of an MUR consultation to asthma and COPD patients using objective feedback about adherence and IT generated with the INCA(TM) device. Descriptive and inferential statistics were performed using SPSS. Phase two involved semi-structured interviews with respiratory patients. Thematic analysis was performed to generate key findings. Main findings: Eighteen patients participated in the study (12 COPD and 6 asthma). The results showed significant improvement in the INCA(TM) actual adherence from 30% to 68% (p = 0.001) and significant reduction in IT error rate from 51% to 12% (p = 0.002) after conducting the service. Analysis of the interviews revealed patients’ positive attitudes in terms of the perceived benefits of the technology and a desire for future use and recommendation for others. Patients had also positive attitudes towards the consultations provided. Conclusion: Embedding an objective measure about adherence and IT during CPs’ consultations showed a significant improvement in patients’ adherence and IT and was accepted by patients as well.
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spelling pubmed-103046142023-06-29 Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device Hesso, Iman Nabhani-Gebara, Shereen Kayyali, Reem Pharmacy (Basel) Article Background: The INhaler Compliance Assessment (INCA(TM)) device is an electronic monitoring device (EMD) that assesses both patient’s adherence and inhaler technique (IT). This study aimed, first, to assess the value of using the INCA(TM) device as an objective measure during medicine use review (MUR) consultations provided by community pharmacists (CPs) on patients’ adherence and IT. Second, we aimed to explore patients’ perceptions about the INCA(TM) device. Methods: A mixed methods approach was used, involving two phases. Phase one was a service evaluation in independent community pharmacies in London with a before-and-after study design. The service included provision of an MUR consultation to asthma and COPD patients using objective feedback about adherence and IT generated with the INCA(TM) device. Descriptive and inferential statistics were performed using SPSS. Phase two involved semi-structured interviews with respiratory patients. Thematic analysis was performed to generate key findings. Main findings: Eighteen patients participated in the study (12 COPD and 6 asthma). The results showed significant improvement in the INCA(TM) actual adherence from 30% to 68% (p = 0.001) and significant reduction in IT error rate from 51% to 12% (p = 0.002) after conducting the service. Analysis of the interviews revealed patients’ positive attitudes in terms of the perceived benefits of the technology and a desire for future use and recommendation for others. Patients had also positive attitudes towards the consultations provided. Conclusion: Embedding an objective measure about adherence and IT during CPs’ consultations showed a significant improvement in patients’ adherence and IT and was accepted by patients as well. MDPI 2023-06-04 /pmc/articles/PMC10304614/ /pubmed/37368420 http://dx.doi.org/10.3390/pharmacy11030094 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hesso, Iman
Nabhani-Gebara, Shereen
Kayyali, Reem
Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device
title Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device
title_full Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device
title_fullStr Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device
title_full_unstemmed Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device
title_short Objective Assessment of Adherence and Inhaler Technique among Asthma and COPD Patients in London: A Study in Community Pharmacies Using an Electronic Monitoring Device
title_sort objective assessment of adherence and inhaler technique among asthma and copd patients in london: a study in community pharmacies using an electronic monitoring device
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10304614/
https://www.ncbi.nlm.nih.gov/pubmed/37368420
http://dx.doi.org/10.3390/pharmacy11030094
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