Effectiveness of Text Message Reminders on Adherence to Inhaled Therapy in Patients With Asthma

Poor adherence to inhaled medication in asthma patients is of great concern. It is one of the main reasons for inadequate asthma control. 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...

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Bibliographic Details
Authors: Almonacid, Carlos|||0000-0002-1689-3347, Melero, Carlos|||0000-0003-2141-1004, López Viña, Antolín|||0000-0001-8057-6947, Cisneros, Carolina|||0000-0003-4297-4199, Pérez de Llano, Luis|||0000-0003-2652-6847, Plaza, Vicente|||0000-0003-2567-5496, García-Rivero, Juan Luis|||0000-0003-0705-7512, Romero Falcón, Auxiliadora|||0000-0002-6222-9172, Ramos, Jacinto|||0000-0003-4904-2829, Bazús González, Teresa|||0000-0002-6531-5519, Andrés Prado, María|||0000-0002-2784-7944, Muriel, Alfonso|||0000-0002-4805-4011
Format: article
Publication Date:2021
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:237362
Online Access:https://ddd.uab.cat/record/237362
https://dx.doi.org/urn:doi:10.2196/12218
Access Level:Open access
Keyword:Asthma
Adherence
SMS
Control
Cell phone
Inhaler
Smartinhaler
Description
Summary:Poor adherence to inhaled medication in asthma patients is of great concern. It is one of the main reasons for inadequate asthma control. 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. 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. 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. Motivational messages were not useful to improve adherence to inhaled asthma medication compared with usual care.

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