Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus

Objective: To collect perspectives and explore consensus for expert recommendations related to asthma control and the use of telemedicine among professionals who manage patients with asthma.Design: A Delphi-like questionnaire was designed to analyse the level of agreement about several recommendatio...

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Autores: Paris, JM, Sanchez, CA, Blanco-Aparicio, M, Dominguez-Ortega, J, Donaire, JG, Marcos, NS, Plaza, V
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p14873
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14873
https://ddd.uab.cat/record/284467
Access Level:acceso abierto
Palabra clave:Telemedicine
Asthma
Consensus
Delphi methodology
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spelling Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensusParis, JMSanchez, CABlanco-Aparicio, MDominguez-Ortega, JDonaire, JGMarcos, NSPlaza, VTelemedicineAsthmaConsensusDelphi methodologyObjective: To collect perspectives and explore consensus for expert recommendations related to asthma control and the use of telemedicine among professionals who manage patients with asthma.Design: A Delphi-like questionnaire was designed to analyse the level of agreement about several recommendations formulated by an expert scientific committee about asthma con-trol and the use of telemedicine with this purpose. A dedicated scientific committee validated the questionnaire, which included questions about the participants' profile and the use of technological tools at a personal level or in clinical practice.The experts expressed their agreement with a Likert-scale of 9 values: 1--3 was considered no agreement, 4-6 neutral, and 7--9 agreement. A rate >= 70% with the same answer was considered consensus.Site: The questionnaire was programmed and distributed as an internet-based survey.Participants: A pre-selected sample of 75 experts with experience in telemedicine (pul-monology, allergology, family medicine, nursing and community pharmacy) responded to a Delphi-like questionnaire composed by six questions and 52 items. Interventions: Consultation was performed in two consecutive waves: the first wave was carried out from 12th of July to 8th of September of 2021; the second wave, from 25th of October to 12th of November of 2021.Main measurements: Three questions about asthma control (actions for achieving or maintain-ing control of asthma at every visit, current problems that affect asthma control, and potential solutions to offset such problems), and three questions about the impact of telemedicine in asthma control (potential benefits of telemedicine, and potential reticence about telemedicine among both patients and healthcare professionals) were included.Results: From the 52 items inquired, 35 were agreed by consensus. The actions for achieving or maintaining control of asthma, the problems that affect asthma control, and their potential solutions were agreed by consensus. The potential benefits of telemedicine were validated by consensus. None of the potential reservations of patients about telemedicine were validated, while five out of 14 potential reservations of healthcare professionals were agreed by consensus.Conclusions: The COMETA consensus provides a current picture of the main problems for achiev-ing asthma control, the benefits and the reservations about the use of telemedicine in the Spanish setting, and offers solutions. A wide interest in implementing telemedicine has been observed, although current limitations need to be overcome.(c) 2022 The Author(s). Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).EDICIONES DOYMA S A2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14873https://ddd.uab.cat/record/284467Atencion PrimariaISSN: 02126567ISSNe: 15781275reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Españolinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p148732026-06-14T12:41:47Z
dc.title.none.fl_str_mv Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
title Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
spellingShingle Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
Paris, JM
Telemedicine
Asthma
Consensus
Delphi methodology
title_short Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
title_full Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
title_fullStr Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
title_full_unstemmed Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
title_sort Current expert opinion and attitudes to optimize telemedicine and achieve control in patients with asthma in post-pandemic era: The COMETA consensus
dc.creator.none.fl_str_mv Paris, JM
Sanchez, CA
Blanco-Aparicio, M
Dominguez-Ortega, J
Donaire, JG
Marcos, NS
Plaza, V
author Paris, JM
author_facet Paris, JM
Sanchez, CA
Blanco-Aparicio, M
Dominguez-Ortega, J
Donaire, JG
Marcos, NS
Plaza, V
author_role author
author2 Sanchez, CA
Blanco-Aparicio, M
Dominguez-Ortega, J
Donaire, JG
Marcos, NS
Plaza, V
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Telemedicine
Asthma
Consensus
Delphi methodology
topic Telemedicine
Asthma
Consensus
Delphi methodology
description Objective: To collect perspectives and explore consensus for expert recommendations related to asthma control and the use of telemedicine among professionals who manage patients with asthma.Design: A Delphi-like questionnaire was designed to analyse the level of agreement about several recommendations formulated by an expert scientific committee about asthma con-trol and the use of telemedicine with this purpose. A dedicated scientific committee validated the questionnaire, which included questions about the participants' profile and the use of technological tools at a personal level or in clinical practice.The experts expressed their agreement with a Likert-scale of 9 values: 1--3 was considered no agreement, 4-6 neutral, and 7--9 agreement. A rate >= 70% with the same answer was considered consensus.Site: The questionnaire was programmed and distributed as an internet-based survey.Participants: A pre-selected sample of 75 experts with experience in telemedicine (pul-monology, allergology, family medicine, nursing and community pharmacy) responded to a Delphi-like questionnaire composed by six questions and 52 items. Interventions: Consultation was performed in two consecutive waves: the first wave was carried out from 12th of July to 8th of September of 2021; the second wave, from 25th of October to 12th of November of 2021.Main measurements: Three questions about asthma control (actions for achieving or maintain-ing control of asthma at every visit, current problems that affect asthma control, and potential solutions to offset such problems), and three questions about the impact of telemedicine in asthma control (potential benefits of telemedicine, and potential reticence about telemedicine among both patients and healthcare professionals) were included.Results: From the 52 items inquired, 35 were agreed by consensus. The actions for achieving or maintaining control of asthma, the problems that affect asthma control, and their potential solutions were agreed by consensus. The potential benefits of telemedicine were validated by consensus. None of the potential reservations of patients about telemedicine were validated, while five out of 14 potential reservations of healthcare professionals were agreed by consensus.Conclusions: The COMETA consensus provides a current picture of the main problems for achiev-ing asthma control, the benefits and the reservations about the use of telemedicine in the Spanish setting, and offers solutions. A wide interest in implementing telemedicine has been observed, although current limitations need to be overcome.(c) 2022 The Author(s). Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14873
https://ddd.uab.cat/record/284467
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14873
https://ddd.uab.cat/record/284467
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv EDICIONES DOYMA S A
publisher.none.fl_str_mv EDICIONES DOYMA S A
dc.source.none.fl_str_mv Atencion Primaria
ISSN: 02126567
ISSNe: 15781275
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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