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Effectiveness of Text Message Reminders on Adherence to Inhaled Therapy in Patients With Asthma: Prospective
Carlos Almonacid1, Carlos Melero2, Antolín López Viña3
1Department of Respiratory Medicine, Instituto Ramón y Cajal de Investigación Sanitaria, University of Alcala de Henares, Madrid, Spain.
Background:
Poor adherence to inhaled medication in asthma patients is of great concern. It is one of the main reasons for inadequate asthma control.
Objective:
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.
Methods:
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.
Results:
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.
Conclusions:
Motivational messages were not useful to improve adherence to inhaled asthma medication compared with usual care.
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