Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal2
Service of Immunoallergology, Hospital Pêro da Covilhã, Cova da Beira Hospital Center, Covilhã Portugal3
Clinical Academic Center of Beiras, Covilhã, Portugal4
Service of Pneumology, Hospital Pêro da Covilhã, Cova da Beira Hospital Center, Covilhã Portugal5
Center for Health Technology and Services Research (CINTESIS), School of Medicine, University of Porto, Porto, Portugal6
Department of Community Medicine Information and Decision in Health (MEDCIDS), School of Medicine, University of Porto, Porto, Portugal7
BloomIdea, Braga, Portugal8
Immunoallergology, Institute and Hospital of Porto CUF, Porto, Portugal9
Medicine, Education, Research, Development and Evaluation (MEDIDA), Porto, PortugalHistory:
Published online: 13 November 2020
Accepted: 26 October 2020
Received: 10 July 2020
We assessed adherence to treatment and management needs of adults with persistent asthma and their interest in using apps for asthma management. Secondarily, we explored patients' opinions about an app to assess and improve adherence to treatment.
A cross-sectional study was conducted with 40 adults with persistent asthma (49.9 ± 15.8 years) recruited at outpatient clinics from a district hospital. Participants answered a survey on sociodemographic, asthma control, treatment adherence and use of mobile devices, social networks and apps. Four patients participated in a prospective extension of the study, in which they were invited to use the InspirerMundi app.
48% of the participants had at least ≥ 1 exacerbation in the previous year and 85% had uncontrolled asthma. Self-reported adherence to treatment showed that one in four participants had low adherence. At least daily, 55% of participants navigated on the internet with their smartphone/tablet, 35% used apps and 93% social networks. Nine (22%) participants had previously used health/fitness apps and 65% would like to use apps to improve inhaler adherence.
Most participants had uncontrolled asthma, reported high adherence to treatment and were daily users of social networks and the internet. Only 1/4 used apps but 2/3 would like to use apps to support asthma management.
Asthma; medication adherence; mobile applications; cell phone use; smartphone.