The views and attitudes of healthcare professionals and patients towards the Electronic Monitoring Device in the management of asthma: A mixed-method study in Waikato and Auckland setting

Abstract

Background: Adherence to prescribed medications to manage asthma is often poor and traditional methods of measuring adherence lack accuracy and reliability. Electronic Monitoring Devices (EMD) are the optimal method for collecting objective data on inhaler use in asthma. Recent research has shown EMD have the potential for improving adherence. However, there is little research investigating the views and opinions of participants on these devices. Objective: To examine the views and opinions of healthcare professionals and patients on the EMD in the management of asthma. Methods: The research involved a mixed-methods approach delivered in two phases. In Phase I (experimental phase, n=17), focus groups were undertaken with participants representing views of adults (65+) and healthcare professionals working in the respiratory field. In Phase II (main study, n=5), semi-structured interviews were undertaken to elicit the views of adults (18-35). In both phases, quantitative data were collected for adults (65+) and (18-35) of their inhaler usage by the EMD. Results: The research raised five dominant themes, which were: (1) first impression of EMD; (2) the EMD functionality; (3) adherence at its best; (4) upgrade reminders; and (5) not for me. The EMD appeared to improve adherence but the effect may lessen over time. Overall, the research highlights broadly similar perceptions across all user groups towards the EMD in the management of asthma. Conclusion: The research considers the positive and negative perceptions on this device and provides new insights on the device that helps with the future direction of this technology in the management of asthma for patients, healthcare professional and the developers of the EMD.