Digital spacer data driven COPD inhaler adherence education: The OUTERSPACE proof-of-concept study

Dierick, Boudewijn J H; Been-Buck, Sandra; Klemmeier, Titia; Hagedoorn, Paul; Hei, Susanne J. van de; Kerstjens, Huib A. M.; Kocks, Janwillem; Zijp, Tanja R; Wessels, A. Mireille A.; Touw, Daan; Boven, Job F M van

doi:10.1016/j.rmed.2022.106940

Cited by 14 publications

(8 citation statements)

References 12 publications

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“…A pilot study of 12 participants with COPD evaluated the Smart AeroChamber ® 's usability and investigated its potential impacts on inhaler technique, adherence, long-term systemic medication exposure and clinical outcomes. This study demonstrated the potential value of using a smart spacer to tailor inhaler education for patients with COPD, with potentially similar implications for patients with asthma [39]. A continuation of this study is a multi-centre RCT on the usability and potential clinical effects of using a smart spacer for personalised medication adherence and inhalation technique education in patients with asthma.…”

Section: Clinical Studies With New-generation Emds (Table 2)mentioning

confidence: 72%

“…Still, the assessment of inhaler technique and adherence with spacers can be challenging due to the difficulties with objectively assessing correct spacer use and the lack of devices able to provide feedback on spacer use [15,38]. The Smart AeroChamber ® can be combined with most pMDIs [39]. The Smart AeroChamber ® , a rechargeable digital spacer, uses an inhalation flow sensor to detect inhaler technique errors such as multiple actuations, no inhalation, delayed inhalation, excessive inspiratory flow and low inhaled volume.…”

Section: Smart Aerochamber®mentioning

confidence: 99%

“…A timestamp is recorded for each controller and reliever actuation. Data is stored on an SD card for transfer to a personal computer [39,40]. The device is rechargeable and must be charged every 4 to 6 weeks.…”

Section: Smart Aerochamber®mentioning

confidence: 99%

See 2 more Smart Citations

Electronic Monitoring Devices to Support Inhalation Technique in Patients with Asthma: a Narrative Review

Eikholt

Wiertz

Hew

et al. 2023

Curr Treat Options Allergy

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Purpose of Review Improper inhaling technique is common and is associated with poor patient outcomes. However, digital e-health devices may offer novel opportunities for educational support. This narrative review provides an overview of electronic monitoring devices (EMDs) measuring patient inhalation technique. We summarise their technical features, capabilities and limitations and discuss the steps necessary for implementation in clinical practice. Recent Findings Six EMDs measuring inhalation were identified. The quality of published evidence varied widely. Devices differed in the inhalation technique steps measured, the feedback provided and the type of sensor employed. Sustainability and battery life differed according to whether devices were built into inhalers or add-ons. Nevertheless, all EMDs could reliably capture diverse inhaler technique errors, and some can guide educational interventions and follow-up treatment. In addition, some EMDs may serve as an early warning system for exacerbations. Summary New-generation EMDs can measure patient inhalation technique, yet there is limited data on patient preferences, acceptability of inhaler technique monitoring, cost-effectiveness and the influence of inhaler technique monitoring on clinical outcomes, all representing areas for further research.

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Section: Clinical Studies With New-generation Emds (Table 2)mentioning

confidence: 72%

Section: Smart Aerochamber®mentioning

confidence: 99%

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Electronic Monitoring Devices to Support Inhalation Technique in Patients with Asthma: a Narrative Review

Eikholt

Wiertz

Hew

et al. 2023

Curr Treat Options Allergy

Self Cite

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“…E-Health technology is widely promoted as contributing to accessible [ 1 ], efficient [ 2 ] and patient-centred healthcare [ 3 ]. Within respiratory care, digital home monitoring devices, such as smart inhalers and digital spirometers enable clinicians to monitor real-time progress of disease [ 4 ], tailor care [ 5 , 6 ], initiate and monitor treatment [ 7 ], undertake informed remote consultations [ 8 ], promote inhaler technique [ 9 ], medication adherence [ 10 ▪ ] and support self-management [ 11 ]. The data generated by digital home monitoring can be used to target resources and monitor health events [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Implementation of digital home monitoring and management of respiratory disease

Pinnock

Hui

Boven

2023

Current Opinion in Pulmonary Medicine

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Purpose of reviewDigital respiratory monitoring interventions (e.g. smart inhalers and digital spirometers) can improve clinical outcomes and/or organizational efficiency, and the focus is shifting to sustainable implementation as an approach to delivering respiratory care. This review considers key aspects of the technology infrastructure, discusses the regulatory, financial and policy context that influence implementation, and highlights the overarching societal themes of equity, trust and communication. Recent findingsTechnological requirements include developing interoperable and connected systems; establishing stable, wide internet coverage; addressing data accuracy and monitoring adherence; realising the potential of artificial intelligence; and avoiding clinician data overload. Policy challenges include concerns about quality assurance and increasingly complex regulatory systems. Financial barriers include lack of clarity over cost-effectiveness, budget impact and reimbursement. Societal concerns focus on the potential to increase inequities because of poor e-health literacy, deprivation or lack of available infrastructure, the need to understand the implications for patient/professional interactions of shifting care to remote delivery and ensuring confidentiality of personal data.

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“…Second, there are now novel technologies that allow the tracking of individual medication dispensing events, such as digital pill bottles, electronic blisters, smart inhalers, and digital spacers. [6][7] These devices have sensors and record the exact timing of a dosing event, often accurate on the second. The devices are either add-ons to the original drug packaging or form together with the drug a "drug-device" combination.…”

mentioning

confidence: 99%

Medication adherence: motivate, mobile monitoring and multidisciplinary management!

Boven

2023

RPMGF

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Digital spacer data driven COPD inhaler adherence education: The OUTERSPACE proof-of-concept study

Cited by 14 publications

References 12 publications

Electronic Monitoring Devices to Support Inhalation Technique in Patients with Asthma: a Narrative Review

Electronic Monitoring Devices to Support Inhalation Technique in Patients with Asthma: a Narrative Review

Implementation of digital home monitoring and management of respiratory disease

Medication adherence: motivate, mobile monitoring and multidisciplinary management!

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