Utilizing Capmedic Electronic Device to Measure and Improve Inhaler Technique in Clinic

Paronyan, Emilie; Landon, Chris; Biswas, Rajoshi; Wicklund, H.; Wallace, Kaitlyn; Thompson, Alexis A.

doi:10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a4786

Cited by 2 publications

(2 citation statements)

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“…The CapMedic® tool was considered to be more sensitive in identifying and quantifying these errors than observation alone. Another small study of 16 patients showed improved inhaler technique in patients using CapMedic®, compared to patients who were only shown an inhaler technique video [55]. The impact of using the CapMedic® device on other clinical outcomes has not yet been evaluated.…”

Section: Capmedic® (Cognita Labs California Usa)mentioning

confidence: 99%

Assessing adherence to inhaled therapies in asthma and the emergence of electronic monitoring devices

Dhruve

Jackson

2022

Eur Respir Rev

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Infrequent use of inhaled corticosteroids (ICS) and/or over-reliance of short-acting β-agonists (SABA) are recognised as key contributors to increased morbidity and mortality in asthma. The most frequent measures of ICS adherence and SABA use rely on patient-reported questionnaires or prescription refill records, neither of which are considered sufficiently reliable. Technological advancements in the development of electronic monitoring of inhaler devices allow for monitoring of use, as well as recording of and feedback on inhaler technique for some devices. Most electronic monitoring devices (EMDs) are paired with a smartphone application, allowing patients to set reminders and display both preventer and reliever use over time. This allows identification of intentional and unintentional ICS non-adherence as well as frequency of SABA use. This information assists clinicians in distinguishing difficult-to-control from severe asthma. Although additional evidence is required to assess the impact of EMDs on clinical outcome measures such as exacerbation rate, the introduction of EMDs into the asthma armoury is a significant step forward in asthma care with the potential to improve asthma-related outcomes.

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Section: Capmedic® (Cognita Labs California Usa)mentioning

confidence: 99%

Assessing adherence to inhaled therapies in asthma and the emergence of electronic monitoring devices

Dhruve

Jackson

2022

Eur Respir Rev

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“…An observational study of 23 patients with asthma or chronic obstructive pulmonary disease (COPD) concluded that the CapMedic ® device could detect significant errors in inhaler usage and was more sensitive in identifying and quantifying such errors than observation alone [18]. A small RCT by Paronyan et al showed improved inhalation technique in 16 patients coached with CapMedic ® data, compared to a control group with patients only shown an inhaler technique video [20]. A larger trial recruiting 50 participants with asthma is currently underway to further examine the impact of the device on inhaler technique and adherence to therapy (NCT04250779).…”

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

confidence: 99%

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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Utilizing Capmedic Electronic Device to Measure and Improve Inhaler Technique in Clinic

Cited by 2 publications

References 0 publications

Assessing adherence to inhaled therapies in asthma and the emergence of electronic monitoring devices

Assessing adherence to inhaled therapies in asthma and the emergence of electronic monitoring devices

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

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