Browsing by Author "Sheikh, A"
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- ItemAdherence to treatment in allergic rhinitis using mobile technology. the mask study.(0000-00-00) Menditto, E; Costa, E; Midão, L; Bosnic-Anticevich, S; Novellino, E; Bialek, S; Briedis, V; Mair, A; Rajabian-Soderlund, R; Arnavielhe, S; Bedbrook, A; Czarlewski, W; Annesi-Maesano, I; Anto, J M; Devillier, P; De Vries, G; Keil, T; Sheikh, A; Orlando, V; Larenas-Linnemann, D; Cecchi, L; De Feo, G; Illario, M; Stellato, C; Fonseca, J; Malva, J; Morais-Almeida, M; Pereira, A M; Todo-Bom, A; Kvedariene, V; Valiulis, A; Bergmann, K C; Klimek, L; Mösges, R; Pfaar, O; Zuberbier, T; Cardona, V; Mullol, J; Papadopoulos, N G; Prokopakis, E P; Bewick, M; Ryan, D; Roller-Wirnsberger, R E; Tomazic, P V; Cruz, A A; Kuna, P; Samolinski, B; Fokkens, W J; Reitsma, S; Bosse, I; Fontaine, J F; Laune, D; Haahtela, T; Toppila-Salmi, S; Bachert, C; Hellings, P W; Melén, E; Wickman, M; Bindslev-Jensen, C; Eller, E; O'Hehir, R E; Cingi, C; Gemicioglu, B; Kalayci, O; Ivancevich, J C; Bousquet, J; ,BACKGROUND Mobile technology may help to better understand the adherence to treatment MASK rhinitis Mobile Airways Sentinel NetworK for allergic rhinitis is a patient centered ICT system A mobile phone app the Allergy Diary central to MASK is available in 22 countries OBJECTIVES To assess the adherence to treatment in allergic rhinitis patients using the Allergy Diary App METHODS An observational cross sectional study was carried out on all users who filled in the Allergy Diary from January 1 2016 to August 1 2017 Secondary adherence was assessed by using the modified Medication Possession Ratio MPR and the Proportion of days covered PDC approach RESULTS 12 143 users were registered 6 949 users reported at least one VAS data recording Among them 1 887 users reported 7 VAS data 1 195 subjects were included in the analysis of adherence 136 11 28 users were adherent MPR 70 and PDC 1 25 51 4 23 were partly adherent MPR 70 and PDC 1 50 and 176 14 60 were switchers On the other hand 832 69 05 users were non adherent to medications MPRUnder70 Of those the largest group was non adherent to medications and the time interval was increased in 442 36 68 users CONCLUSION AND CLINICAL RELEVANCE Adherence to treatment is low The relative efficacy of continuous versus on demand treatment for AR symptoms is still a matter of debate This study shows an approach for measuring retrospective adherence based on a mobile app This represent a novel approach also for analyzing medication taking behavior in a real world setting This article is protected by copyright All rights reserved
- ItemImproving hospital communication: do mobile phone networks hold the key?(2007-04-27) Aziz, O; Panesar, S; Paraskeva, P; Darzi, A; Sheikh, A
- ItemTexting appointment reminders to repeated non-attenders in primary care: randomised controlled study.(2008-10-09) Fairhurst, K; Sheikh, ABACKGROUND Failure to attend appointments compromises health service efficiency Despite considerable interest in using novel technologies to improve attendance evidence from rigorously conducted controlled studies is lacking AIM To evaluate the effectiveness of texting appointment reminders to patients who persistently fail to attend appointments DESIGN Randomised controlled study SETTING Inner city general practice in Lothian Scotland METHOD We included 415 appointments made by patients n 173 who had failed to attend two or more routine appointments in the preceding year Patients whose appointments were randomised to the intervention group received a text message reminder of the appointment Patients whose appointments were in the control group received no reminder Our primary outcome measure was non attendance rates We undertook an intention to treat analysis and multi level analysis to take account of the lack of independence of the outcomes of repeated appointments for the same patient RESULTS Of the 418 appointments originally included in the study three were excluded due to clerical error 189 were randomised to the intervention group and 226 to the control group Twenty two appointments 12 were not attended in the intervention group compared with 39 17 in the control group A chi square analysis considering the outcome of appointments as independent from one another gave a non significant difference of 5 95 CI of difference 1 1 to 12 3 p 0 13 Multilevel analysis applied to the binary outcome data on non attendance gave an odds ratio for non attendance in the intervention group compared with the control group of 0 63 95 CI 0 36 to 1 1 p 0 11 CONCLUSION Although the intervention showed promise we failed to demonstrate significant reduction in non attendance rates as a result of texting appointment reminders to patients who persistently fail to attend their general practice appointments
- ItemUnderstanding reasons for asthma outpatient (non)-attendance and exploring the role of telephone and e-consulting in facilitating access to care: exploratory qualitative study.(2006-06-05) van Baar, J D; Joosten, H; Car, J; Freeman, G K; Partridge, M R; van Weel, C; Sheikh, ATo understand factors influencing patients decisions to attend for outpatient follow up consultations for asthma and to explore patients attitudes to telephone and email consultations in facilitating access to asthma care
- ItemUnderstanding the potential role of mobile phone-based monitoring on asthma self-management: qualitative study.(2007-04-25) Pinnock, H; Slack, R; Pagliari, C; Price, D; Sheikh, ABACKGROUND National and international healthcare policy increasingly seeks technological solutions to the challenge of providing care for people with long term conditions Novel technologies however have the potential to change the dynamics of disease monitoring and self management We aimed to explore the opinions and concerns of people with asthma and primary care clinicians on the potential role of mobile phone monitoring technology transmitting symptoms and peak flows with immediate feedback of control and reminder of appropriate actions in supporting asthma self management METHODS This qualitative study recruited 48 participants 34 adults and teenagers with asthma 14 asthma nurses and doctors from primary care in Lothian Central Scotland and Kent South East England Thirty nine participated in six focus groups which included a demonstration of the technology nine gave in depth interviews before and after a 4 week trial of the technology RESULTS Participants considered that mobile phone based monitoring systems can facilitate guided self management although paradoxically may engender dependence on professional technological support In the early phases as patients are learning to accept understand and control their asthma this support was seen as providing much needed confidence During the maintenance phase when self management predominates patient and professionals were concerned that increased dependence may be unhelpful although they appreciated that maintaining an on going record could facilitate consultations CONCLUSION Mobile phone based monitoring systems have the potential to support guided self management by aiding transition from clinician supported early phases to effective self management during the maintenance phase Continuing development adoption and formal evaluation of these systems should take account of the insights provided by our data