Adherence to treatment in allergic rhinitis using mobile technology. the mask study.
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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