Adherence to Prescribed E-Diary Recording by Patients With Seasonal Allergic Rhinitis: Observational Study
BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, pat...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Di Fraia, Marco [verfasserIn] Tripodi, Salvatore [verfasserIn] Arasi, Stefania [verfasserIn] Dramburg, Stephanie [verfasserIn] Castelli, Sveva [verfasserIn] Villalta, Danilo [verfasserIn] Buzzulini, Francesca [verfasserIn] Sfika, Ifigenia [verfasserIn] Villella, Valeria [verfasserIn] Potapova, Ekaterina [verfasserIn] Perna, Serena [verfasserIn] Brighetti, Maria Antonia [verfasserIn] Travaglini, Alessandro [verfasserIn] Verardo, Pierluigi [verfasserIn] Pelosi, Simone [verfasserIn] Zicari, Anna Maria [verfasserIn] Matricardi, Paolo Maria [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Übergeordnetes Werk: |
In: Journal of Medical Internet Research - JMIR Publications, 2003, 22(2020), 3, p e16642 |
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| Übergeordnetes Werk: |
volume:22 ; year:2020 ; number:3, p e16642 |
| Links: |
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| DOI / URN: |
10.2196/16642 |
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| Katalog-ID: |
DOAJ064073831 |
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| 520 | |a BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. | ||
| 653 | 0 | |a Computer applications to medicine. Medical informatics | |
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| 700 | 0 | |a Tripodi, Salvatore |e verfasserin |4 aut | |
| 700 | 0 | |a Arasi, Stefania |e verfasserin |4 aut | |
| 700 | 0 | |a Dramburg, Stephanie |e verfasserin |4 aut | |
| 700 | 0 | |a Castelli, Sveva |e verfasserin |4 aut | |
| 700 | 0 | |a Villalta, Danilo |e verfasserin |4 aut | |
| 700 | 0 | |a Buzzulini, Francesca |e verfasserin |4 aut | |
| 700 | 0 | |a Sfika, Ifigenia |e verfasserin |4 aut | |
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10.2196/16642 doi (DE-627)DOAJ064073831 (DE-599)DOAJdbe77ced81924bbc9566aeb63ea3718a DE-627 ger DE-627 rakwb eng R858-859.7 RA1-1270 Di Fraia, Marco verfasserin aut Adherence to Prescribed E-Diary Recording by Patients With Seasonal Allergic Rhinitis: Observational Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. Computer applications to medicine. Medical informatics Public aspects of medicine Tripodi, Salvatore verfasserin aut Arasi, Stefania verfasserin aut Dramburg, Stephanie verfasserin aut Castelli, Sveva verfasserin aut Villalta, Danilo verfasserin aut Buzzulini, Francesca verfasserin aut Sfika, Ifigenia verfasserin aut Villella, Valeria verfasserin aut Potapova, Ekaterina verfasserin aut Perna, Serena verfasserin aut Brighetti, Maria Antonia verfasserin aut Travaglini, Alessandro verfasserin aut Verardo, Pierluigi verfasserin aut Pelosi, Simone verfasserin aut Zicari, Anna Maria verfasserin aut Matricardi, Paolo Maria verfasserin aut In Journal of Medical Internet Research JMIR Publications, 2003 22(2020), 3, p e16642 (DE-627)324614136 (DE-600)2028830-X 14388871 nnns volume:22 year:2020 number:3, p e16642 https://doi.org/10.2196/16642 kostenfrei https://doaj.org/article/dbe77ced81924bbc9566aeb63ea3718a kostenfrei https://www.jmir.org/2020/3/e16642 kostenfrei https://doaj.org/toc/1438-8871 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_1200 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2020 3, p e16642 |
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10.2196/16642 doi (DE-627)DOAJ064073831 (DE-599)DOAJdbe77ced81924bbc9566aeb63ea3718a DE-627 ger DE-627 rakwb eng R858-859.7 RA1-1270 Di Fraia, Marco verfasserin aut Adherence to Prescribed E-Diary Recording by Patients With Seasonal Allergic Rhinitis: Observational Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. Computer applications to medicine. Medical informatics Public aspects of medicine Tripodi, Salvatore verfasserin aut Arasi, Stefania verfasserin aut Dramburg, Stephanie verfasserin aut Castelli, Sveva verfasserin aut Villalta, Danilo verfasserin aut Buzzulini, Francesca verfasserin aut Sfika, Ifigenia verfasserin aut Villella, Valeria verfasserin aut Potapova, Ekaterina verfasserin aut Perna, Serena verfasserin aut Brighetti, Maria Antonia verfasserin aut Travaglini, Alessandro verfasserin aut Verardo, Pierluigi verfasserin aut Pelosi, Simone verfasserin aut Zicari, Anna Maria verfasserin aut Matricardi, Paolo Maria verfasserin aut In Journal of Medical Internet Research JMIR Publications, 2003 22(2020), 3, p e16642 (DE-627)324614136 (DE-600)2028830-X 14388871 nnns volume:22 year:2020 number:3, p e16642 https://doi.org/10.2196/16642 kostenfrei https://doaj.org/article/dbe77ced81924bbc9566aeb63ea3718a kostenfrei https://www.jmir.org/2020/3/e16642 kostenfrei https://doaj.org/toc/1438-8871 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_1200 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2020 3, p e16642 |
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10.2196/16642 doi (DE-627)DOAJ064073831 (DE-599)DOAJdbe77ced81924bbc9566aeb63ea3718a DE-627 ger DE-627 rakwb eng R858-859.7 RA1-1270 Di Fraia, Marco verfasserin aut Adherence to Prescribed E-Diary Recording by Patients With Seasonal Allergic Rhinitis: Observational Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. Computer applications to medicine. Medical informatics Public aspects of medicine Tripodi, Salvatore verfasserin aut Arasi, Stefania verfasserin aut Dramburg, Stephanie verfasserin aut Castelli, Sveva verfasserin aut Villalta, Danilo verfasserin aut Buzzulini, Francesca verfasserin aut Sfika, Ifigenia verfasserin aut Villella, Valeria verfasserin aut Potapova, Ekaterina verfasserin aut Perna, Serena verfasserin aut Brighetti, Maria Antonia verfasserin aut Travaglini, Alessandro verfasserin aut Verardo, Pierluigi verfasserin aut Pelosi, Simone verfasserin aut Zicari, Anna Maria verfasserin aut Matricardi, Paolo Maria verfasserin aut In Journal of Medical Internet Research JMIR Publications, 2003 22(2020), 3, p e16642 (DE-627)324614136 (DE-600)2028830-X 14388871 nnns volume:22 year:2020 number:3, p e16642 https://doi.org/10.2196/16642 kostenfrei https://doaj.org/article/dbe77ced81924bbc9566aeb63ea3718a kostenfrei https://www.jmir.org/2020/3/e16642 kostenfrei https://doaj.org/toc/1438-8871 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_1200 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2020 3, p e16642 |
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10.2196/16642 doi (DE-627)DOAJ064073831 (DE-599)DOAJdbe77ced81924bbc9566aeb63ea3718a DE-627 ger DE-627 rakwb eng R858-859.7 RA1-1270 Di Fraia, Marco verfasserin aut Adherence to Prescribed E-Diary Recording by Patients With Seasonal Allergic Rhinitis: Observational Study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. Computer applications to medicine. Medical informatics Public aspects of medicine Tripodi, Salvatore verfasserin aut Arasi, Stefania verfasserin aut Dramburg, Stephanie verfasserin aut Castelli, Sveva verfasserin aut Villalta, Danilo verfasserin aut Buzzulini, Francesca verfasserin aut Sfika, Ifigenia verfasserin aut Villella, Valeria verfasserin aut Potapova, Ekaterina verfasserin aut Perna, Serena verfasserin aut Brighetti, Maria Antonia verfasserin aut Travaglini, Alessandro verfasserin aut Verardo, Pierluigi verfasserin aut Pelosi, Simone verfasserin aut Zicari, Anna Maria verfasserin aut Matricardi, Paolo Maria verfasserin aut In Journal of Medical Internet Research JMIR Publications, 2003 22(2020), 3, p e16642 (DE-627)324614136 (DE-600)2028830-X 14388871 nnns volume:22 year:2020 number:3, p e16642 https://doi.org/10.2196/16642 kostenfrei https://doaj.org/article/dbe77ced81924bbc9566aeb63ea3718a kostenfrei https://www.jmir.org/2020/3/e16642 kostenfrei https://doaj.org/toc/1438-8871 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_702 GBV_ILN_1200 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 22 2020 3, p e16642 |
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Di Fraia, Marco @@aut@@ Tripodi, Salvatore @@aut@@ Arasi, Stefania @@aut@@ Dramburg, Stephanie @@aut@@ Castelli, Sveva @@aut@@ Villalta, Danilo @@aut@@ Buzzulini, Francesca @@aut@@ Sfika, Ifigenia @@aut@@ Villella, Valeria @@aut@@ Potapova, Ekaterina @@aut@@ Perna, Serena @@aut@@ Brighetti, Maria Antonia @@aut@@ Travaglini, Alessandro @@aut@@ Verardo, Pierluigi @@aut@@ Pelosi, Simone @@aut@@ Zicari, Anna Maria @@aut@@ Matricardi, Paolo Maria @@aut@@ |
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Di Fraia, Marco Tripodi, Salvatore Arasi, Stefania Dramburg, Stephanie Castelli, Sveva Villalta, Danilo Buzzulini, Francesca Sfika, Ifigenia Villella, Valeria Potapova, Ekaterina Perna, Serena Brighetti, Maria Antonia Travaglini, Alessandro Verardo, Pierluigi Pelosi, Simone Zicari, Anna Maria Matricardi, Paolo Maria |
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adherence to prescribed e-diary recording by patients with seasonal allergic rhinitis: observational study |
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Adherence to Prescribed E-Diary Recording by Patients With Seasonal Allergic Rhinitis: Observational Study |
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BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. |
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BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. |
| abstract_unstemmed |
BackgroundComplete diagnosis and therapy of seasonal allergic rhinoconjunctivitis require evidence that exposure to the sensitizing pollen triggers allergic symptoms. Electronic clinical diaries, by recording disease severity scores and pollen exposure, can demonstrate this association. However, patients who spontaneously download an e-diary app show very low adherence to their recording. ObjectiveThe objective of our study was to assess adherence of patients with seasonal allergic rhinitis to symptom recording via e-diary explicitly prescribed by an allergist within a blended care approach. MethodsThe IT-2020 project is investigating the diagnostic synergy of mobile health and molecular allergology in patients with seasonal allergic rhinitis. In the pilot phase of the study, we recruited Italian children (Rome, Italy) and adults (Pordenone, Italy) with seasonal allergic rhinitis and instructed them to record their symptoms, medication intake, and general conditions daily through a mobile app (Allergy.Monitor) during the relevant pollen season. ResultsOverall, we recruited 101 Italian children (Rome) and 93 adults (Pordenone) with seasonal allergic rhinitis. Adherence to device use slowly declined during monitoring in 3 phases: phase A: first week, ≥1267/1358, 90%; phase B: second to sixth week, 4992/5884, 80% to 90%; and phase C: seventh week onward, 2063/2606, 70% to 80%. At the individual level, the adherence assessed in the second and third weeks of recording predicted with enough confidence (Rome: Spearman ρ=0.75; P<.001; Pordenone: ρ=0.81; P<.001) the overall patient adherence to recording and was inversely related to postponed reporting (ρ=–0.55; P<.001; in both centers). Recording adherence was significantly higher during the peak grass pollen season in Rome, but not in Pordenone. ConclusionsAdherence to daily recording in an e-diary, prescribed and motivated by an allergist in a blended care setting, was very high. This observation supports the use of e-diaries in addition to face-to-face visits for diagnosis and treatment of seasonal allergic rhinitis and deserves further investigation in real-life contexts. |
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