Usability and feasibility of the Test of Adherence to Inhalers (TAI) Toolkit in daily clinical practice: The BANANA study.

IF 3.1 3区 医学 Q1 PRIMARY HEALTH CARE NPJ Primary Care Respiratory Medicine Pub Date : 2024-05-28 DOI:10.1038/s41533-024-00372-z
Maria Achterbosch, Susanne J van de Hei, Boudewijn J H Dierick, Janwillem W H Kocks, Maarten van den Berge, Huib A M Kerstjens, Sandra Been-Buck, Titia Klemmeier, Liset van Dijk, Job F M van Boven
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Abstract

The Test of Adherence to Inhalers (TAI) Toolkit links an adherence measurement instrument (the TAI) to proven effective interventions for different causes of non-adherence to inhaled medication. This study aimed to assess the usability and feasibility of the TAI Toolkit in clinical practice. The TAI Toolkit was piloted in eight primary and secondary care settings. Each study site included 10 patients with asthma and/or COPD and suspected non-adherence. Healthcare professionals (HCPs) recorded clinical data and TAI Toolkit outcomes. Data on usability and feasibility were collected in semi-structured interviews and with the System Usability Score (SUS). Of the included patients, 81% were non-adherent, and sporadic non-adherence was the most common (69%). The TAI Toolkit was valued with a mean SUS-score of 85.9 by the HCPs. They found the toolkit to 'be visually attractive', 'easy-to-use' and 'give insight into patients' adherence', thereby offering good potential for its use in clinical practice.

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吸入器依从性测试(TAI)工具包在日常临床实践中的可用性和可行性:BANANA 研究。
吸入器依从性测试(TAI)工具包将依从性测量工具(TAI)与针对导致不依从吸入药物的不同原因的已证实有效的干预措施联系起来。本研究旨在评估 TAI 工具包在临床实践中的可用性和可行性。TAI工具包在八个初级和二级医疗机构进行了试点。每个研究地点包括 10 名哮喘和/或慢性阻塞性肺病患者和疑似不依从患者。医护人员(HCPs)记录了临床数据和TAI工具包的结果。通过半结构化访谈和系统可用性评分(SUS)收集了有关可用性和可行性的数据。在纳入的患者中,81%未坚持治疗,其中最常见的是零星不坚持治疗(69%)。主治医生对 TAI 工具包的平均 SUS 评分为 85.9 分。他们认为该工具包 "具有视觉吸引力"、"易于使用 "并 "能够深入了解患者的依从性",因此在临床实践中具有很好的应用潜力。
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来源期刊
NPJ Primary Care Respiratory Medicine
NPJ Primary Care Respiratory Medicine PRIMARY HEALTH CARE-RESPIRATORY SYSTEM
CiteScore
5.50
自引率
6.50%
发文量
49
审稿时长
10 weeks
期刊介绍: npj Primary Care Respiratory Medicine is an open access, online-only, multidisciplinary journal dedicated to publishing high-quality research in all areas of the primary care management of respiratory and respiratory-related allergic diseases. Papers published by the journal represent important advances of significance to specialists within the fields of primary care and respiratory medicine. We are particularly interested in receiving papers in relation to the following aspects of respiratory medicine, respiratory-related allergic diseases and tobacco control: epidemiology prevention clinical care service delivery and organisation of healthcare (including implementation science) global health.
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