The existing technology available to electronically monitor both asthma and CF is now well established, and with an increased evidence base for its efficacy, should be utilised more widely in clinical practice. Future studies should investigate how to optimise and refine this approach, and incorporate emerging technology using remote monitoring and smartphone applications. With rapid technological advances in current devices and software available, it’s an intriguing time for electronic adherence monitoring, and its potential to significantly improve the lives of children with asthma and cystic fibrosis. 7.5 Summary The STAAR study was the first study using electronic adherence monitoring with feedback and alarms to demonstrate a sustained improvement in adherence and clinical outcomes in children with asthma. The Nebtext study showed it is feasible to use regular reminder text messages to children with CF, and whilst they are amenable to this approach, the reminders have a limited effect when used on a group of patients with high baseline adherence rates.
The existing technology available to electronically monitor both asthma and CF is now well established, and with an increased evidence base for its efficacy, should be utilised more widely in clinical practice. Future studies should investigate how to optimise and refine this approach, and incorporate emerging technology using remote monitoring and smartphone applications. With rapid technological advances in current devices and software available, it’s an intriguing time for electronic adherence monitoring, and its potential to significantly improve the lives of children with asthma and cystic fibrosis. 7.5 Summary The STAAR study was the first study using electronic adherence monitoring with feedback and alarms to demonstrate a sustained improvement in adherence and clinical outcomes in children with asthma. The Nebtext study showed it is feasible to use regular reminder text messages to children with CF, and whilst they are amenable to this approach, the reminders have a limited effect when used on a group of patients with high baseline adherence rates.
Rob_Morton_Thesis_Submission_December_2017.docx