Effect of Notification by Smartphone Application on Intranasal Corticosteroids Adherence to Allergic Rhinitis Patients in Outpatient Department, Phramongkutklao Hospital : Randomized Controlled Trial
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Abstract
ABSTRACT
Background: Non-adherence to medications leads to poor clinical outcomes of allergic rhinitis. The effect of a notification, such as a Smartphone application, may increase intranasal corticosteroids adherence.
Design: Non-blinded randomized controlled trial, Block of four randomization
Methods: Eighty-two allergic rhinitis volunteers who were taking Intranasal corticosteroids, 20-70 years had an adherence rate of less than 80.00% of prescribed and had a visual analogue scale (VAS) > 5 of any symptoms of allergic rhinitis were randomly assigned to being a Smartphone group (n = 43) and a Calendar group (n = 39). Both groups were assessed for their frequency of adherence, VAS, and treatment factors. A sticker notification was sent to the smartphone group daily for 30 days. Volunteers were asked to respond after taking their intranasal corticosteroids. The calendar group recorded corticosteroids taken by themselves. At 30 days, they were assessed again.
Results: Both groups improved in their adherence frequency. The Smartphone group was superior to the Calendar group with a significant decrease in allergic rhinitis symptoms (p < 0.001).
Conclusions: Both Smartphone and Calendar notifications improved intranasal corticosteroid adherence and symptoms. The type of notifications should be selected according to the individual’s needs and capabilities.
Keywords: intranasal corticosteroids, smartphone notification, adherence
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