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Telemonitoring of pediatric asthma in outpatient settings: A systematic review

Pais‐Cunha, I; Fontoura Matias, J; Almeida, AL; Magalhães, M; Fonseca, JA; Azevedo, I; Jácome, C

Telemonitoring technologies are rapidly evolving, offering a promising solution for remote monitoring and timely management of asthma acute episodes. We aimed to describe current pediatric asthma telemonitoring technologies. A systematic review was conducted until September 2023 on Medline, Scopus, and Web of Science. We included studies of children (0-18 years) with asthma or recurrent wheezing whose respirato...

Data: 2024   |   Origem: Saúde - CUF

Feasibility and Acceptability of Pediatric Smartphone Lung Auscultation by Pare...

Santos-Silva, C; Ferreira-Cardoso, H; Silva, S; Vieira-Marques, P; Valente, JC; Almeida, R; Fonseca, JA; Santos, C; Azevedo, I; Jácome, C

Background: The use of a smartphone built-in microphone for auscultation is a feasible alternative to the use of a stethoscope, when applied by physicians. Objective: This cross-sectional study aims to assess the feasibility of this technology when used by parents—the real intended end users. Methods: Physicians recruited 46 children (male: n=33, 72%; age: mean 11.3, SD 3.1 y; children with asthma: n=24, 52%) d...


Impact of outpatient adaptation to home mechanical ventilation on health-relate...

Ribeiro, C; Jácome, C; Oliveira, P; Luján, M; Conde, S

"Background: Home mechanical ventilation (HMV) is indicated in patients with severe hypercapnic COPD. Initiation of HMV commonly occurs during an inpatient period, but there has been increasing interest for outpatient adaptation. This study aimed to evaluate the outpatient initiation and adaptation of HMV and its impact on health-related quality of life (HRQoL) in patients with severe COPD. Methods: A single-gr...


Multidisciplinary Development and Initial Validation of a Clinical Knowledge Ba...

Pereira, AM; Jácome, C; Jacinto, T; Amaral, R; Pereira, M; Sá-Sousa, A; Couto, M; Vieira-Marques, P; Martinho, D; Vieira, A; Almeida, A; Martins, C

Most mobile health (mHealth) decision support systems currently available for chronic obstructive respiratory diseases (CORDs) are not supported by clinical evidence or lack clinical validation. The development of the knowledge base that will feed the clinical decision support system is a crucial step that involves the collection and systematization of clinical knowledge from relevant scientific sources and its...

Data: 2023   |   Origem: Saúde - CUF

Measuring Adherence to Inhaled Control Medication in Patients with Asthma: Comp...

Cachim, A; Pereira, AM; Almeida, R; Amaral, R; Alves‐Correia, M; Vieira‐Marques, P; Chaves‐Loureiro, C; Ribeiro, C; Cardia, F; Gomes, J; Vidal, C

Background: Previous studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of share...


Validation of App and Phone Versions of the Control of Allergic Rhinitis and As...

Jácome, C; Pereira, AM; Almeida, R; Amaral, R; Correia, MA; Mendes, S; Vieira-Marques, P; Ferreira, JA; Lopes, I; Gomes, J; Vidal, C; López Freire, S


The Portuguese Model of Home Respiratory Care: Healthcare Professionals’ Perspe...

Caneiras, C; Jácome, C; Oliveira, D; Moreira, E; Dias, CC; Mendonça, L; Mayoralas-Alises, S; Almeida Fonseca, JA; Diaz-Lobato, S; Escarrabill, J

Patients' and carers' views regarding the Portuguese model of home respiratory care were recently described, yet the complementary perspective of healthcare professionals (HCPs) is still to be investigated. Thus, this study explored HCPs experience in the management of patients needing home respiratory therapies (HRT), and their perspective about the Portuguese model. A phenomenological descriptive study, using...

Data: 2021   |   Origem: Saúde - CUF

Feasibility and Acceptability of an Asthma App to Monitor Medication Adherence:...

Jácome, C; Almeida, R; Pereira, AM; Amaral, R; Mendes, S; Alves-Correia, M; Vidal, C; López Freire, S; Méndez Brea, P; Araújo, L; Couto, M

Background: Poor medication adherence is a major challenge in asthma, and objective assessment of inhaler adherence is needed. The InspirerMundi app aims to monitor adherence while providing a positive experience through gamification and social support. Objective: This study aimed to evaluate the feasibility and acceptability of the InspirerMundi app to monitor medication adherence in adolescents and adults wit...

Data: 2021   |   Origem: Saúde - CUF

Monitoring Adherence to Asthma Inhalers Using the InspirerMundi App: Analysis o...

Jácome, C; Almeida, R; Pereira, AM; Amaral, R; Vieira-Marques, P; Mendes, S; Alves-Correia, M; Ferreira, JA; Lopes, I; Gomes, J; Araújo, L; Couto, M

Background: Poor medication adherence is a major challenge in asthma and objective assessment of inhaler adherence is needed. InspirerMundi app aims to monitor inhaler adherence while turning it into a positive experience through gamification and social support. Objective: We assessed the medium-term feasibility of the InspirerMundi app to monitor inhaler adherence in real-world patients with persistent asthma ...


Determinants of the Use of Health and Fitness Mobile Apps by Patients With Asth...

Neves, AL; Jácome, C; Taveira-Gomes, T; Pereira, AM; Prates, S; Almeida, R; Amaral, R

Background: Health and fitness apps have potential benefits to improve self-management and disease control among patients with asthma. However, inconsistent use rates have been reported across studies, regions, and health systems. A better understanding of the characteristics of users and nonusers is critical to design solutions that are effectively integrated in patients' daily lives, and to ensure that these ...


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