Publications by authors named "A Morete"

Objectives: Anxiety and depression are relevant comorbidities in asthma, but, in Portugal and Spain, data on this topic are scarce. We assessed, in patients with asthma, the frequency of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS) and the European Quality of Life Five Dimension Questionnaire (EQ-5D); the level of agreement between these questionnaires, and the factors associated with these symptoms.

Methods: This is a secondary analysis of the INSPIRERS studies.

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Article Synopsis
  • - The study compares three methods of measuring adherence to asthma inhalers: an asthma app, patient self-report, and physician assessment, focusing on the importance of understanding both patient and physician perspectives in clinical practice for better shared decision-making.
  • - Conducted with 193 patients in Portugal, the results showed that app-based adherence (31% for 1 week, 18% for 1 month) was significantly lower than self-reported adherence (80%) and physician assessments (82%).
  • - The findings indicate a weak correlation between app measurements and subjective assessments, while a moderate correlation exists between patient self-reports and physician evaluations, suggesting that the app may not fully capture adherence levels.
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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. We assessed the medium-term feasibility of the InspirerMundi app to monitor inhaler adherence in real-world patients with persistent asthma (treated with daily inhaled medication).

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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 equitably reach out to different groups of patients, thus improving rather than entrenching health inequities.

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