AI Article Synopsis

  • Chronic obstructive pulmonary disease (COPD) requires proper management of inhalation therapy adherence, and e-Health tools present innovative options for assessment but are not comprehensively reviewed in current literature.!* -
  • This review aims to summarize the current situation, effects, benefits, and limitations of e-Health tools in tracking adherence, while offering guidance for future developments in this area.!* -
  • The analysis included 26 studies highlighting that e-Health tools, like electronic monitoring devices and smartphone apps, allow for real-time evaluation of patient adherence, although collaboration among researchers in this field is limited.!*

Article Abstract

Background: Chronic obstructive pulmonary disease (COPD) is a common respiratory disorder, and the assessment of inhalation therapy adherence is an important component of management in COPD patients. The emergence of e-Health tools provides new prospects for the assessment of inhalation therapy adherence. However, there is no comprehensive summary of the application of e-Health tools in assessing inhalation therapy adherence in COPD patients.

Objectives: This review aims to clarify the current state, effects, benefits, and limitations of using e-Health tools in assessing inhalation therapy adherence in COPD patients and provide future directions and recommendations for development in this field.

Methods: This scoping review follows the 5-step framework developed by Arksey and O'Malley. Literature on the practical application of e-Health tools was systematically searched from PubMed, Embase, Web of Science, CINAHL, and Cochrane Library, spanning from inception to April 2024. Additionally, VOSviewer (version 1.6.20) was used to construct visualization maps of countries, institutions, authors, and keywords to investigate the internal relations of included literature and to explore research hotspots.

Results: A total of 26 studies were included. The e-Health tools mainly include electronic monitoring devices (EMDs), smartphone app, electronic prescription, and web-based tool. e-Health tools can assess inhalation therapy adherence in COPD patients in real-time and objectively, and improve inhalation therapy adherence and clinical outcomes. Bibliometric analysis indicates that there is no network of co-authorship between countries or academic organizations. Two collaborative networks have been formed centered on Greene G. EMDs and disease exacerbations are the popular research directions.

Conclusions: e-Health tools have a wide range of applications and promising prospects in the assessment of inhalation therapy adherence in COPD patients. In the future, it is necessary to strengthen the cooperation between countries or research institutions, explore the cost-effectiveness of e-Health tools, and improve their accessibility and usability while adopting integrated design and combining artificial intelligence to improve the effectiveness of e-Health tools in the management of COPD.

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Source
http://dx.doi.org/10.1016/j.rmed.2024.107898DOI Listing

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