Adherence to inhaled corticosteroids and long-acting β2-agonists in asthma: A MASK-air study

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  • B. Sousa-Pinto
  • R. Louis
  • J. M. Anto
  • R. Amaral
  • A. Sá-Sousa
  • W. Czarlewski
  • L. Brussino
  • G. W. Canonica
  • C. Chaves Loureiro
  • A. A. Cruz
  • B. Gemicioglu
  • T. Haahtela
  • M. Kupczyk
  • V. Kvedariene
  • D. E. Larenas-Linnemann
  • Y. Okamoto
  • M. Ollert
  • O. Pfaar
  • N. Pham-Thi
  • F. Puggioni
  • F. S. Regateiro
  • J. Romantowski
  • J. Sastre
  • N. Scichilone
  • L. Taborda-Barata
  • M. T. Ventura
  • I. Agache
  • A. Bedbrook
  • S. Becker
  • K. C. Bergmann
  • S. Bosnic-Anticevich
  • M. Bonini
  • L. P. Boulet
  • G. Brusselle
  • R. Buhl
  • L. Cecchi
  • D. Charpin
  • F. de Blay
  • S. Del Giacco
  • J. C. Ivancevich
  • M. Jutel
  • L. Klimek
  • H. Kraxner
  • P. Kuna
  • D. Laune
  • M. Makela
  • M. Morais-Almeida
  • R. Nadif
  • M. Niedoszytko
  • N. G. Papadopoulos
  • A. Papi
  • V. Patella
  • B. Pétré
  • D. Rivero Yeverino
  • C. Robalo Cordeiro
  • N. Roche
  • P. W. Rouadi
  • B. Samolinski
  • M. Savouré
  • M. H. Shamji
  • A. Sheikh
  • O. S. Usmani
  • A. Valiulis
  • A. Yorgancioglu
  • T. Zuberbier
  • J. A. Fonseca
  • E. M. Costa
  • J. Bousquet

Introduction: Adherence to controller medication is a major problem in asthma management, being difficult to assess and tackle. mHealth apps can be used to assess adherence. We aimed to assess the adherence to inhaled corticosteroids+long-acting β2-agonists (ICS+LABA) in users of the MASK-air® app, comparing the adherence to ICS+formoterol (ICS+F) with that to ICS+other LABA. Materials and methods: We analysed complete weeks of MASK-air® data (2015-2022; 27 countries) from patients with self-reported asthma and ICS+LABA use. We compared patients reporting ICS+F versus ICS+other LABA on adherence levels, symptoms and symptom-medication scores. We built regression models to assess whether adherence to ICS+LABA was associated with asthma control or short-acting beta-agonist (SABA) use. Sensitivity analyses were performed considering the weeks with no more than one missing day. Results: In 2598 ICS+LABA users, 621 (23.9%) reported 4824 complete weeks and 866 (33.3%) reported weeks with at most one missing day. Higher adherence (use of medication ≥80% of weekly days) was observed for ICS+other LABA (75.1%) when compared to ICS+F (59.3%), despite both groups displaying similar asthma control and work productivity. The ICS+other LABA group was associated with more days of SABA use than the ICS+F group (median=71.4% versus 57.1% days). Each additional weekly day of ICS+F use was associated with a 4.1% less risk in weekly SABA use (95%CI=-6.5;-1.6%;p=0.001). For ICS+other LABA, the percentage was 8.2 (95%CI=-11.6;-5.0%;p<0.001). Conclusions: In asthma patients adherent to the MASK-air app, adherence to ICS+LABA was high. ICS+F users reported lower adherence but also a lower SABA use and a similar level of control.

Original languageEnglish
JournalPulmonology
Number of pages10
ISSN2531-0429
DOIs
Publication statusAccepted/In press - 2024

Bibliographical note

Publisher Copyright:
© 2023 Sociedade Portuguesa de Pneumologia

    Research areas

  • Adherence, Asthma, Formoterol, Inhaled corticosteroids, Long-acting-β2 agonist

ID: 387030582