Evidence map›Paper›PMID 37208358›Full record

ArticleNPJ primary care respiratory medicine2023

Anticipated barriers and facilitators for implementing smart inhalers in asthma medication adherence management.

Susanne J van de Hei, Nilouq Stoker, Bertine M J Flokstra-de Blok, Charlotte C Poot, Eline Meijer, Maarten J Postma, Niels H Chavannes, Janwillem W H Kocks, Job F M van Boven

Open access · goldAbstract read
In one paragraph

Article in NPJ primary care respiratory medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Validation of an AI-Powered Smart Dry Powder Inhaler (RS01X) for Asthma and COPD in a Clinical Setting.International journal of chronic obstructive pulmonary disease · 2025
    Article
  11. An Overview of Adherence-What It Is and Why It Is Important.The journal of allergy and clinical immunology. In practice · 2024
    Review
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Susanne J van de HeiDepartment of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-2844-6904
Nilouq StokerGeneral Practitioners Research Institute, Groningen, the Netherlands.ORCID 0000-0002-0023-6529
Bertine M J Flokstra-de BlokGroningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands.
Charlotte C PootDepartment of Primary Care and Public Health, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-6717-4855
Eline MeijerDepartment of Primary Care and Public Health, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-7078-5067
Maarten J PostmaDepartment of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Niels H ChavannesDepartment of Primary Care and Public Health, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-8607-9199
Janwillem W H KocksGroningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands.ORCID 0000-0002-2760-0693
Job F M van BovenGroningen Research Institute for Asthma and COPD (GRIAC), Groningen, The Netherlands. j.f.m.van.boven@umcg.nl.
University Medical Center Groningen · NLLeiden University Medical Center · NLGeneral Practitioners Research Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Smart inhalers are electronic monitoring devices which are promising in increasing medication adherence and maintaining asthma control. A multi-stakeholder capacity and needs assessment is recommended prior to implementation in healthcare systems. This study aimed to explore perceptions of stakeholders and to identify anticipated facilitators and barriers associated with the implementation of smart digital inhalers in the Dutch healthcare system. Data were collected through focus group discussions with female patients with asthma (n = 9) and healthcare professionals (n = 7) and through individual semi-structured interviews with policy makers (n = 4) and smart inhaler developers (n = 4). Data were analysed using the Framework method. Five themes were identified: (i) perceived benefits, (ii) usability, (iii) feasibility, (iv) payment and reimbursement, and (v) data safety and ownership. In total, 14 barriers and 32 facilitators were found among all stakeholders. The results of this study could contribute to the design of a tailored implementation strategy for smart inhalers in daily practice.

Indexed as

AsthmaFemaleFocus GroupsHealth PersonnelHumansMedication AdherenceNebulizers and VaporizersQualitative Research

Identifiers

PMID37208358
PMCPMC10198788
OpenAlexW4377142621

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.