Rationale: Objective adherence to inhaled therapy by patients with chronic obstructive
pulmonary disease (COPD) has not been reported. Objectives: To objectively quantify …

In severe asthma, poor control could reflect issues of medication adherence or inhaler
technique, or that the condition is refractory. This study aimed to determine if an intervention …

Rationale Poor adherence to inhaler use can be due to poor temporal and/or technique
adherence. Up until now there has been no way of reliably tracking both these factors in …

Background Cross-sectional observational studies suggest that between 50% and 60% of
patients misuse a dry powder inhaler, whereas studies with electronic monitors indicate that …

Background Guidelines recommend that patients treated with inhalers receive adherence
counseling and device training. Digital technologies that assess both inhaler adherence and …

Purpose Some patients are unable to generate the peak inspiratory flow rate (PIFR)
necessary to de-agglomerate drug particles from dry powder inhalers (DPIs). In this study we …

Rationale: Currently, studies on adherence to inhaled medications report average
adherence over time. This measure does not account for variations in the interval between …

Methods This prospective, observational cohort study recruited hospitalized patients with
known COPD who had already been prescribed a salmeterol/fluticasone propionate Diskus …

Four inhaler adherence clusters have been identified using the INCA audio device in COPD
patients:(1) regular use/good technique,(2) regular use/frequent technique errors,(3) …

Background Digital inhalers can monitor inhaler usage, support difficult-to-treat asthma
management, and inform step-up treatment decisions yet their economic value is unknown …