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Accepted for/Published in: JMIR mHealth and uHealth

Date Submitted: Feb 23, 2024
Date Accepted: Mar 18, 2025

The final, peer-reviewed published version of this preprint can be found here:

Experience of Using Electronic Inhaler Monitoring Devices for Patients With Chronic Obstructive Pulmonary Disease or Asthma: Systematic Review of Qualitative Studies

Duan J, Chen X, Fan D, Jiang H, Zhang X, Zhang W, Liu Z, Lu H

Experience of Using Electronic Inhaler Monitoring Devices for Patients With Chronic Obstructive Pulmonary Disease or Asthma: Systematic Review of Qualitative Studies

JMIR Mhealth Uhealth 2025;13:e57645

DOI: 10.2196/57645

PMID: 40378281

PMCID: 12101605

Experience of using electronic inhaler monitoring devices for patients with chronic obstructive pulmonary disease or asthma: A systematic review of qualitative studies

  • Jilong Duan; 
  • Xia Chen; 
  • Di Fan; 
  • Haikun Jiang; 
  • Xue Zhang; 
  • Wenyue Zhang; 
  • Zhiping Liu; 
  • Hongyan Lu

ABSTRACT

Background:

Electronic inhaler monitoring devices can effectively improve medication compliance in patients with chronic obstructive pulmonary disease or asthma, but there are differences in patients' feelings and perceptions of using inhaler electronic monitoring devices. Therefore, a qualitative synthesis is needed to systematically understand patients' feelings and experiences during the use of inhaler electronic monitoring devices so as to lay the foundation for the subsequent development of a management strategy to enhance patients' compliance.

Objective:

To systematically evaluate qualitative studies on the experiences of patients with chronic obstructive pulmonary disease or asthma in applying electronic inhaler monitoring devices, which could provide a reference for promoting the clinical application of the devices.

Methods:

This systematic review involved a synthesis of qualitative data. PubMed, Web of Science, CINAHL, Embase, Cochrane Library and PsycINFO databases were searched from inception until July 2023 on the feelings and experiences of patients with chronic obstructive pulmonary disease or asthma applying electronic inhaler monitoring devices. The quality of the included literature was evaluated by the Qualitative Literature Quality Assessment Program developed by the Center for Evidence-Based Medicine, University of Oxford, UK.

Results:

A total of 7 studies were included and similar results were summarized to form 9 sub-themes and 3 themes: positive experiences of using inhaler device electronic monitoring equipment in patients with chronic obstructive pulmonary disease or asthma, stresses and challenges of inhaler device electronic monitoring equipment, also expectations for it.

Conclusions:

Healthcare professionals should pay attention to patients' feelings and experiences during the practice of electronic inhaler monitoring devices, collating feedback on their needs and preferences to enrich the functions and adaptability of the devices, so that they could further enhance the usability and acceptability of electronic inhaler monitoring devices using for patients. Clinical Trial: PROSPERO CRD42023480463.


 Citation

Please cite as:

Duan J, Chen X, Fan D, Jiang H, Zhang X, Zhang W, Liu Z, Lu H

Experience of Using Electronic Inhaler Monitoring Devices for Patients With Chronic Obstructive Pulmonary Disease or Asthma: Systematic Review of Qualitative Studies

JMIR Mhealth Uhealth 2025;13:e57645

DOI: 10.2196/57645

PMID: 40378281

PMCID: 12101605

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