Adherence to peak flow monitoring

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7346.1157 (Published 11 May 2002) Cite this as: BMJ 2002;324:1157

Information provided by meters should be part of self management plan

  1. Ann-Louise Caress (acaress@fs2.nu.man.ac.uk), lecturer in nursing,
  2. Karen Luker, professor of nursing,
  3. Kinta Beaver, research fellow,
  4. Ashley Woodcock, professor of respiratory medicine
  1. School of Nursing, Midwifery and Health Visiting, University of Manchester, Manchester M13 9PL
  2. North West Lung Centre, Wythenshawe Hospital, Manchester M23 9LT
  3. Institute of Respiratory Medicine, PO Box M77, Camperdown, NSW 2050, Australia

    EDITOR—Reddel et al found high rates of adherence to a peak flow monitoring regimen and attribute this to the use of electronic devices.1 But is this the entire answer?

    The authors note that the electronic peak flow monitoring took place in the context of regular visits and titration of drugs according to the peak flow data. They comment that “the context in which monitoring is undertaken may influence adherence” and note the importance of the perceived usefulness of peak flow data in ensuring that patients use these devices.

    Might it be the design of the intervention—with regular follow up, clear self management plans, and clear linking of peak flow readings with drug doses—rather than the electronic measuring devices themselves that accounted for the high levels of adherence? In the absence of a comparator group that used only traditional devices it is …

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