{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T04:13:39Z","timestamp":1780892019542,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T00:00:00Z","timestamp":1674432000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"AmerisourceBergen"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pulmonary Medicine"],"published-print":{"date-parts":[[2023,1,23]]},"abstract":"<jats:p>Background. Digital health technologies (DHTs) have shown potential to improve health outcomes through improved medication adherence in different disease states. Cystic fibrosis (CF) requires care coordination across pharmacies, patients, and providers. DHTs can potentially support patients, providers, and pharmacists in diseases like CF, where high medication burden can negatively impact patient quality of life and outcomes. Methods. In this prospective cohort study, a CF-specific mobile application (Phlo) was distributed to adults with CF who received care at the University of Utah Cystic Fibrosis Center, used an iPhone, and filled prescriptions through the University of Utah Specialty Pharmacy services. Participants were asked to use Phlo for 90 days with an optional 90-day extension period. Participants completed four surveys at baseline and after 90 days. Changes in patient-reported outcomes, adherence, clinical outcomes, and healthcare resource utilization from baseline to 90 days were tracked. Results. Phlo allowed users to track daily regimen activities, contact their care team, receive medication delivery reminders, and share progress with their healthcare team. A web-based dashboard allowed the care team to review reported performance scores from the app. Most patients (67%) said the app improved confidence in and motivation for continuing their regimen. The most important reported benefit of Phlo was having a single location to manage their whole routine. Conclusions. Phlo is a mobile health technology designed to help patients with CF manage their treatment regimen and improve patient-provider communication.<\/jats:p>","DOI":"10.1155\/2023\/5082499","type":"journal-article","created":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T15:05:07Z","timestamp":1674486307000},"page":"1-7","source":"Crossref","is-referenced-by-count":7,"title":["Patient Perspectives on the Use of Digital Technology to Help Manage Cystic Fibrosis"],"prefix":"10.1155","volume":"2023","author":[{"given":"Alexandre H.","family":"Watanabe","sequence":"first","affiliation":[{"name":"Department of Pharmacotherapy, University of Utah College of Pharmacy, L.S. Skaggs Pharmacy Institute, 30 S 2000 E, Room 4967, Salt Lake City, UT 84112, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connor","family":"Willis","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy, University of Utah College of Pharmacy, L.S. Skaggs Pharmacy Institute, 30 S 2000 E, Room 4967, Salt Lake City, UT 84112, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Russell","family":"Ragsdale","sequence":"additional","affiliation":[{"name":"University of Utah Health, Pharmacy Services, A-050, 50 North Medical Dr., Salt Lake City, UT 84132, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Biskupiak","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy, University of Utah College of Pharmacy, L.S. Skaggs Pharmacy Institute, 30 S 2000 E, Room 4967, Salt Lake City, UT 84112, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlene","family":"Moore","sequence":"additional","affiliation":[{"name":"AmerisourceBergen Corporation, 1 West First Avenue, Conshohocken, PA 19428, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6637-6359","authenticated-orcid":true,"given":"Diana","family":"Brixner","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy, University of Utah College of Pharmacy, L.S. Skaggs Pharmacy Institute, 30 S 2000 E, Room 4967, Salt Lake City, UT 84112, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Pharmacotherapy, University of Utah College of Pharmacy, L.S. Skaggs Pharmacy Institute, 30 S 2000 E, Room 4967, Salt Lake City, UT 84112, USA"},{"name":"University of Utah Adult Cystic Fibrosis Center, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","article-title":"Cystic fibrosis","author":"Centers for Disease Control and Prevention (CDC)"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24178"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2019-213233"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2008.09.007"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2019.10.025"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-1926"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24348"},{"key":"8","article-title":"Your CF care team","author":"Cystic Fibrosis Foundation"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23743"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.25283"},{"key":"11","volume-title":"Recommendations on Digital Interventions for Health System Strengthening","author":"World Health Organisation","year":"2019"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.0447"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.22541\/au.164409663.37221267\/v1"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.17.0559"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.4.2347"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-019-05621-7"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2004.00269.x"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S162021"},{"issue":"1","key":"19","article-title":"What effective ways of motivation, support and technologies help people with cystic fibrosis improve and sustain adherence to treatment? BMJ Open","volume":"7","author":"R. J. Calthorpe","year":"2020","journal-title":"Respiratory Research"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-205983"},{"key":"21","unstructured":"Agency for Healthcare Research and QualityAdvancing the collection and use of patient-reported outcomes through health information technology Prepared under Contract No.: HHSP2332015000222020Rockville, MDAgency for Healthcare Research and Quality"},{"key":"22","article-title":"MyTherapy: Your personal pill reminder and medication tracker app","author":"MyTherapy"},{"key":"23","article-title":"Introducing MedActionPlan PRO: powerful patient adherence applications integrated with your EMR"},{"key":"24","article-title":"About Vertex GPS","author":"V. Guidance"},{"key":"25","article-title":"Folia Health"},{"key":"26","article-title":"CF Buzz is an app for adults with Cystic Fibrosis to assist in self-management","author":"Cystic Fibrosis New South Wales"},{"key":"27","article-title":"Meet the CF MedCare app!"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2020.04.001"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2019.09.002"},{"issue":"5","key":"30","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.japh.2021.04.006","article-title":"Characterizing medication management and the role of pharmacists in caring for people living with cystic fibrosis: a work system approach","volume":"61","author":"A. Olufunmilola","year":"2021","journal-title":"Journal of the American Pharmaceutical Association"}],"container-title":["Pulmonary Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/pm\/2023\/5082499.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/pm\/2023\/5082499.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/pm\/2023\/5082499.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T15:05:14Z","timestamp":1674486314000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/pm\/2023\/5082499\/"}},"subtitle":[],"editor":[{"given":"Yongchun","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,1,23]]},"references-count":30,"alternative-id":["5082499","5082499"],"URL":"https:\/\/doi.org\/10.1155\/2023\/5082499","relation":{},"ISSN":["2090-1844","2090-1836"],"issn-type":[{"value":"2090-1844","type":"electronic"},{"value":"2090-1836","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1,23]]}}}