Mobile Phone Daily Alarm To Improve Compliance Of Intranasal Corticosteroid Among Allergic Rhinitis Patients.

Mobile Phone Daily Alarm To Improve Compliance Of Intranasal Corticosteroid Among Allergic Rhinitis Patients.

This is a randomized controlled trial to compare the compliance of allergic rhinitis patients towards intranasal steroids between those who use mobile daily alarm reminder and those who do not.

In this single blinded RCT, adults with allergic rhinitis are randomized into either he intervention or control arm. The intervention involves installing an alarm with a prerecorded nmessage "Have you take your intranasal steroids" which will automatically ring every day on the patients mobile phone. The control arm do not have any alarm set up. Both groups are offered counseling and education regarding the importance of compliance to intranasal steroid upon recruitment. Daily reminder to take medication may eliminate reason for forgetting medication schedule, hence, improve compliance towards INCS among patients with allergic rhinitis. This study aims to assess the effectiveness of using daily mobile alarm on patient's compliance towards INCS.

Inclusion Criteria:

• • Patients aged 15 years old to 60 years old with persistent AR

  • Positive SPT towards DF, DP, BT, cockroach, Aspergillus, Cat fur
  • Own and able to operate functioning mobile smartphone with built in alarm
  • Able to understand simple instructions
  • Patients who can read in English and Malay
  • Newly diagnosed AR or previous patients who only take intranasal corticosteroid less than 4 times per week

Exclusion Criteria:

• • Patients on immunotherapy

  • Patients with mild intermittent AR
  • Pregnant patients
  • Patient with psychiatric illness
  • Patients with gross anatomical obstruction (severe DNS, gross polyposis, nasal tumour)
  • Chronic rhinosinusitis(CRS) with or without nasal polyposis
  • Patients who have adverse reaction towards INCS
  • Patients with severe hearing loss