Validation of the 'Test of the Adherence to Inhalers' (TAI) for Asthma and COPD Patients

Vicente Plaza; Concepción Fernández-Rodríguez; Carlos Melero; Borja G. Cosío; Luís Manuel Entrenas; Luis Pérez De Llano; Fernando Gutiérrez-Pereyra; Eduard Tarragona; Rosa Palomino; Antolín López-Viña; R. Agüero Balbín; B. Alcázar Navarrete; I. Ali García; C. Almonacid Sánchez; I. Alvaredo Martín; F. Álvarez Navascues; D. Álvaro Álvarez; R. Andujar Espinosa; P. Ansola Zubiaurre; M. Antolín García; A. Arnedillo Muñoz; S. Arranz Alonso; M. Avilés Ingles; M. Badimon Garrido; M. Barcena Caamaño; P. Barranco Sanz; T. Bazús; J. Bioque Rivera; E. Bollo De Miguel; D. Bouza Álvarez; F. Bravo Gutiérrez; E. Burches Baixauli; V. Bustamante Madariaga; C. Cabrera López; M. Calle Rubio; E. Calvo Corbella; A. Capelastegui Saiz; F. Carballada Gonzalez; J. Carretero Gracia; T. Caruana Careaga; F. Casas Maldonado; L. Cassini Gómez De Cádiz; J. Castillo Vizuete; P. Cebollero Rivas; E. Centeno Etxebarrieta; E. Chiner Vives; J. Cimas Hernando; C. Cisneros Serrano; C. Colás Sanz; M. Compán Bueno; A. Conde Valero; F. Contreras Porta; M. Corbacho Abelaira; P. Cordero Montero; J. Costan Galicia; A. De Diego Damiá; E. De Higes Martínez; J. Delgado Romero; C. Diego Roza; F. Diez Fernández; A. Domenech Del Rio; M. Domínguez Álvarez; L. Domínguez Juncal; J. Domínguez Ortega; Luís Manuel Entrenas; M. Espinosa De Los Monteros Garde; C. Estirado Vera; M. Fernández González; E. Fernández Robledo; A. Fernández Tena; A. Fernández Villar; J. Figueira Gonçalves; X. Flor Escriche; J. Florido López; C. Fluixá Carrascosa; J. Galdiz Iturri; J. Garcia De Pedro; M. García Marrón; J. Garcia Rivero; B. García-Cosío; L. García-Giralda Ruíz; A. Gil Adrados; J. Gil Carbonell; B. Gil Marín; M. Gimeno Peribáñez; L. Ginel Mendoza; J. Giner Donaire; R. Godoy Mayoral; M. Gómez Entrena; E. Gómez Torrijos; F. González Barcala; M. González Gutiérrez; A. González López; F. González Vargas; J. Guallar Ballester; V. Gutiérrez Vall De Cabres; M. Hernández Fernández De Rojas; S. Hernández Flix; J. Hueto Pérez De Heredia; J. Igea Aznar

doi:10.1089/jamp.2015.1212

Validation of the 'Test of the Adherence to Inhalers' (TAI) for Asthma and COPD Patients

Vicente Plaza, Concepción Fernández-Rodríguez, Carlos Melero, Borja G. Cosío, Luís Manuel Entrenas, Luis Pérez De Llano, Fernando Gutiérrez-Pereyra, Eduard Tarragona, Rosa Palomino, Antolín López-Viña, R. Agüero Balbín, B. Alcázar Navarrete, I. Ali García, C. Almonacid Sánchez, I. Alvaredo Martín, F. Álvarez Navascues, D. Álvaro Álvarez, R. Andujar Espinosa, P. Ansola Zubiaurre, M. Antolín GarcíaA. Arnedillo Muñoz, S. Arranz Alonso, M. Avilés Ingles, M. Badimon Garrido, M. Barcena Caamaño, P. Barranco Sanz, T. Bazús, J. Bioque Rivera, E. Bollo De Miguel, D. Bouza Álvarez, F. Bravo Gutiérrez, E. Burches Baixauli, V. Bustamante Madariaga, C. Cabrera López, M. Calle Rubio, E. Calvo Corbella, A. Capelastegui Saiz, F. Carballada Gonzalez, J. Carretero Gracia, T. Caruana Careaga, F. Casas Maldonado, L. Cassini Gómez De Cádiz, J. Castillo Vizuete, P. Cebollero Rivas, E. Centeno Etxebarrieta, E. Chiner Vives, J. Cimas Hernando, C. Cisneros Serrano, C. Colás Sanz, M. Compán Bueno, A. Conde Valero, F. Contreras Porta, M. Corbacho Abelaira, P. Cordero Montero, J. Costan Galicia, A. De Diego Damiá, E. De Higes Martínez, J. Delgado Romero, C. Diego Roza, F. Diez Fernández, A. Domenech Del Rio, M. Domínguez Álvarez, L. Domínguez Juncal, J. Domínguez Ortega, Luís Manuel Entrenas, M. Espinosa De Los Monteros Garde, C. Estirado Vera, M. Fernández González, E. Fernández Robledo, A. Fernández Tena, A. Fernández Villar, J. Figueira Gonçalves, X. Flor Escriche, J. Florido López, C. Fluixá Carrascosa, J. Galdiz Iturri, J. Garcia De Pedro, M. García Marrón, J. Garcia Rivero, B. García-Cosío, L. García-Giralda Ruíz, A. Gil Adrados, J. Gil Carbonell, B. Gil Marín, M. Gimeno Peribáñez, L. Ginel Mendoza, J. Giner Donaire, R. Godoy Mayoral, M. Gómez Entrena, E. Gómez Torrijos, F. González Barcala, M. González Gutiérrez, A. González López, F. González Vargas, J. Guallar Ballester, V. Gutiérrez Vall De Cabres, M. Hernández Fernández De Rojas, S. Hernández Flix, J. Hueto Pérez De Heredia, J. Igea Aznar

Departament de Medicina

Producció científica: Contribució a revista › Article › Recerca › Avaluat per experts

162 Cites (Scopus)

Resum

Copyright © 2016 Mary Ann Liebert, Inc. Background: To validate the 'Test of Adherence to Inhalers' (TAI), a 12-item questionnaire designed to assess the adherence to inhalers in patients with COPD or asthma. Methods: A total of 1009 patients with asthma or COPD participated in a cross-sectional multicenter study. Patients with electronic adherence ≥80% were defined as adherents. Construct validity, internal validity, and criterion validity were evaluated. Self-reported adherence was compared with the Morisky-Green questionnaire. Results: Factor analysis study demonstrated two factors, factor 1 was coincident with TAI patient domain (items 1 to 10) and factor 2 with TAI health-care professional domain (items 11 and 12). The Cronbach's alpha was 0.860 and the test-retest reliability 0.883. TAI scores correlated with electronic adherence (ρ=0.293, p=0.01). According to the best cut-off for 10 items (score 50, area under the ROC curve 0.7), 569 (62.5%) patients were classified as non-adherents. The non-adherence behavior pattern was: erratic 527 (57.9%), deliberate 375 (41.2%), and unwitting 242 (26.6%) patients. As compared to Morisky-Green test, TAI showed better psychometric properties. Conclusions: The TAI is a reliable and homogeneous questionnaire to identify easily non-adherence and to classify from a clinical perspective the barriers related to the use of inhalers in asthma and COPD.

Idioma original	Anglès
Pàgines (de-a)	142-152
Revista	Journal of Aerosol Medicine and Pulmonary Drug Delivery
Volum	29
Número	2
DOIs	https://doi.org/10.1089/jamp.2015.1212
Estat de la publicació	Publicada - 1 d’abr. 2016

Accés al document

10.1089/jamp.2015.1212

https://ddd.uab.cat/record/185387

Com citar-ho

Plaza, V., Fernández-Rodríguez, C., Melero, C., Cosío, B. G., Entrenas, L. M., De Llano, L. P., Gutiérrez-Pereyra, F., Tarragona, E., Palomino, R., López-Viña, A., Agüero Balbín, R., Alcázar Navarrete, B., Ali García, I., Almonacid Sánchez, C., Alvaredo Martín, I., Álvarez Navascues, F., Álvaro Álvarez, D., Andujar Espinosa, R., Ansola Zubiaurre, P., ... Igea Aznar, J. (2016). Validation of the 'Test of the Adherence to Inhalers' (TAI) for Asthma and COPD Patients. Journal of Aerosol Medicine and Pulmonary Drug Delivery, 29(2), 142-152. https://doi.org/10.1089/jamp.2015.1212

@article{b771bc5e931e4566b5572a6c71df8907,

title = "Validation of the 'Test of the Adherence to Inhalers' (TAI) for Asthma and COPD Patients",

abstract = "Copyright {\textcopyright} 2016 Mary Ann Liebert, Inc. Background: To validate the 'Test of Adherence to Inhalers' (TAI), a 12-item questionnaire designed to assess the adherence to inhalers in patients with COPD or asthma. Methods: A total of 1009 patients with asthma or COPD participated in a cross-sectional multicenter study. Patients with electronic adherence ≥80% were defined as adherents. Construct validity, internal validity, and criterion validity were evaluated. Self-reported adherence was compared with the Morisky-Green questionnaire. Results: Factor analysis study demonstrated two factors, factor 1 was coincident with TAI patient domain (items 1 to 10) and factor 2 with TAI health-care professional domain (items 11 and 12). The Cronbach's alpha was 0.860 and the test-retest reliability 0.883. TAI scores correlated with electronic adherence (ρ=0.293, p=0.01). According to the best cut-off for 10 items (score 50, area under the ROC curve 0.7), 569 (62.5%) patients were classified as non-adherents. The non-adherence behavior pattern was: erratic 527 (57.9%), deliberate 375 (41.2%), and unwitting 242 (26.6%) patients. As compared to Morisky-Green test, TAI showed better psychometric properties. Conclusions: The TAI is a reliable and homogeneous questionnaire to identify easily non-adherence and to classify from a clinical perspective the barriers related to the use of inhalers in asthma and COPD.",

keywords = "Administration and dosage, Chronic obstructive, Drug therapy, Inhalers, Medication adherence, Medication non-adherence, Pulmonary disease, Questionnaires, Validation studies, anti-asthmatic agents",

author = "Vicente Plaza and Concepci{\'o}n Fern{\'a}ndez-Rodr{\'i}guez and Carlos Melero and Cos{\'i}o, {Borja G.} and Entrenas, {Lu{\'i}s Manuel} and {De Llano}, {Luis P{\'e}rez} and Fernando Guti{\'e}rrez-Pereyra and Eduard Tarragona and Rosa Palomino and Antol{\'i}n L{\'o}pez-Vi{\~n}a and {Ag{\"u}ero Balb{\'i}n}, R. and {Alc{\'a}zar Navarrete}, B. and {Ali Garc{\'i}a}, I. and {Almonacid S{\'a}nchez}, C. and {Alvaredo Mart{\'i}n}, I. and {{\'A}lvarez Navascues}, F. and {{\'A}lvaro {\'A}lvarez}, D. and {Andujar Espinosa}, R. and {Ansola Zubiaurre}, P. and {Antol{\'i}n Garc{\'i}a}, M. and {Arnedillo Mu{\~n}oz}, A. and {Arranz Alonso}, S. and {Avil{\'e}s Ingles}, M. and {Badimon Garrido}, M. and {Barcena Caama{\~n}o}, M. and {Barranco Sanz}, P. and T. Baz{\'u}s and {Bioque Rivera}, J. and {Bollo De Miguel}, E. and {Bouza {\'A}lvarez}, D. and {Bravo Guti{\'e}rrez}, F. and {Burches Baixauli}, E. and {Bustamante Madariaga}, V. and {Cabrera L{\'o}pez}, C. and {Calle Rubio}, M. and {Calvo Corbella}, E. and {Capelastegui Saiz}, A. and {Carballada Gonzalez}, F. and {Carretero Gracia}, J. and {Caruana Careaga}, T. and {Casas Maldonado}, F. and {Cassini G{\'o}mez De C{\'a}diz}, L. and {Castillo Vizuete}, J. and {Cebollero Rivas}, P. and {Centeno Etxebarrieta}, E. and {Chiner Vives}, E. and {Cimas Hernando}, J. and {Cisneros Serrano}, C. and {Col{\'a}s Sanz}, C. and {Comp{\'a}n Bueno}, M. and {Conde Valero}, A. and {Contreras Porta}, F. and {Corbacho Abelaira}, M. and {Cordero Montero}, P. and {Costan Galicia}, J. and {De Diego Dami{\'a}}, A. and {De Higes Mart{\'i}nez}, E. and {Delgado Romero}, J. and {Diego Roza}, C. and {Diez Fern{\'a}ndez}, F. and {Domenech Del Rio}, A. and {Dom{\'i}nguez {\'A}lvarez}, M. and {Dom{\'i}nguez Juncal}, L. and {Dom{\'i}nguez Ortega}, J. and Entrenas, {Lu{\'i}s Manuel} and {Espinosa De Los Monteros Garde}, M. and {Estirado Vera}, C. and {Fern{\'a}ndez Gonz{\'a}lez}, M. and {Fern{\'a}ndez Robledo}, E. and {Fern{\'a}ndez Tena}, A. and {Fern{\'a}ndez Villar}, A. and {Figueira Gon{\c c}alves}, J. and {Flor Escriche}, X. and {Florido L{\'o}pez}, J. and {Fluix{\'a} Carrascosa}, C. and {Galdiz Iturri}, J. and {Garcia De Pedro}, J. and {Garc{\'i}a Marr{\'o}n}, M. and {Garcia Rivero}, J. and B. Garc{\'i}a-Cos{\'i}o and {Garc{\'i}a-Giralda Ru{\'i}z}, L. and {Gil Adrados}, A. and {Gil Carbonell}, J. and {Gil Mar{\'i}n}, B. and {Gimeno Perib{\'a}{\~n}ez}, M. and {Ginel Mendoza}, L. and {Giner Donaire}, J. and {Godoy Mayoral}, R. and {G{\'o}mez Entrena}, M. and {G{\'o}mez Torrijos}, E. and {Gonz{\'a}lez Barcala}, F. and {Gonz{\'a}lez Guti{\'e}rrez}, M. and {Gonz{\'a}lez L{\'o}pez}, A. and {Gonz{\'a}lez Vargas}, F. and {Guallar Ballester}, J. and {Guti{\'e}rrez Vall De Cabres}, V. and {Hern{\'a}ndez Fern{\'a}ndez De Rojas}, M. and {Hern{\'a}ndez Flix}, S. and {Hueto P{\'e}rez De Heredia}, J. and {Igea Aznar}, J.",

year = "2016",

month = apr,

day = "1",

doi = "10.1089/jamp.2015.1212",

language = "English",

volume = "29",

pages = "142--152",

number = "2",

}

Plaza, V, Fernández-Rodríguez, C, Melero, C, Cosío, BG, Entrenas, LM, De Llano, LP, Gutiérrez-Pereyra, F, Tarragona, E, Palomino, R, López-Viña, A, Agüero Balbín, R, Alcázar Navarrete, B, Ali García, I, Almonacid Sánchez, C, Alvaredo Martín, I, Álvarez Navascues, F, Álvaro Álvarez, D, Andujar Espinosa, R, Ansola Zubiaurre, P, Antolín García, M, Arnedillo Muñoz, A, Arranz Alonso, S, Avilés Ingles, M, Badimon Garrido, M, Barcena Caamaño, M, Barranco Sanz, P, Bazús, T, Bioque Rivera, J, Bollo De Miguel, E, Bouza Álvarez, D, Bravo Gutiérrez, F, Burches Baixauli, E, Bustamante Madariaga, V, Cabrera López, C, Calle Rubio, M, Calvo Corbella, E, Capelastegui Saiz, A, Carballada Gonzalez, F, Carretero Gracia, J, Caruana Careaga, T, Casas Maldonado, F, Cassini Gómez De Cádiz, L, Castillo Vizuete, J, Cebollero Rivas, P, Centeno Etxebarrieta, E, Chiner Vives, E, Cimas Hernando, J, Cisneros Serrano, C, Colás Sanz, C, Compán Bueno, M, Conde Valero, A, Contreras Porta, F, Corbacho Abelaira, M, Cordero Montero, P, Costan Galicia, J, De Diego Damiá, A, De Higes Martínez, E, Delgado Romero, J, Diego Roza, C, Diez Fernández, F, Domenech Del Rio, A, Domínguez Álvarez, M, Domínguez Juncal, L, Domínguez Ortega, J, Entrenas, LM, Espinosa De Los Monteros Garde, M, Estirado Vera, C, Fernández González, M, Fernández Robledo, E, Fernández Tena, A, Fernández Villar, A, Figueira Gonçalves, J, Flor Escriche, X, Florido López, J, Fluixá Carrascosa, C, Galdiz Iturri, J, Garcia De Pedro, J, García Marrón, M, Garcia Rivero, J, García-Cosío, B, García-Giralda Ruíz, L, Gil Adrados, A, Gil Carbonell, J, Gil Marín, B, Gimeno Peribáñez, M, Ginel Mendoza, L, Giner Donaire, J, Godoy Mayoral, R, Gómez Entrena, M, Gómez Torrijos, E, González Barcala, F, González Gutiérrez, M, González López, A, González Vargas, F, Guallar Ballester, J, Gutiérrez Vall De Cabres, V, Hernández Fernández De Rojas, M, Hernández Flix, S, Hueto Pérez De Heredia, J & Igea Aznar, J 2016, 'Validation of the 'Test of the Adherence to Inhalers' (TAI) for Asthma and COPD Patients', Journal of Aerosol Medicine and Pulmonary Drug Delivery, vol. 29, núm. 2, pàg. 142-152. https://doi.org/10.1089/jamp.2015.1212

TY - JOUR

T1 - Validation of the 'Test of the Adherence to Inhalers' (TAI) for Asthma and COPD Patients

AU - Plaza, Vicente

AU - Fernández-Rodríguez, Concepción

AU - Melero, Carlos

AU - Cosío, Borja G.

AU - Entrenas, Luís Manuel

AU - De Llano, Luis Pérez

AU - Gutiérrez-Pereyra, Fernando

AU - Tarragona, Eduard

AU - Palomino, Rosa

AU - López-Viña, Antolín

AU - Agüero Balbín, R.

AU - Alcázar Navarrete, B.

AU - Ali García, I.

AU - Almonacid Sánchez, C.

AU - Alvaredo Martín, I.

AU - Álvarez Navascues, F.

AU - Álvaro Álvarez, D.

AU - Andujar Espinosa, R.

AU - Ansola Zubiaurre, P.

AU - Antolín García, M.

AU - Arnedillo Muñoz, A.

AU - Arranz Alonso, S.

AU - Avilés Ingles, M.

AU - Badimon Garrido, M.

AU - Barcena Caamaño, M.

AU - Barranco Sanz, P.

AU - Bazús, T.

AU - Bioque Rivera, J.

AU - Bollo De Miguel, E.

AU - Bouza Álvarez, D.

AU - Bravo Gutiérrez, F.

AU - Burches Baixauli, E.

AU - Bustamante Madariaga, V.

AU - Cabrera López, C.

AU - Calle Rubio, M.

AU - Calvo Corbella, E.

AU - Capelastegui Saiz, A.

AU - Carballada Gonzalez, F.

AU - Carretero Gracia, J.

AU - Caruana Careaga, T.

AU - Casas Maldonado, F.

AU - Cassini Gómez De Cádiz, L.

AU - Castillo Vizuete, J.

AU - Cebollero Rivas, P.

AU - Centeno Etxebarrieta, E.

AU - Chiner Vives, E.

AU - Cimas Hernando, J.

AU - Cisneros Serrano, C.

AU - Colás Sanz, C.

AU - Compán Bueno, M.

AU - Conde Valero, A.

AU - Contreras Porta, F.

AU - Corbacho Abelaira, M.

AU - Cordero Montero, P.

AU - Costan Galicia, J.

AU - De Diego Damiá, A.

AU - De Higes Martínez, E.

AU - Delgado Romero, J.

AU - Diego Roza, C.

AU - Diez Fernández, F.

AU - Domenech Del Rio, A.

AU - Domínguez Álvarez, M.

AU - Domínguez Juncal, L.

AU - Domínguez Ortega, J.

AU - Entrenas, Luís Manuel

AU - Espinosa De Los Monteros Garde, M.

AU - Estirado Vera, C.

AU - Fernández González, M.

AU - Fernández Robledo, E.

AU - Fernández Tena, A.

AU - Fernández Villar, A.

AU - Figueira Gonçalves, J.

AU - Flor Escriche, X.

AU - Florido López, J.

AU - Fluixá Carrascosa, C.

AU - Galdiz Iturri, J.

AU - Garcia De Pedro, J.

AU - García Marrón, M.

AU - Garcia Rivero, J.

AU - García-Cosío, B.

AU - García-Giralda Ruíz, L.

AU - Gil Adrados, A.

AU - Gil Carbonell, J.

AU - Gil Marín, B.

AU - Gimeno Peribáñez, M.

AU - Ginel Mendoza, L.

AU - Giner Donaire, J.

AU - Godoy Mayoral, R.

AU - Gómez Entrena, M.

AU - Gómez Torrijos, E.

AU - González Barcala, F.

AU - González Gutiérrez, M.

AU - González López, A.

AU - González Vargas, F.

AU - Guallar Ballester, J.

AU - Gutiérrez Vall De Cabres, V.

AU - Hernández Fernández De Rojas, M.

AU - Hernández Flix, S.

AU - Hueto Pérez De Heredia, J.

AU - Igea Aznar, J.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Copyright © 2016 Mary Ann Liebert, Inc. Background: To validate the 'Test of Adherence to Inhalers' (TAI), a 12-item questionnaire designed to assess the adherence to inhalers in patients with COPD or asthma. Methods: A total of 1009 patients with asthma or COPD participated in a cross-sectional multicenter study. Patients with electronic adherence ≥80% were defined as adherents. Construct validity, internal validity, and criterion validity were evaluated. Self-reported adherence was compared with the Morisky-Green questionnaire. Results: Factor analysis study demonstrated two factors, factor 1 was coincident with TAI patient domain (items 1 to 10) and factor 2 with TAI health-care professional domain (items 11 and 12). The Cronbach's alpha was 0.860 and the test-retest reliability 0.883. TAI scores correlated with electronic adherence (ρ=0.293, p=0.01). According to the best cut-off for 10 items (score 50, area under the ROC curve 0.7), 569 (62.5%) patients were classified as non-adherents. The non-adherence behavior pattern was: erratic 527 (57.9%), deliberate 375 (41.2%), and unwitting 242 (26.6%) patients. As compared to Morisky-Green test, TAI showed better psychometric properties. Conclusions: The TAI is a reliable and homogeneous questionnaire to identify easily non-adherence and to classify from a clinical perspective the barriers related to the use of inhalers in asthma and COPD.

AB - Copyright © 2016 Mary Ann Liebert, Inc. Background: To validate the 'Test of Adherence to Inhalers' (TAI), a 12-item questionnaire designed to assess the adherence to inhalers in patients with COPD or asthma. Methods: A total of 1009 patients with asthma or COPD participated in a cross-sectional multicenter study. Patients with electronic adherence ≥80% were defined as adherents. Construct validity, internal validity, and criterion validity were evaluated. Self-reported adherence was compared with the Morisky-Green questionnaire. Results: Factor analysis study demonstrated two factors, factor 1 was coincident with TAI patient domain (items 1 to 10) and factor 2 with TAI health-care professional domain (items 11 and 12). The Cronbach's alpha was 0.860 and the test-retest reliability 0.883. TAI scores correlated with electronic adherence (ρ=0.293, p=0.01). According to the best cut-off for 10 items (score 50, area under the ROC curve 0.7), 569 (62.5%) patients were classified as non-adherents. The non-adherence behavior pattern was: erratic 527 (57.9%), deliberate 375 (41.2%), and unwitting 242 (26.6%) patients. As compared to Morisky-Green test, TAI showed better psychometric properties. Conclusions: The TAI is a reliable and homogeneous questionnaire to identify easily non-adherence and to classify from a clinical perspective the barriers related to the use of inhalers in asthma and COPD.

KW - Administration and dosage

KW - Chronic obstructive

KW - Drug therapy

KW - Inhalers

KW - Medication adherence

KW - Medication non-adherence

KW - Pulmonary disease

KW - Questionnaires

KW - Validation studies

KW - anti-asthmatic agents

U2 - 10.1089/jamp.2015.1212

DO - 10.1089/jamp.2015.1212

M3 - Article

SN - 1941-2711

VL - 29

SP - 142

EP - 152

JO - Journal of Aerosol Medicine and Pulmonary Drug Delivery

JF - Journal of Aerosol Medicine and Pulmonary Drug Delivery

IS - 2

ER -

Validation of the 'Test of the Adherence to Inhalers' (TAI) for Asthma and COPD Patients

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