A Systematic Review and Meta-Analysis of Change in Health-Related Quality of Life for Interactive Telehealth Interventions for Patients With Asthma

Snoswell, Centaine L.; Rahja, Miia; Lalor, Aislinn

doi:10.1016/j.jval.2020.09.006

Cited by 28 publications

(24 citation statements)

References 38 publications

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“…During the COVID-19 pandemic, every effort was carried out to prevent a possible infection in patients affected by severe chronic respiratory diseases, such as severe asthma. Specific pathways have been identified to allow patients to receive appropriate medical care and to carry on the biological therapies, thus preventing the lack of disease control, as well as acute severe complications [3][4][5][6][7][8][9][10]. Thus far, to our current knowledge, no investigations have been carried out among the severe asthma patients to evaluate their perspectives about the telemedicine approach.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, besides the home spirometry and digital visits, the adherence to therapy can also be easily monitored [7]. Severe asthma patients were regularly telemonitored for their home self-administered biologic therapy [8]. However, the recent development of inhaler trackers assessing the real-time usage of inhaled drugs may represent a step forward in achieving a better adherence to asthma treatment at any level of severity.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Severe Asthma, Telemedicine, and Self-Administered Therapy: Listening First to the Patient

Guarnieri

Caminati

Achille

et al. 2022

JCM

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Severe asthma patients are at an increased risk of major complications and they need to be monitored regularly. The COVID-19 pandemic has notably impacted on the health care resources. The telemedicine approach applied to the follow-up of asthmatic patients has been proven to be effective in monitoring their disease and their adherence to the therapy. The aim of our study was to investigate the satisfaction of severe asthma patients before the activation of a telemedicine management, as well as their current experience with self-administration of injection therapy. An ad hoc questionnaire was developed and sent by e-mail to 180 severe asthma patients. Most of subjects, 82%, were confident with the idea of doing self-measurements and self-managing their disease. Further, 77% of subjects favoured to carry out virtual visits and telemedicine. Regarding the home treatment, 93% of patients considered the self-injection therapy easy, 94% of subjects felt safe, and 93% were not worried while self-administering. Only mild adverse events were reported in 22% of patients after self-administration. Our results showed an agreement between what is considered necessary and practicable by healthcare personnel and what is perceived by the severe asthma patients in terms of treatment and monitoring of the disease with Telehealth. Biologics have a safety profile and can be easily self-administred at home.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Severe Asthma, Telemedicine, and Self-Administered Therapy: Listening First to the Patient

Guarnieri

Caminati

Achille

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…During the COVID-19 pandemic, every effort was carried out to prevent a possible infection in patients affected by severe chronic respiratory diseases such as severe asthma. Specific pathways have been identified to allow patients to receive appropriate medical care and to carry on the biological therapies, thus preventing the lack of disease control as well as acute severe exacerbations [3][4][5][6][7][8][9][10]. Up to now, as far as we know, no investigations have been carried out among the severe asthma patients to evaluate their perspective about the telemedicine approach.…”

Section: Discussionmentioning

confidence: 99%

“…Severe asthma patients, besides pandemic restrictions, were regularly tele-monitored for their home self-administered biologic therapy [8]. However, the recent development of inhaler trackers assessing the real-time usage of inhaled drugs may represent a step forward in achieving a better adherence to asthma treatment at any level of severity.…”

Section: Introductionmentioning

confidence: 99%

Severe Asthma, Telemedicine, Self-Administered Therapy: Listening First to the Patient

Guarnieri¹,

Caminati²,

Achille³

et al. 2021

Preprint

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Severe asthma patients are at increased risk of major exacerbations and they need to be monitored regularly. The COVID-19 pandemic has impressively impacted on the health care resources. The telemedicine approach applied to the follow-up of asthmatic patients has been proved to be effective in monitoring their disease and adherence to the therapy. The aim of our study was to investigate the satisfaction of severe asthma patients, before the activation of a telemedicine management complemented by a standard of care. An ad hoc questionnaire was developed and sent by e-mail to 180 severe asthma patients. Most of subjects (82%) were confident with the idea of doing self-measurements and self-managing their disease; 77% of subjects favoured to carry out virtual visit and telemedicine. 93% of patients considered easy the self-injection therapy. 94% of subjects felt safe and 93% were not worried while self-administering. Only mild adverse events were reported in 22% subjects after self-administration. Our results showed an agreement between what is considered necessary and practicable by healthcare personnel and what is perceived by the severe asthma patients, in terms of treatment and monitoring of the disease with Telehealth. Biologics have a safety profile and can be easily self-administred at home

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“… 68 In the case of severe asthma, besides pandemic restrictions, patients undergoing at home a self-administered biologic drug need regular tele-monitoring. 69 However, telemedicine may be applicable for the management of any asthma severity level. In fact, besides the home spirometry and digital visits, the regular therapy intake can be quite easily monitored.…”

Section: Technology and Telemedicine: A Step Forward In Optimizing Patients’ Managementmentioning

confidence: 99%

Uncontrolled Asthma: Unmet Needs in the Management of Patients

Caminati

Vaia

Furci

et al. 2021

JAA

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The recent scientific research has provided clinicians with the tools for substantially upgrading the standard of care in the field of bronchial asthma. Nevertheless, satisfactory asthma control still remains an unmet need worldwide. Identifying the major determinants of poor control in different asthma severity levels represents the first step towards the improvement of the overall patients’ management. The present review aims to provide an overview of the main unmet needs in asthma control and of the potential tools for overcoming the issue. Implementing a personalized medicine approach is essential, not only in terms of pharmacological treatments, biologic drugs or sophisticated biomarkers. In fact, exploring the complex profile of each patient, from his inflammation phenotype to his preferences and expectations, may help in filling the gap between the big potential of currently available treatments and the overall unsatisfactory asthma control. Telemedicine and e-health technologies may provide a strategy to both optimize disease assessment on a regular basis and enhance patients’ empowerment in managing their asthma. Increasing patients’ awareness as well as the physicians’ knowledge about asthma phenotypes and treatment options besides corticosteroid probably represent the key and more difficult goals of all the players involved in asthma management at every level.

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A Systematic Review and Meta-Analysis of Change in Health-Related Quality of Life for Interactive Telehealth Interventions for Patients With Asthma

Cited by 28 publications

References 38 publications

Severe Asthma, Telemedicine, and Self-Administered Therapy: Listening First to the Patient

Severe Asthma, Telemedicine, and Self-Administered Therapy: Listening First to the Patient

Severe Asthma, Telemedicine, Self-Administered Therapy: Listening First to the Patient

Uncontrolled Asthma: Unmet Needs in the Management of Patients

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