A scoping review of mHealth monitoring of pediatric bronchial asthma before and during COVID-19 pandemic

Dauletbaev, Nurlan; Oftring, S. Zoe; Akik, Wided; Michaelis-Braun, L; Korel, J; Lands, Larry C.; Waldmann, Susanne; Müller, Beate S.; Dreher, Michael; Rohde, Gernot; Vogelmeier, Claus; Kühn, Sebastian

doi:10.1016/j.prrv.2022.01.002

Cited by 7 publications

(8 citation statements)

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“… 37 Although telemonitoring has not yet shown conclusive superiority, 46 its potential and use have rapidly increased during the COVID-19 pandemic, 6 whereas numerous approaches are being explored. Although the usefulness and reliability of traditional tools for between-visit monitoring, such as diary cards and peak expiratory flow measurements, have been challenged, 47 there is much promise in mHealth and eHealth disease activity tracking, 48 as well as development of smart devices for medication adherence. 49 According to our findings, this innovation scene has only reached a small proportion of patients; nevertheless, there is high expectation toward the inclusion of such tools in an ideal setting.…”

Section: Discussionmentioning

confidence: 99%

Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

et al. 2023

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ImportanceChildhood asthma control largely depends on rigorous and regular monitoring. Although various clinical parameters, biomarkers, and patient-reported outcomes are helpful for monitoring purposes, there is no consensus on the minimum and/or optimal set of parameters and their relative priority.ObjectiveTo assess actual and perceived optimal childhood asthma monitoring practices used globally.Design, Setting, and ParticipantsThis international, multistakeholder survey study surveyed health care professionals and clinical academics with a professional interest in and exposure to childhood asthma between April 12 and September 3, 2021, to test for differences between the frequency that different techniques are actually used in practice vs optimal practice, between-group differences, and differences across medical settings and country economies.Main Outcomes and MeasuresOutcomes were frequency of duration of asthma monitoring visits as well as actual and perceived optimal use and importance of monitoring tools and domains.ResultsA total of 1319 participants with expertise in childhood asthma from 88 countries completed the survey. Participants included 1228 health care professionals with a balanced distribution across different care settings (305 [22.7%] primary care, 401 [29.9%] secondary, and 522 [38.9%] tertiary care) and 91 researchers. Children with mild to moderate asthma attended regular monitoring visits at a median (IQR) of 5.0 (2.5-8.0) months, with visits lasting a median (IQR) of 25 (15-25) minutes, whereas severe asthma required more frequent visits (median [IQR], 2.5 [1.0-2.5] months; median [IQR] duration, 25 [25-35] minutes). Monitoring of symptoms and control, adherence, comorbidities, lung function, medication adverse effects, and allergy were considered to be very high or high priority by more than 75% of the respondents. Different patterns emerged when assessing differences between actual and perceived optimal use of monitoring tools. For some tools, current and optimal practices did not differ much (eg, spirometry), whereas in others, there was considerable space for improvement (eg, standardized control and adherence tests). The largest gap was observed for between-visit monitoring with electronic trackers, apps, and smart devices. Differences across country economies, care settings, and medical specialties were modest.Conclusions and RelevanceThese survey results suggest that pediatric asthma monitoring is performed generally homogeneously worldwide, in most cases following evidence-based standards. Wider use of standardized instruments and the intensification of continuous between-visit monitoring, supported by electronic devices, is needed for further improvement of disease outcomes. The results of this survey, in conjunction with the available evidence base, can inform recommendations toward further optimization.

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Section: Discussionmentioning

confidence: 99%

Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

et al. 2023

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“…Bei Erwachsenen hat sich Telemonitoring bereits bei vielen chronischen Erkrankungen bewährt. Für chronische pädiatrische Erkrankungen ist dessen Evidenz bisher auf wenige Studien begrenzt [22].…”

Section: Versorgungsstrukturen Und -Lückenunclassified

Telemonitoring bei pädiatrischem Post-COVID-Syndrom

Schmidt,

Oftring,

Hägele

et al. 2024

Kinder- und Jugendmedizin

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ZUSAMMENFASSUNGDie Behandlung des Post-COVID-Syndroms (PCS) in der Pädiatrie bedarf einer interdisziplinären Anamnese, Diagnostik und multimodalen Therapie. In Deutschland besteht ein großes Versorgungsdefizit. Die heterogene, fluktuierende Symptomatik und fehlende Verlaufsmarker machen Telemonitoring als hybride Versorgungsstruktur vielversprechend.Hier wird die Etablierung eines App-unterstützten Telemonitorings als Ergänzung der Versorgung an zwei universitären pädiatrischen PCS-Ambulanzen beschrieben. Das Telemonitoring umfasst eine Patient:innen-App mit integrierten Verlaufsfragebögen/PROMs, digitalen Sensoren zur Messung kardiopulmonaler Parameter und eine telemedizinische Kommunikationsstruktur. Ärzt:innen können Daten über eine Telemedizinplattform einsehen und exportieren. Bizentrisch wurden Erfahrungen zu medizinischen, technischen, ethischen und rechtlichen Aspekten der Implementierung gesammelt.Die Implementierung ist an zwei Standorten gelungen. Voraussetzungen sind Expertise in der PCS-Behandlung, Austausch mit den App-Hersteller:innen und frühzeitige Planung organisatorischer wie rechtlicher Rahmenbedingungen. Erste Evaluationen zeigen eine hohe Zufriedenheit bei Patient:innen, Eltern und Ärzt:innen. Die Pilotstudie coverCHILD Telemonitoring begleitete das Projekt wissenschaftlich.Telemonitoring kann bei chronischen Erkrankungen wie PCS eine wichtige Rolle in einer integrierten, digital unterstützen Versorgung einnehmen, bedingt aber hinsichtlich der komplexen Erkrankung einen hohen Betreuungsaufwand. Wesentlich sind eine entsprechende wissenschaftliche Evaluation und Finanzierung.

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“…They included five reviews in their study and found that interventions delivered via mHealth might be effective in increasing physical activity of older people in the short term. Dauletbaev et al [ 6 ] performed a review on mHealth monitoring of pediatric asthma before and during the COVID-19 pandemic. Their scoping review identified 25 articles reporting the use of synchronous and asynchronous mHealth in pediatric asthma but only one article addressed asthma management, i.e., monitoring physical activity of asthmatic children during COVID-19 [ 15 ].…”

Section: Mhealth Covid-19 and Bibliometric Analysismentioning

confidence: 99%

“…Specifically, 1125 documents were officially published during the period 2020–2022 when a keyword search using [“mHealth” OR “mobile health”] and “COVID-19” was conducted on 7 January 2023, implying that about one-eighth of mHealth (or mobile health) publications were related to COVID-19 in both 2021 and 2022. Among the 1125 documents, 62 were systematic reviews, such as [ 5 , 6 , 7 , 8 , 9 ], i.e., literature reviews that uses systematic and explicit methods to identify, select, and critically appraise previously published studies with a clearly defined objective or research question [ 10 ]. Yet most of these 62 documents focused on a specific issue and selected only a small number of publications in their reviews [ 5 , 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Among the 1125 documents, 62 were systematic reviews, such as [ 5 , 6 , 7 , 8 , 9 ], i.e., literature reviews that uses systematic and explicit methods to identify, select, and critically appraise previously published studies with a clearly defined objective or research question [ 10 ]. Yet most of these 62 documents focused on a specific issue and selected only a small number of publications in their reviews [ 5 , 6 , 7 , 8 ]. Interestingly, there was only one systematic analysis using a bibliometric approach [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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mHealth and COVID-19: A Bibliometric Study

Lee

2023

Healthcare

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mHealth, i.e., using mobile computing and communication technologies in health care, has played an increasingly important role in the provision of medical care and undertaking self-health monitoring and management in the past two decades. Specifically, it becomes critically important for health care delivery when governments have been forced to impose quarantines and lockdowns during the spikes in COVID-19 cases. Therefore, this research focuses on academic publications including journal articles, reviews, and conference papers on the use of mHealth during the COVID-19 pandemic. Using a keyword search on “mHealth” (or “mobile health”) and “COVID-19” on 7 January 2023 in Scopus, it was found that 1125 documents were officially published between 2020 and 2022. Among these 1125 documents, 1042 documents were journal articles, reviews, and conference papers. Researchers in the US produced 335 articles, followed by UK researchers with 119 articles, and Chinese researchers with 79 articles. Researchers affiliated with Harvard Medical School published the largest number of articles (31), followed by researchers of University College London with 21 articles and Massachusetts General Hospital with 20 articles. Co-occurrence of keywords analysis revealed four clusters, namely “COVID-19, mHealth, mobile applications, and public health”, “adult, adolescent, mental health, and major clinical study”, “human, pandemic, and epidemiology”, and “telemedicine, telehealth, and health care delivery”. Implications of this study are given.

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A scoping review of mHealth monitoring of pediatric bronchial asthma before and during COVID-19 pandemic

Cited by 7 publications

References 70 publications

Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

Current and Optimal Practices in Childhood Asthma Monitoring Among Multiple International Stakeholders

Telemonitoring bei pädiatrischem Post-COVID-Syndrom

mHealth and COVID-19: A Bibliometric Study

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