A Systematic Evaluation of Asthma Management Apps Examining Behavior Change Techniques

Ramsey, Rachelle R.; Caromody, Julia K.; Voorhees, Sara; Warning, Amanda; Cushing, Christopher C.; Guilbert, Theresa W.; Hommel, Kevin A.; Fedele, David A.

doi:10.1016/j.jaip.2019.03.041

Cited by 74 publications

(53 citation statements)

References 23 publications

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“…Also, the lowest median score was for the engagement subscales, which were evaluated based on entertainment, interest, customization, interactivity, and target group appeal, and esthetic subscale were evaluated layout, graphics, and visual appeal. This is in line with the results of previous studies using MARS for quality assessment of Mobile Apps for Management of tinnitus 25 and apps for asthma management 26 in which the engagement an esthetic score is lower, which indicates that this factor is less considered in the design of health management apps. About our result, it can demonstrate that in emergencies such as a pandemic, which need immediate intervention, entertainment, and esthetic sections are less important than information or functionality, and they may be less noticeable.…”

Section: Quality Of Appssupporting

confidence: 90%

A review and content analysis of national apps for COVID-19 management using Mobile Application Rating Scale (MARS)

Salehinejad

Kalhori

Hajesmaeel-Gohari

et al. 2020

Informatics for Health and Social Care

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Section: Quality Of Appssupporting

confidence: 90%

A review and content analysis of national apps for COVID-19 management using Mobile Application Rating Scale (MARS)

Salehinejad

Kalhori

Hajesmaeel-Gohari

et al. 2020

Informatics for Health and Social Care

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“…In future studies, we intend to include measures of motivation and other SDT constructs. Although our study included mechanisms to interact with providers and captured EMA data, the app currently lacks an automated interface with electronic medical records, a noted gap among apps designed to manage asthma [ 13 ]. Study recruitment via provider referrals may have enabled providers to refer patients with a higher likelihood of interest in mHealth or those who providers felt needed better asthma management.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies on the use of mobile apps to promote self-management among youth with diabetes highlight the benefits and continued need for patient-centered design processes at each phase of the intervention design process [ 11 , 12 ]. A systematic review by Ramsey et al [ 13 ] exploring publicly available mobile apps for asthma management noted a continued need for efficacy testing of apps and for intervention design to be grounded in evidence-based strategies. In addition, few apps are developed or implemented using established theories for health behavior or behavioral change, which can decrease the likelihood of an app influencing the skill development and ultimately, the desired health behavior change [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Patient and Parent Perspectives on Improving Pediatric Asthma Self-Management Through a Mobile Health Intervention: Pilot Study

Nichols¹,

Miller²,

Treiber³

et al. 2020

JMIR Form Res

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Background Asthma is a common chronic pediatric disease that can negatively impact children and families. Self-management strategies are challenging to adopt but critical for achieving positive outcomes. Mobile health technology may facilitate self-management of pediatric asthma, especially as adolescents mature and assume responsibility for their disease. Objective This study aimed to explore the perceptions of youths with high-risk asthma and their caregivers on the use of a smartphone app, Smartphone Asthma Management System, in the prevention and treatment of asthma symptoms, possible use of the app to improve self-management of asthma outside traditional clinical settings, and the impact of asthma on everyday life to identify potential needs for future intervention development. Methods Key informant interviews were completed with parent-child dyads post participation in an asthma management feasibility intervention study to explore the perceptions of users on a smartphone app designed to monitor symptoms and medication use and offer synchronous and asynchronous provider encounters. A thematic qualitative analysis was conducted inductively through emergent findings and deductively based on the self-determination theory (SDT), identifying 4 major themes. Results A total of 19 parent-child dyads completed the postintervention interviews. The major themes identified included autonomy, competence, relatedness, and the impact of asthma on life. The participants also shared their perceptions of the benefits and challenges associated with using the app and in the self-management of asthma. Both children and parents conveyed a preference for using technology to facilitate medication and disease management, and children demonstrated a strong willingness and ability to actively engage in their care. Conclusions Our study included support for the app and demonstrated the feasibility of enhancing the self-management of asthma by youth in the community. Participant feedback led to intervention refinement and app improvements, and the use of the SDT allowed insight into motivational drivers of behavioral change. The use of mobile apps among high-risk children with asthma and their parents shows promise in improving self-management, medication adherence, and disease awareness and in reducing overall disease morbidity.

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“…Even in the absence of medication monitoring devices, reminders using cell phone alarms are one potential means to improve adherence in the clinical setting. Adolescents report the use of health‐related smartphone applications, 82 and applications utilizing multiple behavior change strategies in asthma do exist 83 . Healthcare providers may therefore serve as a means of information about acceptable applications that may serve to improve adherence outcomes through validated means in technologically savvy patients.…”

Section: Patient and Family Level Factorsmentioning

confidence: 99%

“…Adolescents report the use of health-related smartphone applications, 82 and applications utilizing multiple behavior change strategies in asthma do exist. 83 Healthcare providers may therefore serve as a means of information about acceptable applications that may serve to improve adherence outcomes through validated means in technologically savvy patients. Novel strategies utilizing gamification and incentive strategies have additionally been introduced to this population, 84…”

Section: Addressing Adherence Difficultiesmentioning

confidence: 99%

They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity

Keyser

Ramsey

Federico

2020

Pediatric Pulmonology

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Assessing and addressing suboptimal adherence to asthma medications is a key component in the treatment of all children with asthma, particularly those with difficult‐to‐treat asthma. However, parents often overreport adherence to asthma medications. Increased medication adherence could lead to improved outcomes in the form of better asthma control and decreased asthma exacerbations, as well as decreased healthcare utilization costs. Yet there are many complex factors that affect medication adherence, and barriers are often different in each family. Social determinants of health, complex healthcare relationships, and patient‐related factors may all affect medication adherence. Multicomponent patient‐centered strategies, as well as strategies that utilize technology and habit formation strategies may be helpful in improving medication adherence. Further study is needed to reliably and sustainably improve medication adherence in children with asthma across the broader population; in some populations, alternate diagnoses, adjusting therapy, and other intervention may be required to improve asthma control and health.

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A Systematic Evaluation of Asthma Management Apps Examining Behavior Change Techniques

Cited by 74 publications

References 23 publications

A review and content analysis of national apps for COVID-19 management using Mobile Application Rating Scale (MARS)

A review and content analysis of national apps for COVID-19 management using Mobile Application Rating Scale (MARS)

Patient and Parent Perspectives on Improving Pediatric Asthma Self-Management Through a Mobile Health Intervention: Pilot Study

They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity

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