Acceptability of an interactive asthma management mobile health application for children and adolescents

Farooqui, Nabeel; Phillips, Gary; Barrett, Claudia; Stukus, David R.

doi:10.1016/j.anai.2015.03.006

Cited by 36 publications

(40 citation statements)

References 8 publications

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“…Younger patients have been noted to voice preference for mobile asthma resources over similar offerings on paper. 17 Our study demonstrates that interest in engaging in self-care through mobile technology is not unique to younger patients, but also applies to older adults. The mean age of our subject cohort was 50 years, with age ranging from 17 to 82 years.…”

Section: Discussionmentioning

confidence: 74%

“…7,17,20,21 These treatment plan apps typically require some form of regular patient input, such as reported respiratory symptoms, medication use, and peak expiratory flow measurements. Basic treatment plan recommendations are then based on these entries.…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, recent mobile apps using a more adaptive and individualized treatment model have successfully demonstrated a significant improvement in asthma outcomes. 7,17,21 Scripps Asthma Coach builds on the success of these apps by providing personalized self-care support without the need for daily patient inputs.…”

Section: Discussionmentioning

confidence: 99%

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Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

Cook

Modena

Simon

2016

The Journal of Allergy and Clinical Immunology: In Practice

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BACKGROUND Integrated chronic disease treatment models that enable patient self-care and shared treatment decision making have recently been shown to improve medication adherence and outcomes. Smartphone applications (apps) are a readily available means to enable this model, although sustained user engagement remains a challenge. OBJECTIVE To assess the efficacy of improving asthma control using a proactive smartphone app without required regular inputs. METHODS We designed a minimally intrusive smartphone app to provide individualized and timely support to patients with asthma based on the National Asthma Education and Prevention Program guidelines and Scripps management pathways. In this proof-of-concept study, we enrolled 60 adults with poorly controlled asthma to test the usability and effectiveness of this app over a 4-month period. The Asthma Control Test survey was used to assess control before, during, and after app use. As a corollary, a retrospective chart review was also used to assess changes in lung function and prescribed courses of systemic corticosteroids. RESULTS Our patients, with a mean age of 50 years, reported an improvement in Asthma Control Test scores from 16.6 (inadequate to poor) to 20.5 (controlled) over the study period. Concurrently, there was a 7.9% absolute increase in FEV1, while courses of systemic corticosteroids decreased from 0.5 to 0.3 courses per 6-month period. Fifty-eight of 60 patients completed the final survey, with high satisfaction reported. CONCLUSIONS This app improved asthma control in a cohort of patients with uncontrolled asthma (age range, 17–82 years), while minimizing burdensome inputs and proactively providing individualized teaching and treatment support. The app and treatment model are scalable to cost-effectively manage chronic disease.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

Cook

Modena

Simon

2016

The Journal of Allergy and Clinical Immunology: In Practice

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“…The importance of users´ feedback has been underlined by the outcome of a project including adolescent volunteers (13‐18 years old) who evaluated two asthma apps (AsthmaMD and Asthma Pulse) . The suggested improvements included push reminders (to take medication and to purchase refill), asthma‐related games, fun factors, and a built‐in flow meter . Recording clinical and functional endpoints (ie, symptoms, FEV1, PEF) on a daily basis, together with allergen and pollutant exposure, facilitates continuous asthma monitoring.…”

Section: Mhealth In Allergic Diseasesmentioning

confidence: 99%

The role of mobile health technologies in allergy care: An EAACI position paper

Matricardi

Dramburg

Alvarez-Perea

et al. 2019

Allergy

109

111

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Mobile health (mHealth) uses mobile communication devices such as smartphones and tablet computers to support and improve health‐related services, data and information flow, patient self‐management, surveillance, and disease management from the moment of first diagnosis to an optimized treatment. The European Academy of Allergy and Clinical Immunology created a task force to assess the state of the art and future potential of mHealth in allergology. The task force endorsed the “Be He@lthy, Be Mobile” WHO initiative and debated the quality, usability, efficiency, advantages, limitations, and risks of mobile solutions for allergic diseases. The results are summarized in this position paper, analyzing also the regulatory background with regard to the “General Data Protection Regulation” and Medical Directives of the European Community. The task force assessed the design, user engagement, content, potential of inducing behavioral change, credibility/accountability, and privacy policies of mHealth products. The perspectives of healthcare professionals and allergic patients are discussed, underlining the need of thorough investigation for an effective design of mHealth technologies as auxiliary tools to improve quality of care. Within the context of precision medicine, these could facilitate the change in perspective from clinician‐ to patient‐centered care. The current and future potential of mHealth is then examined for specific areas of allergology, including allergic rhinitis, aerobiology, allergen immunotherapy, asthma, dermatological diseases, food allergies, anaphylaxis, insect venom, and drug allergy. The impact of mobile technologies and associated big data sets are outlined. Facts and recommendations for future mHealth initiatives within EAACI are listed.

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“…Furthermore, evidence supports the notion that asthma self‐management in school‐age children can lead to improved quality of life, decreased exacerbations and hospital admissions and improved asthma control (Friend & Morrison, ; Pinnock, ). The strategies of asthma self‐management have changed from print‐based to e‐health materials, such as multimedia, websites, apps and electronic monitoring or reminders (Farooqui, Phillips, Barrett, & Stukus, ; Normansell, Kew, & Mathioudakis, ; Vasbinder et al., ). Nevertheless, e‐health approaches have not provided well‐combined, reliable or comprehensive information for self‐management (Huckvale, Car, Morrison, & Car, ; Huckvale, Morrison, Ouyang, Ghaghda, & Car, ).…”

Section: Introductionmentioning

confidence: 99%

Suitability of asthma education materials for school‐age children: Implications for health literacy

Tzeng

Gau

2018

Journal of Clinical Nursing

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Acceptability of an interactive asthma management mobile health application for children and adolescents

Cited by 36 publications

References 8 publications

Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application

The role of mobile health technologies in allergy care: An EAACI position paper

Suitability of asthma education materials for school‐age children: Implications for health literacy

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