Applying Interactive Mobile health to Asthma Care in Teens (AIM2ACT): Development and design of a randomized controlled trial

Fedele, David A.; McConville, Andrew; Thomas, J. Graham; McQuaid, Elizabeth L.; Janicke, David M.; Turner, Elise; Moon, Jon; Abu-Hasan, Mutasim

doi:10.1016/j.cct.2017.09.007

Cited by 32 publications

(40 citation statements)

References 47 publications

(59 reference statements)

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“…A further eight studies were excluded, use of mobile phones was restricted to sending text messages/phone calls in two papers [ 15 , 16 ], results were combined for children and adults in three [ 17 , 18 , 19 ], and three were trial protocols [ 20 , 21 , 22 ]. After applying the exclusion criteria, eight studies remained on the use of phone technology in asthma self-management among asthmatic children and adolescents ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Smartphone Applications for Encouraging Asthma Self-Management in Adolescents: A Systematic Review

Alquran

Lambert

Farouque

et al. 2018

IJERPH

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Adolescent asthma is still a major problem with poor adherence to treatment. Globally, adolescents are devoted users of smartphone technologies and app use in asthma self-management may improve adherence. The objective of this systematic review is to assess the feasibility and efficacy of mobile technology in improving asthma outcomes in adolescents. We conducted an extensive review of the peer-review literature of studies with populations consisting of children and adolescents under 18 years in seven bibliographic databases and Google Scholar. All study designs were considered. Quality assessment of included studies were independently assessed and reported. The search identified 291 articles; of the 16 eligible full-text papers, 8 met the review criteria, reporting two interventional, two qualitative and four observational studies. Samples ranged from 12 to 21 participants. Heterogeneity related to study design and the methods of the included studies prevented meta-analysis. Nevertheless, the intervention studies reported a positive effect of smartphone apps on asthma control, medication adherence and self-efficacy. Smartphone apps may be an effective asthma control tool especially among adolescents who are major users of smartphones; however, conclusions are limited by a lack of controlled trials and adequate sample sizes.

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Section: Resultsmentioning

confidence: 99%

Smartphone Applications for Encouraging Asthma Self-Management in Adolescents: A Systematic Review

Alquran

Lambert

Farouque

et al. 2018

IJERPH

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“…Involvement of stakeholders in the development of technology-based interventions is an important part of UCD to ensure systems match users’ needs [25]. Using interviews to learn about stakeholders needs have been used among a variety of different groups including people with mental illness [37], among parents and teenagers with asthma [38], and for improving physical activity among people with chronic illnesses [39]. These studies found similar results, suggesting that intervention content should be highly relevant to stakeholders' needs, and in an easy-to-use format [37,38].…”

Section: Discussionmentioning

confidence: 99%

Development of a Smartphone App for Informal Carers of People With Cancer: Processes and Learnings

Heynsbergh¹,

Heckel²,

Botti³

et al. 2019

JMIR Form Res

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Background There are few support systems available to informal carers who provide care to cancer patients. Smartphone apps have the capacity to reach large audiences and can provide information and support at a time convenient to carers. Objective The aim of this study was to design a smartphone app prototype for carers of adults with cancer. Methods A multiple-method design was used to develop a smartphone app. Current and past carers of people with any type of cancer were recruited from a public hospital, a private hospital, and a carer organization, who participated in either a focus group or phone interview. Carers answered questions about items to include in an app to address supportive care needs identified. Using carers’ feedback, a smartphone app was designed and tested. Beta testing was conducted using a convenience sample of participants who completed scenarios to inform the app’s design, functionality, and usability. Scenarios were timed and marked as complete or incomplete. Participants completed a questionnaire about the usability of the app. Beta testing occurred in 2 stages—a paper-based version of the app and an app-based test using the participants’ preferred device. Alpha testing was completed internally to ensure the functionality of the app. Data were collected between May 2016 and August 2017. Results A total of 33 carers participated in phone interviews and 12 in focus groups; their average age was 55 (SD 14) years, and 60% (27/45) were female. The majority of carers (76%, 25/33) had a positive attitude toward using smartphone apps. Carers noted that smartphone technology might improve their ability to seek information and support in managing their own health as well as the care needs of the person with cancer. Carers requested a variety of information and resources to be included in the app. Paper-based testing included the following: participants (N=10) were aged above 30 years (30%, 3/10), 30 to 49 years (30%, 3/10), and 50 years or above (40%, 4/10), and 60% (6/10) were male. Participants found the app user-friendly and pleasing in appearance. App-based testing included the following: participants (N=10) were aged above 30 years (20%, 2/10), 30 to 49 years (30%, 3/10), and 50 years or above (50%, 5/10), and 50% (5/10) were male. Participants reported the app to be user-friendly and easy to navigate. The majority (60%, 6/10) of participants were unable to create a shortcut icon to add the app to the home screen of their phone. Conclusions Carers highlighted the needed information and support to assist them during the caring period; they also reported having a positive attitude toward smartphone apps. The Carer Guide App is currently undergoing a pilot study to further test usability among carers of people with 1 cancer type.

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“…This study looked at the association between adherence with asthma medications and the patient-provider relationship in early adolescents. Data came from baseline data collected through an ongoing longitudinal study titled AIM2ACT: Applying Interactive Mobile health to Asthma Care in Teens (Fedele et al 2018). Pharmacy refill data was obtained by phoning the participants' pharmacies and recording the number of times their inhaled corticosteroids (ICS) were filled over the 12-month period prior to enrollment in the study.…”

Section: Methodsmentioning

confidence: 99%

Association between Asthma Medication Adherence and Patient-Provider Collaboration

Lockwood

2019

UFJUR

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Asthma is a significant pediatric public health concern, with 8.3% of children in the U.S. diagnosed with asthma. Pediatric asthma morbidity is consistently linked to medication non-adherence. Medication adherence has been shown to be influenced by patient-provider interactions. The aim of this study is to examine the relationship between medication adherence, using both objective and subjective reports, to patient-provider collaboration in adolescents with poorly controlled asthma. Thirty adolescents ages 12 to 15 were interviewed along with their caregivers using the Family Asthma Management System Scale (FAMSS). Adherence data were collected via pharmacy refill reports and scores on the FAMSS adherence rating subscale. Patient-provider collaboration was assessed using the corresponding subscale from the FAMSS interview. Pearson correlations were conducted to examine the relationships between both measures of adherence and patient-provider collaboration. There was no significant association between adherence measured with pharmacy refills and patient-provider collaboration (r = .27, p = .176). A significant correlation was found between medication adherence, as measured by the FAMSS ratings, and patient-provider collaboration (r = .53, p = .003). These findings suggest that more collaborative patient-provider relationships may be linked to higher medication adherence among adolescents with poorly controlled asthma.

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Applying Interactive Mobile health to Asthma Care in Teens (AIM2ACT): Development and design of a randomized controlled trial

Cited by 32 publications

References 47 publications

Smartphone Applications for Encouraging Asthma Self-Management in Adolescents: A Systematic Review

Smartphone Applications for Encouraging Asthma Self-Management in Adolescents: A Systematic Review

Development of a Smartphone App for Informal Carers of People With Cancer: Processes and Learnings

Association between Asthma Medication Adherence and Patient-Provider Collaboration

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