COVID-19: Technology-Supported Remote Assessment of Pediatric Asthma at Home

Kamp, Mattiènne Ricard van der; Tabak, Monique; Rooij, Sophia E. J. A. de; Lierop, Pieter P.E. van; Thio, Boony J.

doi:10.3389/fped.2020.00529

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…For example, home spirometry and peak flow meters can help to provide an idea of a patient’s lung function between in-office spirometry measurements for patients with asthma. 36 , 37 Patients with diabetes mellitus commonly use devices such as insulin pumps, smart pens, and continuous glucose monitors, which provide data directly to providers that can be discussed during a virtual visit. 38 , 39 However, some research has shown that increased home monitoring may not result in improved outcomes and may even increase healthcare utilization given the closer monitoring and more convenient access to care.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Telemedicine

Haynes¹,

Marcin²

2022

Advances in Pediatrics

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Section: Introductionmentioning

confidence: 99%

Pediatric Telemedicine

Haynes¹,

Marcin²

2022

Advances in Pediatrics

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“…Thirty-eight intervention studies on lung function monitoring were found. Within these intervention studies, lung function was commonly measured on standard intervals, with few studies reporting reversibility at home [ 87 - 90 ] or additional measurement of lung function when experiencing an increase in asthma symptoms [ 89 - 91 ]. Lung function monitoring was combined with symptom monitoring with a diary, questionnaire, or online contact in several studies [ 92 - 98 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most (38/53, 72%) medication monitoring interventions exclusively used medication monitoring as a single monitoring domain. A total of 9 studies (9/69, 13%) reported the combined use of medication monitoring with lung function monitoring [ 34 , 89 , 92 , 101 , 103 , 108 , 194 - 197 ]. Only Bui et al [ 34 ] reported a pilot intervention of a multimodal monitoring intervention including medication monitoring.…”

Section: Resultsmentioning

confidence: 99%

“…Although the inhalation technique is an important aspect to achieve good effects of inhalation therapy, only 9 studies reported on monitoring of the inhalation technique at home by use of eHealth [ 92 , 239 , 240 ]. In these articles, there were 2 distinct ways of monitoring the inhalation technique: remote observation of therapy [ 92 , 239 , 240 ] and electronic measurement of aspects of the inhalation technique [ 89 , 196 , 232 ]. It was demonstrated that audiovisual support regarding the inhalation technique is feasible [ 229 ], can help to improve effective medication use by providing feedback on the inhalation technique [ 92 , 239 , 240 ], and can lead to improved ACT scores [ 229 ].…”

Section: Resultsmentioning

confidence: 99%

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eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Kamp¹,

Hengeveld²,

Brusse-Keizer³

et al. 2023

J Med Internet Res

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Background eHealth monitoring technologies offer opportunities to more objectively assess symptoms when they appear in daily life. Asthma is the most common chronic disease in childhood with an episodic course, requiring close follow-up of pediatric asthma control to identify disease deterioration, prevent exacerbations, and enhance quality of life. eHealth technologies in pediatric asthma care show promising results regarding feasibility, acceptability, and asthma-related health outcomes. However, broad systematic evaluations of eHealth technologies in pediatric asthma are lacking. Objective The objective of this scoping review was to identify the types and applications of eHealth technologies for monitoring and treatment in pediatric asthma and explore which monitoring domains show the most relevance or potential for future research. Methods A scoping review was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A systematic and comprehensive search was performed on English papers that investigated the development, validation, or application of eHealth technologies for home monitoring or treatment of pediatric asthma in the following databases: PubMed, Cochrane Library, IEEE, Scopus, CINAHL, PsycINFO, and ACM Digital Library. Two authors independently assessed eligibility and extracted data. Data were presented by a descriptive analysis of characteristics and a narrative report for each eHealth domain. Results The review included 370 manuscripts. The following 10 monitoring domains were identified: air quality, airway inflammation markers, lung function, physical activity, sleep, audiovisual, other physiological measurements, questionnaires, medication monitoring, and digital environment (ie, digital platforms, applications, websites, and software tools to monitor or support monitoring). Rising numbers of studies were seen, and the numbers accelerated in the last few years throughout most domains, especially medication monitoring and digital environment. Limited studies (35/370, 9.5%) of multiparameter monitoring strategies, using three or more domains, were found. The number of monitoring validation studies remained stable, while development and intervention studies increased. Intervention outcomes seemed to indicate the noninferiority and potential superiority of eHealth monitoring in pediatric asthma. Conclusions This systematic scoping review provides a unique overview of eHealth pediatric asthma monitoring studies, and it revealed that eHealth research takes place throughout different monitoring domains using different approaches. The outcomes of the review showed the potency for efficacy of most monitoring domains (especially the domains of medication monitoring, lung function, and digital environment). Future studies could focus on modifying potentially relevant hospital-based diagnostics for the home setting to investigate potential beneficial effects and focus on combining home-monitoring domains to facilitate multiparameter decision-making and personalized clinical decision support.

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“…13 Within the COVID-19 context, van der Kamp emphasizes at-home monitoring suitably complementing existing healthcare given the potential for tailoring. 14 …”

Section: Introductionmentioning

confidence: 99%

Physical activity and asthma symptom control in children during COVID-19 lockdown: A feasibility study

et al. 2023

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Objective The aim was to evaluate the impact of the COVID-19 lockdown on physical activity (PA) and asthma symptom control in children. Methods We conducted a single-cohort observational study on 22 children with a median age of 9 (8–11) years with a diagnosis of asthma being included in the study. Participants were asked to wear a PA tracker for 3 months; during the same 3-month period, the Paediatric Asthma Diary (PAD) was administered daily and the Asthma Control (AC) Questionnaire together with the mini-Paediatric Asthma Quality of Life (AQoL) Questionnaire administered at weekly intervals. Results Compared with the pre-lockdown period, there was a significant reduction in PA levels after the lockdown began. Daily total steps reduced by about 3000 steps ( p < 0.001), very active minutes by 9 min ( p < 0.001) and fairly active minutes almost halved ( p < 0.001); while asthma symptom control marginally improved, with the AC and AQoL score improving by 0.56 ( p < 0.005) and 0.47 ( p < 0.05), respectively. Further, for those with AC score higher than 1, PA was positively associated with asthma control both before and after the lockdown. Conclusions This feasibility study suggests that PA engagement of children with asthma is negatively affected during the pandemic, but the beneficial effect of PA on asthma symptom control potentially sustains even during a lockdown period. These findings emphasize the importance of wearable device to monitor longitudinal PA and thus better management of PA for achieving the best outcome of asthma symptom control.

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COVID-19: Technology-Supported Remote Assessment of Pediatric Asthma at Home

Cited by 5 publications

References 17 publications

Pediatric Telemedicine

Pediatric Telemedicine

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Physical activity and asthma symptom control in children during COVID-19 lockdown: A feasibility study

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