Impact of Technology-Based Interventions on Patient-Reported Outcomes in Asthma: A Systematic Review

Doshi, Hiten; Hsia, Brian; Shahani, Jai; Mowrey, Wenzhu; Jariwala, Sunit

doi:10.1016/j.jaip.2021.01.027

Cited by 18 publications

(19 citation statements)

References 36 publications

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“… 129 Future trials investigating technology‐based interventions should include standardized patient‐reported outcomes as endpoints to better clarify their positive impact on patient education, environmental trigger control, symptom monitoring, comorbidities management and medication adherence. 130 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Digital health technologies, generally positively perceived by patients and clinicians, reveal substantial promise for disease monitoring and personalization of treatment 129. Future trials investigating technology-based interventions should include standardized patient-reported outcomes as endpoints to better clarify their positive impact on patient education, environmental trigger control, symptom monitoring, comorbidities management and medication adherence 130. Allergy and immunology clinicians, patients/patient representatives and researchers have all benefited directly or indirectly from the recent developments in electronic health (Table4).A wide-range of eHealth applications are available to allergy practitioners.…”

mentioning

confidence: 99%

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The applications of eHealth technologies in the management of asthma and allergic diseases

Alvarez-Perea

Dimov

Popescu

et al. 2021

Clinical & Translational All

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Portable devices, such as smartphones and mobile Internet access have become ubiquitous in the last decades. The term ‘eHealth’ stands for electronic health. The tools included in the eHealth concept utilize phones, computers and the Internet and related applications to improve the health care industry. Implementation of eHealth technologies has been documented for the management of different chronic diseases, including asthma and allergic conditions. Clinicians and patients have gained opportunity to communicate in new ways, which could be used cost‐effectively to improve disease control and quality of life of those affected. Additionally, these innovations bring new opportunities to academic researchers. For example, eHealth has allowed researchers to compile data points that were previously unavailable or difficult to access, and analyse them using novel tools, collectively described as ‘big data’. The role of eHealth become more important since early 2020, due to the physical distancing rules and the restrictions on mobility that have been applied worldwide as a response to the coronavirus disease 2019 pandemic. In this review, we summarize the most recent developments in various eHealth platforms and their relevance to the speciality of allergy and immunology, from the point of view of three major stakeholders: clinicians, patients and researchers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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The applications of eHealth technologies in the management of asthma and allergic diseases

Alvarez-Perea

Dimov

Popescu

et al. 2021

Clinical & Translational All

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“…Recently, there has been multiple systematic reviews surrounding the use of mHealth and technology-based interventions that have shown improved adherence and quality of life; however, there have been few which have reviewed the use of smartphone and tablet apps specifically comparative to usual care [ 47 , 48 , 49 , 50 , 51 , 52 , 53 ]. In 2013, Belisario et al identified two randomised controlled trials which compared mobile-based self-management to paper-based self-management but were unable to draw any conclusions in their systematic review, with insufficient studies and heterogeneity within the included studies.…”

Section: Smartphone and Tablet Applications In Asthma Self-management And Educationmentioning

confidence: 99%

Isn’t There an App for That? The Role of Smartphone and Tablet Applications for Asthma Education and Self-Management in Adolescents

2021

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Asthma is one of the most common chronic diseases worldwide, with a substantial proportion of the asthma population being children and adolescents. Self-management is recognized as a key component to asthma management, with multiple international guidelines emphasizing the need for adequate self-management skills for good asthma control. Unfortunately, the uptake amongst young people and adolescents is low, with often suboptimal engagement to self-management education and skills contributing to poor adherence to medication as well as poor perception of asthma symptoms. Innovative solutions to deliver education and self-management to adolescents are clearly needed. mHealth is the use of mobile devices such as smartphones and tablet devices to improve healthcare and has been used in multiple chronic diseases. This review articles explores the current use of mHealth in asthma, specifically smartphone and tablet applications as a generation-appropriate, accessible delivery modality for provision of asthma education and self-management interventions in adolescents. Current evidence gaps are also highlighted, which should be addressed in future research.

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“…It allows patients to monitor their symptoms and physical parameters at home, share the data with healthcare providers and receive tailored treatment strategies based on that information. In this way, technology can support healthcare providers to deliver personalized disease management and more frequent symptom monitoring without the need for clinical visits or physical on-site assessments [10,11].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Telemonitoring for Respiratory and Systemic Symptoms of Asthma and COPD: A Narrative Review

Metting

Dassen

Aardoom

et al. 2021

Life

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Asthma and chronic obstructive pulmonary diseases (COPD) are highly prevalent chronic lung diseases that require ongoing self-management, which itself is often suboptimal. Therefore, telemonitoring has been used to help patients measure their symptoms, share data with healthcare providers and receive education and feedback to improve disease management. In this study, we conducted a narrative review of recent evidence on the effectiveness of telemonitoring for asthma and COPD in adults. Of the thirteen identified studies, eleven focused on COPD and two focused on asthma. All studies were reviewed, and effects were compared between intervention and care as usual groups. Of the study interventions, seven showed a positive outcome on at least one outcome measure, and six had no significant results on any of the outcome measures. All of the interventions with a positive outcome included an educational component, while only one of the six interventions without positive outcomes included an educational component. We conclude that telemonitoring interventions for asthma and COPD seem more effective if they included an educational component regarding different aspects of self-management.

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Impact of Technology-Based Interventions on Patient-Reported Outcomes in Asthma: A Systematic Review

Cited by 18 publications

References 36 publications

The applications of eHealth technologies in the management of asthma and allergic diseases

The applications of eHealth technologies in the management of asthma and allergic diseases

Isn’t There an App for That? The Role of Smartphone and Tablet Applications for Asthma Education and Self-Management in Adolescents

Effectiveness of Telemonitoring for Respiratory and Systemic Symptoms of Asthma and COPD: A Narrative Review

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