Internet-based monitoring of asthma: A long-term, randomized clinical study of 300 asthmatic subjects

Rasmussen, Linda; Phanareth, Klaus; Nolte, Hendrik; Backer, Vibeke

doi:10.1016/j.jaci.2005.03.030

Cited by 175 publications

(175 citation statements)

References 23 publications

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“…Also studying adults, KOKUBU et al [18] demonstrated the effectiveness of remote monitoring of peak expiratory flow combined with an educational programme on the occurrence of exacerbations requiring emergency department visits or hospitalisation. More recently, RASMUSSEN et al [19] established a management programme for asthma via the internet that included daily measurements of peak expiratory flow and symptoms recorded in an electronic diary. Treatment instructions for the patient were based on peak expiratory flow values and data were transmitted to a physician who adjusted the treatment.…”

Section: Discussionmentioning

confidence: 99%

Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations

Deschildre

Béghin²,

Salleron³

et al. 2011

European Respiratory Journal

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Some children with severe asthma develop frequent exacerbations despite intensive treatment.We sought to assess the outcome (severe exacerbations and healthcare use, lung function, quality of life and maintenance treatment) of a strategy based on daily home spirometry with teletransmission to an expert medical centre and whether it differs from that of a conventional strategy.50 children with severe uncontrolled asthma were enrolled in a 12-month prospective study and were randomised into two groups: 1) treatment managed with daily home spirometry and medical feedback (HM) and 2) conventional treatment (CT).The children's mean age was 10.9 yrs (95% confidence interval 10.2-11.6). 44 children completed the study (21 in the HM group and 23 in the CT group). The median number of severe exacerbations per patient was 2.0 (interquartile range 1.0-4.0) in the HM group and 3.0 (1.0-4.0) in the CT group (p50.38 with adjustment for age). There were no significant differences between the two groups for unscheduled visits (HM 5.0 (3.0-7.0), CT 3.0 (2.0-7.0); p50.30), lung function (pre-b 2 -agonist forced expiratory volume in 1 s (FEV1) p50.13), Paediatric Asthma Quality of Life Questionnaire scores (p50.61) and median daily dose of inhaled corticosteroids (p50.86).A treatment strategy based on daily FEV1 monitoring with medical feedback did not reduce severe asthma exacerbations.

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Section: Discussionmentioning

confidence: 99%

Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations

Deschildre

Béghin²,

Salleron³

et al. 2011

European Respiratory Journal

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“…Short Message Service (SMS), a convenient, reliable, affordable and secure means of telemedicine, has been shown to improve asthma control when added to a written action plan and standard follow-up [11]. Recently, a systemic review of home telemonitoring for patients with respiratory conditions, particularly when evaluated in randomised controlled trials in asthma, showed that home telemonitoring of respiratory conditions results in early identification of deteriorations in patient condition and symptom control [12][13][14][15][16][17]. In Taiwan, an internet-based asthma telemonitoring programme reportedly increased self-management skills and improved asthma outcomes, and appeared to be an effective technology for care that is well accepted by asthmatic children and their caregivers [13].…”

mentioning

confidence: 99%

A mobile telephone-based interactive self-care system improves asthma control

Liu

Huang

Wang

et al. 2010

European Respiratory Journal

161

216

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The self-management of asthma can improve clinical outcomes. Recently, mobile telephones have been widely used as an efficient, instant personal communication tool. This study investigated whether a self-care system will achieve better asthma control through a mobile telephone-based interactive programme.This was a prospective, controlled study in outpatient clinics. From 120 consecutive patients with moderate-to-severe persistent asthma, 89 were eventually recruited for the study, with 43 in the mobile telephone group (with a mobile telephone-based interactive asthma self-care system).In the mobile telephone group, mean¡SEM peak expiratory flow rate significantly increased at 4 (378.2¡9.3 L?min ; n543; p50.001) compared to the control group. Mean¡SEM forced expiratory volume in 1 s significantly increased at 6 months (65.2¡3.2% predicted; n543; p,0.05). Patients in the mobile telephone group had better quality of life after 3 months, as determined using the Short Form-121 physical component score, and fewer episodes of exacerbation and unscheduled visits than the control group. Patients in the mobile telephone group significantly increased their mean daily dose of either systemic or inhaled corticosteroids compared with the control group.The mobile telephone-based interactive self-care system provides a convenient and practical self-monitoring and -management of asthma, and improves asthma control.

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“…Summaries of the 14 trials including type of action plans, interventions, and key findings (but excluding participant details) are shown in Table 1. Studies were published between 1993-2005 in the UK, [24][25][26][27] Australia, 18,20,22,28,29 United States, 21,30 Denmark, 31 Canada, 23 and New Zealand. 19 The methodological quality of these RCTs was assessed for performance, detection and attrition bias, and was graded 'A' (low risk of bias) to 'C' (high risk).…”

Section: Study Identificationmentioning

confidence: 99%

Promoting the use of Personal Asthma Action Plans: a systematic review

Ring

Malcolm

Wyke

et al. 2007

Primary Care Respiratory Journal

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Objectives: To investigate how best to encourage health professionals to promote, and for people with asthma to use, asthma action plans.Methods: Systematic review. Randomised controlled trials published between 1960 and 2006 were searched using multiple electronic databases. Unpublished and ongoing studies were identified by contacting asthma experts internationally. Included trials reported outcome data for the promotion of action plans including issue of plans by health professionals, and patient ownership and use.Results: 14 trials satisfied our study inclusion criteria. Of these, only four studies reported data for action plan use. Interventions included: education of doctors and people with asthma; telephone reinforcement; partially completed action plans and postal prompts inviting patients for general practice review; school asthma clinics; and asthma management systems (including the 3+ plan with patient recall for review and Internet-based physician monitoring). These interventions increased action plan ownership, use, or facilitation of use. Two of the highest quality papers were conducted in primary care and demonstrate the effectiveness of interventions directed at the organisation of asthma care in promoting action plan use.Conclusions: Primary care professionals could encourage the ownership and use of action plans through the implementation of proactive practice-based organisational systems, though further research is required to assess their practicality and effect on sustaining use long-term. Multi-disciplinary teams working in areas where asthma action plan ownership and use is sub-optimal should therefore consider how such interventions could be incorporated into existing practices and healthcare systems.

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Internet-based monitoring of asthma: A long-term, randomized clinical study of 300 asthmatic subjects

Cited by 175 publications

References 23 publications

Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations

Home telemonitoring (forced expiratory volume in 1 s) in children with severe asthma does not reduce exacerbations

A mobile telephone-based interactive self-care system improves asthma control

Promoting the use of Personal Asthma Action Plans: a systematic review

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