Real-world evaluation of a mobile health application in children with asthma

Stukus, David R.; Farooqui, Nabeel; Strothman, Kasey; Ryan, Kelsey; Zhao, Songzhu; Stevens, Jack; Cohen, Daniel M.

doi:10.1016/j.anai.2018.02.006

Cited by 41 publications

(40 citation statements)

References 29 publications

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“…Very few apps had been clinically validated and many were not based on guidelines or clinical evidence. Since then, various studies have evaluated the advantages, usability, efficiency, and risks of mobile health technologies in allergic rhinitis, asthma, atopic dermatitis, food allergy, and anaphylaxis …”

Section: Becoming Wireless—the Frantic Evolution Of Information and Cmentioning

confidence: 99%

See 1 more Smart Citation

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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Section: Becoming Wireless—the Frantic Evolution Of Information and Cmentioning

confidence: 99%

“…Many asthma apps have been developed and are available for use, mainly by adults, but some also for school‐age children and adolescents . Registering the use of a reliever inhaler has been used to monitor pediatric asthma control and to provide feedback through an electronic treatment plan …”

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

View full text Add to dashboard Cite

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“…Studies conducted in adult patients with asthma have revealed an improvement in symptom scores, increased attendance at office visits, and reduced visits to the emergency department for patients who have used a combination of home spirometry and simple message servicing [11,12]. A randomized prospective trial of mHealth applications in children with asthma did not demonstrate any difference in visits to the emergency department or hospitalizations over a 6-month period, although the number of visits to the emergency department decreased [13].…”

Section: Introductionmentioning

confidence: 97%

Impact Of “eHealth” in Allergic Diseases and Allergic Patients

Alvarez-Perea¹,

Sánchez-García²,

R³

et al. 2019

J Investig Allergol Clin Immunol

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The emergence of new technology enables allergists and patients to compile data and receive feedback regarding key symptoms, risk behavior, and/or management. The term "eHealth" refers to a diverse group of tools that use computerized technologies to improve both the efficacy and the efficiency of the health care industry. eHealth comprises a variety of technologies, as follows: mobile devices (mHealth) in medical care, including electronic diaries, wearable sensors, and adherence monitoring; health informatics (eg, electronic health records, computerized physician order entry, clinical decision support); telemedicine, which is the use of information and communication technologies for the management of diseases and medical education; social media platforms, and the analysis of information acquired through these platforms using "big data" technologies. In this review, we summarize the latest findings on the use of eHealth technology and the relevance of eHealth to allergic conditions. ResumenLa aparición de nuevas tecnologías conlleva para los alergólogos y los pacientes la posibilidad de recopilar datos y recibir información directa sobre los síntomas clave de las enfermedades, los comportamientos de riesgo y/o su manejo. El término "eHealth", o salud electrónica, se refiere a un grupo diverso de herramientas que utilizan tecnologías informáticas para mejorar la eficacia y la eficiencia de la industria de la salud. La "eHealth" comprende varias tecnologías, como el uso de dispositivos móviles aplicados a la salud ("mHealth"), incluyendo diarios electrónicos, sensores ponibles o monitorización de la adherencia terapéutica; la informática biomédica (por ejemplo, la historia clínica electrónica, la prescripción electrónica o los sistemas de ayuda a las decisiones clínicas); la telemedicina, que es el uso de las tecnologías de la información y la comunicación para el manejo de enfermedades y de educación sanitaria; las plataformas de redes sociales, y el análisis de la información adquirida a través de estas plataformas, usando técnicas de "big data" o inteligencia de datos. En esta revisión, resumimos la evidencia que rodea al uso de tecnologías "eHealth" y su relevancia para las enfermedades alérgicas.

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“…It is recognised that good quality accessible information is key in empowering children and carers to self-manage their longterm conditions (25). However, the clinical utility of such apps (in comparison to simply providing written information) remains uncertain (23) (26), and a recent review found insufficient evidence to support the efficacy of apps directed at older children with chronic mental health problems (27). Written advice has been shown to help parents decide when they can confidently self-care and when they need to seek advice from a health care professional (28) (29) (30) (31).…”

Section: Comparison With Published Literaturementioning

confidence: 99%

Digital interventions for parents of acutely ill children and their treatment-seeking behaviour: a systematic review

et al. 2020

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BackgroundConsultations for self-limiting infections in children are increasing. It has been proposed that digital technology could be used to enable parents’ decision making in terms of self-care and treatment seeking.AimTo evaluate the evidence that digital interventions facilitate parents deciding whether to self-care or seek treatment for acute illnesses in children.Design and settingSystematic review of studies undertaken worldwide.MethodSearches of MEDLINE and EMBASE were made to identify studies (of any design) published between database inception and January 2019 that assessed digital interventions for parents of children (from any healthcare setting) with acute illnesses. The primary outcome of interest was whether the use of digital interventions reduced the use of urgent care services.ResultsThree studies were included in the review. They assessed two apps and one website: Children’s On-Call — a US advice-only app; Should I See a Doctor? — a Dutch self-triage app for any acute illness; and Strategy for Off-Site Rapid Triage (SORT) for Kids — a US self-triage website for influenza-like illness. None of the studies involved parents during intervention development and it was shown that many parents did not find the two apps easy to use. The sensitivity of self-triage interventions was 84% for Should I See a Doctor? compared with nurse triage, and 93.3% for SORT for Kids compared with the need for emergency-department intervention; however, both had lower specificity (74% and 13%, respectively). None of the interventions demonstrated reduced use of urgent-care services.ConclusionThere is little evidence to support the use of digital interventions to help parent and/or carers looking after children with acute illness. Future research should involve parents during intervention development, and adequately powered trials are needed to assess the impact of such interventions on health services and the identification of children who are seriously ill.

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Real-world evaluation of a mobile health application in children with asthma

Cited by 41 publications

References 29 publications

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

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

Impact Of “eHealth” in Allergic Diseases and Allergic Patients

Digital interventions for parents of acutely ill children and their treatment-seeking behaviour: a systematic review

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