Smartphone-based vs paper-based asthma action plans for adolescents

Perry, Tamara T.; Marshall, Alexandra; Berlinski, Ariel; Rettiganti, Mallikarjuna; Brown, Rita; Randle, Shemeka M.; Luo, Cheng; Bian, Jiang

doi:10.1016/j.anai.2016.11.028

Cited by 53 publications

(80 citation statements)

References 19 publications

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“…mHealth can support tailored asthma patient education, provide reminders, and improve self‐management (eg, trigger avoidance, use of rescue therapy, and behavioral guidance during exacerbations). Existing randomized controlled trials (RCTs) have mainly focused on comparing the effect of apps on asthma control to paper‐based asthma management …”

Section: Mhealth In Allergic Diseasesmentioning

confidence: 99%

“…Existing randomized controlled trials (RCTs) have mainly focused on comparing the effect of apps on asthma control to paper-based asthma management. 64,65 However, there is lack of long-term RCTs of mHealth for the improvement of asthma control. 66 With regard to this, in a hopeful manner, results from the recently completed multicenter Horizon 2020 EU-funded project "My Air Coach," aimed at developing an innovative asthma monitoring system, will be able to answer current unmet needs in the field.…”

Section: Asthmamentioning

confidence: 99%

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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: Mhealth In Allergic Diseasesmentioning

confidence: 99%

Section: Asthmamentioning

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

show abstract

“…34 In a 3-month observational prospective study among 14 children aged 3 to 16 years at an inner-city (Philadelphia) medical center, EMD use was found to be feasible, and ACT scores significantly improved by a mean of 2.7 points (P = .05). 35 Of the 3 studies that used mobile apps, [36][37][38] 2 reported a benefit in asthma control, 36,38 and this effect was particularly salient in children with uncontrolled asthma, whose median ACT scores significantly improved from 16 to 18 (P = .03). 36 However, another study using an app found no improvement in asthma control, measured by ACT and self-efficacy scores.…”

Section: Pediatric Patientsmentioning

confidence: 99%

A review of the use and effectiveness of digital health technologies in patients with asthma

Unni

Gabriel

Ariely

2018

Annals of Allergy, Asthma & Immunology

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Despite the availability of proven treatment guidelines and effective therapies for asthma, poor adherence and the lack of guideline implementation remain barriers to asthma control Use of digital health technologies (DHT) is growing rapidly worldwide and is well suited to improving medication adherence and symptom control for patients with asthma A wide range of DHT were evaluated, and most were reported to have had at least some patient benefit DHT that included more interactive features or real-time feedback were associated with better outcomes, including increased asthma control

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“…A proper management of allergic respiratory diseases, like allergic rhinitis and/or asthma, includes decision-making processes based on patient's symptoms, environmental exposures and medication usage. Helping patients to understand how these variables impact their health and, when necessary, instructing them on how to take adequate actions and properly seek care, empowers them to develop relevant self-management skills (7)(8)(9). We published a review to evaluate the web resources nowadays available and to analyze the studies about the web-based instruments used to improve asthma knowledge, control asthma outcomes (10).…”

mentioning

confidence: 99%

The role of mobile apps in allergic respiratory diseases: an Italian multicentre survey report

Lombardi

Bonini

Passalacqua

2018

Eur Ann Allergy Clin Immunol

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We performed a multicentre survey about the role of mobile apps in allergic respiratory diseases. The main objective was to investigate the current use and usefulness of mobile phone apps in the management of allergic respiratory disease. An original questionnaire including 12 multiple-choice questions was administered to 360 participants (153 male and 207 female subjects). Of notice, 290 subjects owned a smartphone, 120 a personal computer and 68 a tablet (multiple answers were possible). 123 subjects reported to be regular mobile-apps users, 209 were occasional users and 76 has never downloaded an app. Indeed, 259 subjects have never dealt with a medical or healthcare app, with only 8 subjects answering to often take advantage of such supportive tools. Data were even more discouraging when asking whether subjects had ever downloaded an app directly related to their own medical condition (allergy, asthma and rhinitis). 87.2% provided a negative answer. Among the few individuals who reported a previous experience with allergy/asthma apps only 2 subjects reported to regularly use the apps they had downloaded, even after months. The majority of subjects believed the apps would provide a relevant support, but only 25/360 participants found that the apps are "truly helpful", while 44 considered them of "help but not essential". Our data seem to show that the apps in the medical field, especially for allergic respiratory diseases, are welcome by patients, but their continued use and utility wane with the passage of time from the date of the download. In the future it will therefore be important to focus on the quality of the apps themselves and on the careful selection of the most suitable patients to use them. Finally, it will be important to make use of the fundamental contribution of healthcare professionals for the development of the apps.

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Smartphone-based vs paper-based asthma action plans for adolescents

Cited by 53 publications

References 19 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

A review of the use and effectiveness of digital health technologies in patients with asthma

The role of mobile apps in allergic respiratory diseases: an Italian multicentre survey report

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