Telemonitoring in asthma control: a randomized controlled trial

Nemanič, Tiva; Šarc, Irena; Škrgat, Sabina; Fležar, Matjaž; Cukjati, Iztok; Malovrh, Mateja Marc

doi:10.1080/02770903.2018.1493599

Cited by 14 publications

(15 citation statements)

References 21 publications

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“…Our findings show that the AioCare V R system can be recommended for selfmonitoring, because nearly all patients reported their symptoms daily in the smartphone application. Moreover, the AioCare V R system enables tele-monitoring, which offers further support to patients with asthma (14). Making AioCare V R data available to the physician, via tele-monitoring, can improve patient adherence.…”

Section: Discussionmentioning

confidence: 99%

Home self-monitoring in patients with asthma using a mobile spirometry system

Kupczyk

Hofman²,

Kołtowski

et al. 2020

Journal of Asthma

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Background: Self-management is an appealing strategy for prevention of asthma exacerbations. This study aimed to evaluate the feasibility and safety of a portable spirometer for unsupervised home spirometry measurements among patients with asthma. Methods: A multi-center, prospective, single-arm, open study recruited 86 patients with controlled or partly controlled asthma (41 women, 38.6 ± 10.4 y/o and 45 men, 36.2 ± 12.1 y/o). After a training session, patients performed daily spirometry at home with the AioCare V R mobile spirometry system. Each spirometry examination was recorded and evaluated according to the ATS/ERS acceptability and repeatability criteria. The primary endpoint was defined as three or more acceptable examinations in any given seven-day period (þ/-1 day) during any of the three weeks of the study. The system allowed for online review of measurements by physicians/nurses to provide feedback to patients. Results: Of 78 patients with complete data, 67 (86%) achieved the primary endpoint. Seventy-five (96%) participants used the device correctly once or more, and 10 (13%) patients succeeded every single day over the three-week follow-up. The rate of acceptable spirometry examinations differed between the sites (p ¼ 0.013). Retraining was required in 20 of 62 (32%) eligible patients, and successful in 8 individuals (40%). Satisfaction with the AioCare V R system was high, 90% of respondents perceived it as useful and user-friendly. Conclusions: Self-monitoring of asthma with a connected mobile spirometer is feasible, safe and satisfactory for patients with asthma. It remains to be established whether unsupervised home spirometry measurements may improve early diagnosis and outcomes of selfmanagement in cases of exacerbation or loss of asthma control. HIGHLIGHTS BOX This study aimed to evaluate the ability of patients with asthma to perform high-quality daily spirometry examinations at home with using the AioCare V R mobile spirometry system. The study showed that unsupervised home spirometry is safe and feasible in patients with asthma. Most patients used the device on most days of the study, and nearly 90% of all patients achieved the primary endpoint. There were no device-related adverse events.

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Section: Discussionmentioning

confidence: 99%

Home self-monitoring in patients with asthma using a mobile spirometry system

Kupczyk

Hofman²,

Kołtowski

et al. 2020

Journal of Asthma

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“…15 However, no difference in asthma control test (ACT) was found in a similar study, including one group of adults reporting PEF and ACT by SMS and thereafter receiving a response on the reported values, compared to a group not reporting results by SMS or receiving such feedback. 16 A systematic review concluded that health care through cell phones using standard care with reminders, disease monitoring and management and education through cell phone voice and SMS, can help improve health outcomes and care processes for various clinical areas. 6…”

Section: Discussionmentioning

confidence: 99%

Vortex Whistle and Smart Phone Application for Peak Flow Recordings in Asthmatic Children: A Feasibility Study

Mikalsen

Nassehi

Øymar

2019

Telemedicine and e-Health

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Introduction: Variable airflow obstruction that can be confirmed by diurnal variability of peak expiratory flow (PEF) >13% is an important characteristic of asthma. Home monitoring of PEF may be helpful to diagnose and monitor asthma. In this feasibility study, we aimed to study if asthmatic children can measure PEF at home twice daily during a 4-week period using a device designed as a “whistle” and a smart phone software application.Materials and Methods: Twice daily during 4 weeks, children aged 5–12 years with current asthma rated their asthma condition electronically on the smart phone application Blowfish before inhaling deeply then exhaling into the device to produce a high-pitched sound recorded by the application. Through mathematical algorithms, the sound was transferred to PEF, which was uploaded to a server. At inclusion, the Pediatric Asthma Quality of Life Questionnaire and the Childhood Asthma Control Test were answered. At the end, the parents graded the device and application.Results: One child did not manage to upload PEF. For the remaining 21 children, the median (quartiles) days with at least one measurement during the period were 27 (21–29.5), and on median 18 (9–24) days PEF was recorded twice daily. The median parental score (potential score 0–20) of the application was 18 (15–20).Discussion/Conclusion: The study shows promising results for home monitoring of PEF by an electronic device with automatic teletransmission. The high rate of successful recordings and parental satisfaction suggests that the clinical utility of the solution should be further studied.

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“…Asthma studies: the mean ages of the patients were 49 [40] and 50 years [41]; however, the age range in a study by Kim et al [41] was broad (19-72 years). Approximately onethird [41] to half [40] of the study populations were male. The studies included patients with either moderate-to-severe [40] or fragile [41] asthma.…”

Section: Patient Characteristicsmentioning

confidence: 96%

“…Approximately onethird [41] to half [40] of the study populations were male. The studies included patients with either moderate-to-severe [40] or fragile [41] asthma. In the former, this meant that patients were eligible if they had at least one asthma exacerbation in the past year that required an intensification of inhaled corticosteroid therapy.…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…Asthma studies: in one of the two asthma studies, the intervention was in an online environment. Both studies used provided further contact between the patients and the healthcare provider through an SMS (short message service) [40,41]. Within the asthma studies, the intervention times ranged from 8 weeks [41] to 12 months [39].…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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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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Telemonitoring in asthma control: a randomized controlled trial

Abstract: The developed program for home monitoring of patients with asthma was applicable and offered the patients support in managing their disease. Further studies with more selected patients are needed to confirm its usefulness in improving asthma control.

Cited by 14 publications

References 21 publications

Home self-monitoring in patients with asthma using a mobile spirometry system

Home self-monitoring in patients with asthma using a mobile spirometry system

Vortex Whistle and Smart Phone Application for Peak Flow Recordings in Asthmatic Children: A Feasibility Study

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

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