The “physician on call patient engagement trial” (POPET): measuring the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis and asthma patients

Cingi, Cemal; Yorgancıoğlu, Arzu; Cingi, Can Cemal; Oğuzülgen, Kıvılcım; Muluk, Nuray Bayar; Ulusoy, Seçkin; Orhon, Nezih; Yumru, Cengiz; Gokdag, Dursun; Karakaya, Gül; Çelebi, Şaban; Çobanoglu, H. Bengü; Ünlü, Halis; Aksoy, Mehmet Akif

doi:10.1002/alr.21468

Cited by 70 publications

(111 citation statements)

References 13 publications

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“…The age of participants ranged from 10 years to about 65 years, with a mean age of 34 years, and the percentage of female participants was 61.1% (583/954). Asthma severity varied from mild to severe persistent asthma, but the method used to assess this was reported only in 5 studies [28-32]. …”

Section: Resultsmentioning

confidence: 99%

“…Interactivity, that is, how often the person sent or received content from the MTI, ranged from daily to weekly, with daily being the most common (55%, 6/11) followed by twice daily (36%, 4/11). Seven of the studies used tailoring in the form of feedback based on individuals’ symptoms [28-34]. One study sent tailored SMS based on faulty illness perceptions [35].…”

Section: Resultsmentioning

confidence: 99%

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Mobile Technology Interventions for Asthma Self-Management: Systematic Review and Meta-Analysis

Miller

Schüz

Walters

et al. 2017

JMIR Mhealth Uhealth

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BackgroundMobile technology interventions (MTI) are becoming increasingly popular in the management of chronic health behaviors. Most MTI allow individuals to monitor medication use, record symptoms, or store and activate disease-management action plans. Therefore, MTI may have the potential to improve low adherence to medication and action plans for individuals with asthma, which is associated with poor clinical outcomes.ObjectiveA systematic review and meta-analysis were conducted to evaluate the efficacy of MTI on clinical outcomes as well as adherence in individuals with asthma. As the use of evidence-based behavior change techniques (BCT) has been shown to improve intervention effects, we also conducted exploratory analyses to determine the role of BCT and engagement with MTI as moderators of MTI efficacy.MethodsWe searched electronic databases for randomized controlled trials up until June 2016. Random effect models were used to assess the effect of MTI on clinical outcomes as well as adherence to preventer medication or symptom monitoring. Mixed effects models assessed whether the features of the MTI (ie, use of BCT) and how often a person engaged with MTI moderated the effects of MTI.ResultsThe literature search located 11 studies meeting the inclusion criteria, with 9 providing satisfactory data for meta-analysis. Compared with standard treatment, MTI had moderate to large effect sizes (Hedges g) on medication adherence and clinical outcomes. MTI had no additional effects on adherence or clinical outcomes when compared with paper-based monitoring. No moderator effects were found, and the number of studies was small. A narrative review of the two studies, which are not included in the meta-analysis, found similar results.ConclusionsThis review indicated the efficacy of MTI for self-management in individuals with asthma and also indicated that MTI appears to be as efficacious as paper-based monitoring. This review also suggested a need for robust studies to examine the effects of BCT use and engagement on MTI efficacy to inform the evidence base for MTI in individuals with asthma.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Mobile Technology Interventions for Asthma Self-Management: Systematic Review and Meta-Analysis

Miller

Schüz

Walters

et al. 2017

JMIR Mhealth Uhealth

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“…A number of successful attempts have already been made in introducing smart devices to better understand patients' disease, particularly in paediatric oncology, chronic pain, and allergic disease [5,6]. Cingi et al (2015), investigated 327 patients diagnosed with mild-tosevere persistent asthma and persistent allergic rhinitis (AR) that were randomised into 2 intervention groups and 2 control groups using a smart mobile platform called POPET.…”

Section: Monitoring Symptoms and Disease Progression Using Interactivmentioning

confidence: 99%

“…Cingi et al (2015), investigated 327 patients diagnosed with mild-tosevere persistent asthma and persistent allergic rhinitis (AR) that were randomised into 2 intervention groups and 2 control groups using a smart mobile platform called POPET. The intervention groups (POPET-AR and POPET-Asthma) received a mobile phone application ("physician on call patient engagement trial" [POPET]), enabling them to interact with their clinicians, and independently record their health status and compliance to their prescribed drugs.…”

Section: Monitoring Symptoms and Disease Progression Using Interactivmentioning

confidence: 99%

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Harnessing interactive technologies to improve health outcomes in juvenile idiopathic arthritis

et al. 2017

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Background: Children and adolescents with Juvenile Idiopathic Arthritis (JIA) typically have reduced physical activity level and impaired aerobic and anaerobic exercise capacity when compared to their non-JIA counterparts. Low intensity exercise regimens appear to be safe in children with JIA and may results in improvements in overall physical function. Poor adherence to paediatric rheumatology treatment may lead to negative clinical outcomes and possibly increased disease activity. This includes symptoms such as pain, fatigue, quality of life, longer term outcomes including joint damage, as well as increase of healthcare associated costs. Low adherence to medications such as methotrexate and biological-drugs remains a significant issue for paediatric rheumatologists, with alarming reports that less than half of the children with JIA are compliant to drug-therapy. Main body: The recent advances in interactive technology resulting in a variety of wearable user-friendly smart devices may become a key solution to address important questions in JIA clinical management. Fully understanding the impact that arthritis and treatment complications have upon individual children and their families has long been a challenge for clinicians. Modern interactive technologies can be customised and accessed directly in the hands or wrists of children with JIA. These secured networks could be accessible 'live' at anytime and anywhere by the child, parents and clinicians. Multidisciplinary teams in paediatric rheumatology may benefit from adopting these technologies to better understand domains such as patient biological parameters, symptoms progression, adherence to drug-therapy, quality of life, and participation in physical activities. Most importantly the use of smart devices technologies may also facilitate more timely clinical decisions, improve self-management and parents awareness in the progression of their child's disease. Paediatric rheumatology research could also benefit from the use of these smart devices, as they would allow real-time access to meaningful data to thoroughly understand the disease-patterns of JIA, such as pain and physical activity outcomes. Data collection that typically occurs once every 1 or 3 months in the clinical setting could instead be gathered every week, day, minute or virtually live online. Arguably, few limitations in wearing such interactive technologies still exist and require further developments. Conclusion: Finally, by embracing and adapting these new and now highly accessible interactive technologies, clinical management and research in paediatric rheumatology may be greatly advanced.

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Home telemonitoring and remote feedback between clinic visits for asthma

Kew

Cates

2016

Cochrane Database of Systematic Reviews

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Current evidence does not support the widespread implementation of telemonitoring with healthcare provider feedback between asthma clinic visits. Studies have not yet proven that additional telemonitoring strategies lead to better symptom control or reduced need for oral steroids over usual asthma care, nor have they ruled out unintended harms. Investigators noted small benefits for quality of life, but these are subject to risk of bias, as the studies were unblinded. Similarly, some benefits for lung function are uncertain owing to possible attrition bias.Larger pragmatic studies in children and adults could better determine the real-world benefits of these interventions for preventing exacerbations and avoiding harms; it is difficult to generalise results from this review because benefits may be explained at least in part by the increased attention participants receive by taking part in clinical trials. Qualitative studies could inform future research by focusing on patient and provider preferences, or by identifying subgroups of patients who are more likely to attain benefit from closer monitoring, such as those who have frequent asthma attacks.

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The “physician on call patient engagement trial” (POPET): measuring the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis and asthma patients

Cited by 70 publications

References 13 publications

Mobile Technology Interventions for Asthma Self-Management: Systematic Review and Meta-Analysis

Mobile Technology Interventions for Asthma Self-Management: Systematic Review and Meta-Analysis

Harnessing interactive technologies to improve health outcomes in juvenile idiopathic arthritis

Home telemonitoring and remote feedback between clinic visits for asthma

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