Improving asthma control through telemedicine: a study of short-message service - PubMed (original) (raw)
Clinical Trial
Improving asthma control through telemedicine: a study of short-message service
Vedran Ostojic et al. Telemed J E Health. 2005 Feb.
Abstract
Home peak expiratory flow (PEF) measurement is recommended by asthma guidelines. In a 16-week randomized controlled study on 16 subjects with asthma (24.6 6.5 years old, asthma duration small ze, Cyrillic 6 months), we examined Global System for Mobile Communications (GSM) mobile telephone short-message service (SMS) as a novel means of telemedicine in PEF monitoring. All subjects received asthma education, self-management plan, and standard treatment. All measured PEF three times daily and kept a symptom diary. In the study group, therapy was adjusted weekly by an asthma specialist according to PEF values received daily from the patients. There was no significant difference between the groups in absolute PEF, but PEF variability was significantly smaller in the study group (16.12 +/- 6.93% vs. 27.24 +/- 10.01%, p = 0.049). forced expiratory flow in 1 second (FEV1; % predicted) in the study group was slightly but significantly increased (81.25 +/- 17.31 vs. 77.63 +/- 14.80, p = 0.014) and in the control group, unchanged (78.25 +/- 21.09 vs. 78.88 +/- 22.02, p = 0.497). Mean FEV1 was similar in the two groups both before and after the study. Controls had significantly higher scores for cough (1.85 +/- 0.43 vs. 1.42 +/- 0.28, p < 0.05) and night symptoms (1.22 +/- 0.23 vs. 0.85 +/- 0.32, p < 0.05). There was no significant difference between the groups in daily consumption of inhaled medicine, forced vital capacity, or compliance. Per patient, per week, the additional cost of follow-up by SMS was Euros 1.67 (equivalent to approximately $1.30 per 1 Euro), and SMS transmission required 11.5 minutes. Although a study group of 40 patients is needed for the follow-up study to achieve the power of 80% within the 95% confidence interval, we conclude that SMS is a convenient, reliable, affordable, and secure means of telemedicine that may improve asthma control when added to a written action plan and standard follow-up.
Similar articles
- A mobile phone short message service improves perceived control of asthma: a randomized controlled trial.
Lv Y, Zhao H, Liang Z, Dong H, Liu L, Zhang D, Cai S. Lv Y, et al. Telemed J E Health. 2012 Jul-Aug;18(6):420-6. doi: 10.1089/tmj.2011.0218. Epub 2012 Jun 5. Telemed J E Health. 2012. PMID: 22667695 Clinical Trial. - [Usefulness and early detection of acute exacerbation by peak expiratory flow rate in the management of asthma].
Iwasaki Y, Kubota Y, Yokomura I, Ueda M, Hashimoto S, Mizobuchi K, Arimoto T, Hara H, Nakagawa M. Iwasaki Y, et al. Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Oct;35(10):1040-6. Nihon Kyobu Shikkan Gakkai Zasshi. 1997. PMID: 9465613 Japanese. - Clinical efficacy of web-based versus standard asthma self-management.
Araújo L, Jacinto T, Moreira A, Castel-Branco MG, Delgado L, Costa-Pereira A, Fonseca J. Araújo L, et al. J Investig Allergol Clin Immunol. 2012;22(1):28-34. J Investig Allergol Clin Immunol. 2012. PMID: 22448451 Clinical Trial. - Effectiveness of Telemedicine for Controlling Asthma Symptoms: A Systematic Review and Meta-analysis.
Zhao J, Zhai YK, Zhu WJ, Sun DX. Zhao J, et al. Telemed J E Health. 2015 Jun;21(6):484-92. doi: 10.1089/tmj.2014.0119. Epub 2014 Nov 13. Telemed J E Health. 2015. PMID: 25393915 Review. - Peak flow monitoring in clinical practice and clinical asthma trials.
Reddel HK. Reddel HK. Curr Opin Pulm Med. 2006 Jan;12(1):75-81. doi: 10.1097/01.mcp.0000198065.65704.08. Curr Opin Pulm Med. 2006. PMID: 16357583 Review.
Cited by
- The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review.
Free C, Phillips G, Galli L, Watson L, Felix L, Edwards P, Patel V, Haines A. Free C, et al. PLoS Med. 2013;10(1):e1001362. doi: 10.1371/journal.pmed.1001362. Epub 2013 Jan 15. PLoS Med. 2013. PMID: 23349621 Free PMC article. Review. - Divergent Trends in the Prevalence of Children's Asthma, Rhinitis and Atopic Dermatitis and Environmental Influences in the Urban Setting of Zagreb, Croatia.
Topalušić I, Stipić Marković A, Artuković M, Dodig S, Bucić L, Lugović Mihić L. Topalušić I, et al. Children (Basel). 2022 Nov 22;9(12):1788. doi: 10.3390/children9121788. Children (Basel). 2022. PMID: 36553232 Free PMC article. - Asthma Management Using the Mobile Asthma Evaluation and Management System in China.
Lin J, Wang W, Tang H, Huo J, Gu Y, Liu R, Chen P, Yuan Y, Yang X, Xu J, Sun D, Li N, Jiang S, Chen Y, Wang C, Yang L, Liu X, Yang D, Zhang W, Chen Z, Lin Q, Liu C, Zhou J, Zhou X, Hu C, Jiang P, Zhou W, Zhang J, Cai S, Qiu C, Huang M, Huang Y, Liu H; China Asthma Research Collaboration Network. Lin J, et al. Allergy Asthma Immunol Res. 2022 Jan;14(1):85-98. doi: 10.4168/aair.2022.14.1.85. Allergy Asthma Immunol Res. 2022. PMID: 34983109 Free PMC article. - Health information for patients: time to look beyond patient information leaflets.
Colledge A, Car J, Donnelly A, Majeed A. Colledge A, et al. J R Soc Med. 2008 Sep;101(9):447-53. doi: 10.1258/jrsm.2008.080149. J R Soc Med. 2008. PMID: 18779246 Free PMC article. No abstract available. - Capacity Building, Knowledge Enhancement, and Consultative Processes for Development of a Digital Tool (Ni-kshay SETU) to Support the Management of Patients with Tuberculosis: Exploratory Qualitative Study.
Shah H, Patel J, Yasobant S, Saxena D, Saha S, Sinha A, Bhavsar P, Patel Y, Modi B, Nimavat P, Kapadiya D, Fancy M. Shah H, et al. J Med Internet Res. 2023 Jun 19;25:e45400. doi: 10.2196/45400. J Med Internet Res. 2023. PMID: 37335610 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical