Feasibility of a smartphone application based action plan and monitoring in asthma (original) (raw)
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Managing Asthma with Mobile Phones: A Feasibility Study
Telemedicine and e-Health, 2009
Asthma is a chronic disease and a growing health problem worldwide. The objective of this pilot study was to test the feasibility and utilization of tracking asthma symptoms through an innovative mobile phone application. The subjects for this research project consisted of 4 individuals who are currently receiving treatment for asthma from a primary care physician in Ingham County, Michigan. Participants took their peak flow reading each day and used the short message service (SMS) function on their phone and sent it to a Web server. If they did not send it by 11 AM, they received a reminder via an automated SMS to their phone. The resulting data suggest that this method of management is feasible. The data also demonstrate participants' satisfaction in monitoring their asthma in this manner. Using mobile phones for asthma management could improve compliance with asthma action plans and reduce adverse asthma events. Future research could further demonstrate that mobile phones are a new and effective method for providing healthcare.
JMIR mHealth and uHealth
Background: Uncontrolled asthma poses substantial negative personal and health system impacts. Web-based technologies, including smartphones, are novel means to enable evidence-based care and improve patient outcomes. Objective: The aim of this study was to design, develop, and assess the utilization of an asthma collaborative self-management (CSM) platform (breathe) using content based on international evidence-based clinical guidelines. Methods: We designed and developed breathe as a Web-based mobile health (mHealth) platform accessible on smartphones, tablets, or desktop with user-centered design methods and International Organization for Standardization-certified quality development processes. Moreover, breathe was envisioned as a multifunctional, CSM mHealth platform, with content based on international clinical practice guidelines and compliant with national privacy and security specifications. The system enabled CSM (patient, provider, and breathe) and self-monitoring of asthma patients through (1) assessment of asthma control, (2) real-time access to a dynamic asthma action plan, (3) access to real-time environmental conditions, and (4) risk-reduction messaging. The data collection protocol collected user data for 12 months, with clinic visits at baseline and 6 and 12 months. Utilization outcomes included user interactions with the platform, user impressions, self-reported medication use, asthma symptom profile, reported peak flow measurement, and the delivery and impact of email reminders.
Smartphone App for Asthma Self-Management - A Literature Review of Contents and Functions
Pharmascope, 2019
A self-management is an important thing in achieving optimum health outcomes. One of the many effective ways that help improve the outcomes of self-management in asthma is through the use of smartphone applications or popularly known as apps. The apps have been designed to help patients in controlling asthma complaints. This study aimed to examine contents and functions featured in the reviewed studies as well as to suggest what functions and contents should be featured in an asthma self-management smartphone app. This study used a systematic approach to examine and review the contents and functions of asthma management apps from selected studies.Inclusion criteria of the study included studies related to the use of asthma control or asthma self-management apps, providing information about contents and features of asthma apps, apps in the reviewed studies designed for laypersons or patients, studies published in peer-reviewed scientific journals in English, and original articles. All the studies had been taken from 2013 to 2018 from three databases, namely Pubmed, ScienceDirect, and ProQuest. Exclusion criteria included full text unable to be accessed and unable to obtain complete full statistical data. Results of this study showed that the most popular functions and contents featured in the asthma apps involved asthma education, medication use monitor, medication reminder, asthma control test, peak flow meter, asthma symptom monitor, and asthma action plan.Less popular functions and contents included a chat with others, Air Quality Health Index, and Quality of Life Questionnaires.
BACKGROUND Uncontrolled asthma poses substantial negative personal and health system impacts. Web-based technologies, including smartphones, are novel means to enable evidence-based care and improve patient outcomes. OBJECTIVE The aim of this study was to design, develop, and assess the utilization of an asthma collaborative self-management (CSM) platform (breathe) using content based on international evidence-based clinical guidelines. METHODS We designed and developed breathe as a Web-based mobile health (mHealth) platform accessible on smartphones, tablets, or desktop with user-centered design methods and International Organization for Standardization–certified quality development processes. Moreover, breathe was envisioned as a multifunctional, CSM mHealth platform, with content based on international clinical practice guidelines and compliant with national privacy and security specifications. The system enabled CSM (patient, provider, and breathe) and self-monitoring of asthma ...
Applied Clinical Informatics, 2019
Objective The aim of this study was to design and evaluate a smartphone-based application for improving self-management in patients with asthma and evaluate its effects on their knowledge. Methods In this applied research, based on the Clinical Practice Guideline and a systematic review, a questionnaire was designed to determine the application information content and functionality requirements by 15 pediatric and adult asthma and allergy specialist. Then the application was designed and developed using Adobe Air software on the Android operating system. Usability evaluation of the mobile application was performed using the standard questionnaire for user interaction satisfaction (QUIS), which completed by 30 patients with asthma, 8 information technology (IT) specialists, and 2 asthma and allergy specialists. Self-management knowledge of 30 asthma patients was measured using a researcher-made questionnaire before and after using the application. Results The number of specialists in...
BMC Medical Informatics and Decision Making
Background Mobile health (mHealth) has good potential for promoting self-care in patients suffering from chronic diseases. The patients' positive attitude toward this technology is a key factor for the successful implementation. The present study was conducted to investigate the asthma patients' use of mobile phone functionalities and their desire to receive self-care services through this technology. Methods This survey study was conducted in Iran in 2018. The study population consisted of 146 patients suffering from asthma. The data collection tool was a questionnaire containing items on the demographic characteristics of patients, current use of mobile phone functionalities, and desire to use them for receiving self-care services. Data were analyzed using descriptive and analytical statistics. Results Out of the 160 questionnaires distributed, 146 (91.25%) were completed. The majority of the participants had smartphones (84.9%). Less than half of the participants occasion...
Mobile phone technology in the management of asthma
2005
Peak flow monitoring as part of a self-management plan for asthma is widely recommended. Manual recording is cumbersome and liable to falsification. Compliance with paper recording is poor in practice. We describe a telemedicine observational study using electronic peak flow monitoring and mobile phone technology in a UK general practice population over a nine-month period. Patients between 12 and 55 years of age, requiring treatment with regular inhaled steroids and (as needed) bronchodilators, were recruited from nine general practices. Patients were included if their asthma was considered stable with no history of exacerbation in the previous 3 months. No therapeutic intervention was proposed. The primary outcome measure was compliance. 69% of the 46 participants who filled in the post-study questionnaire were "satisfied" or "very satisfied" by the study, citing the ease of use and the increased autonomy and understanding of asthma as the main advantages. 74% indicated that the system had helped to improve their ability to manage their symptoms, with no patients indicating a negative impact.
Modernising Asthma Management: Personalised Asthma Action Plans Using a Smartphone Application
2018 12th International Symposium on Medical Information and Communication Technology (ISMICT), 2018
Asthma is a chronic disease affecting one in nine Australians. With symptoms such as coughing, wheezing and shortness of breath. asthma can significantly impact a patient's quality of life. Asthma action plans are said to be one of the most effective asthma interventions available. However, in Australia only one in five people aged 15 and over, with asthma, have a written asthma action plan. Even less of which, refer to their plan. A review of related literature and work showed a gap regarding accessibility of information on asthma action plans in a written form. In an attempt to mitigate this problem, this paper focuses on the design and development of a smartphone application. The application is currently a high-fidelity prototype designed and built using proto.io software. In addition to this conversion, the application incorporates aspects of the Internet of Things (IoT) whereby realtime data regarding environmental triggers such as temperature, humidity and pollen in surroundings, can be accessed from the application. The application ultimately aims to help asthmatics improve their health and quality of life by providing them, or their carer with the knowledge needed to better understand and manage their asthma, when and where they need it.
MAMAS: Mobile Asthma Monitoring and Assessment System
2007
Chronic diseases such as asthma are best managed by empowered patients working in close cooperation with their healthcare professionals. Patients should be compliant with their medications, perform frequent self-monitoring and be regularly reviewed by their doctor. Innovative use of Information and Communication Technology can help achieve these objectives. In this paper we describe an asthma monitoring system based on the use of mobile phones. The system enables patients to follow an individual treatment plan created by their doctor. The patient's mobile phone acts as a reminder/prompting device and is also used to record and transmit on a daily basis information related to the patient's asthma management. The transmitted data is stored on a server and can be reviewed by the patient's doctor at anytime through use of a personal computer or a mobile phone. If necessary the doctor can alter the patient's treatment plan. The system is based on the Java2MicroEdition (J2ME) programming language and the eXtensible Markup Language (XML) and is highly customisable to meet the requirements of an individual patient.
Asthma Patients' Use of Cell Phone Features and Their Willingness to Use Them for Self-Management
Cureus, 2022
Introduction Mobile health has the potential to improve self-care for people with chronic conditions. There are few previously published studies that have examined asthma patients' use of cell phone features and their willingness to use them for self-care in Saudi Arabia. Moreover, there is no validated instrument in Arabic to test the use of cell phone functions. Aim The aim of this study was to investigate the general use of cell phone features by asthma patients and their willingness to use them and to determine the frequency of use of cell phone features by asthma patients. It also aimed to translate and validate an Arabic version of the questionnaire to test the use of cell phone functions by asthma patients. Methods This study was conducted in Saudi Arabia in 2021 using an online questionnaire. The test was translated (changes were made as needed) and validated using Cronbach's alpha coefficient. After validation of the instrument, the questionnaire included 34 questions divided into three sections: demographic information, current use of cell phone features, and desire to use cell phone features. Adults with asthma aged 18 years and older who owned a smartphone participated in the study. Data were analyzed using descriptive statistics. Results Two hundred and seventy asthma patients completed the questionnaire. The Cronbach's alpha value of the questionnaire was 0.86, indicating its reliability and consistency. Only 39 (14.4%) of the participants use cell phones for asthma care, and 13 (4.8%) have apps for asthma care on their cell phones. However, 74.1% of participants have a desire to use a cell phone for asthma care. The majority of participating asthma patients (67.8%) occasionally used the mobile internet browser to search for asthma information. Surprisingly, most of the participating asthma patients did not show a greater desire to use methods other than the internet browser to obtain asthma information. They did, however, have a strong desire to use the news to obtain information about asthma. Conclusion Because the study shows that asthma patients prefer internet searches followed by the news to obtain information, stakeholders need to pay more attention to the quality, quantity, completeness, and accuracy of health information in these media.