Effective German and English Language mHealth Apps for Self-management of Bronchial Asthma in Children and Adolescents: Comparison Study

Abstract

Background Mobile health (mHealth) apps hold great potential for asthma self-management. Data on the suitability of asthma apps intended for children are insufficient, and the availability of German language apps is still inadequate compared with English language apps. Objective This study aims to identify functional asthma apps for children in German and to compare them with English language apps. In line with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, the Google Play Store and Apple App Store are systematically searched to preselect the most efficient apps, which are then compared according to a self-compiled criteria catalog. Methods Both app stores were screened for the term asthma. Following a PRISMA preselection process, the apps that met the inclusion criteria (ie, available free of charge, German or English language, and suitable for children) were rated by 3 independent persons following a criteria catalog consisting of 9 categories, some conceived for this purpose (availability, child-friendly, learning factor, and range of functions) and some adopted from existing validated catalogs (functionality and design, ease of use, potential for improving asthma self-management, fun factor and incentives, and information management and medical accuracy). The highest rated apps in German and English were compared. Results A total of 403 apps were identified on the Google Play Store and the Apple App Store. Finally, 24 apps that met the inclusion criteria were analyzed. In the first step of the quality assessment, only 4 available German language asthma apps were compared with 20 English language asthma apps. The 4 German language apps were then compared with the 4 highest rated English language apps. All selected apps, independent of the language, were comparable in the following categories: availability, functionality and design, ease of use, and information management and medical accuracy. The English language apps scored significantly higher in the following categories: potential for improving self-management, child-friendly, fun factor, learning factor, and range of function. English language apps (mean total points 34.164, SD 1.09) performed significantly better than German language asthma apps (mean total points 22.91, SD 2.898; P=.003). The best rated English language app was Kiss my asthma (36/42 points), whereas the best rated German language app Kata achieved only 27.33 points. Conclusions The recommended English language apps are Kiss my asthma, AsthmaXcel, AsthmaAustralia, and Ask Me, AsthMe!, whereas the only recommended German language app is Kata. The use of apps plays an increasingly important role in patients’ lives and in the medical field, making mHealth a staple in the future of asthma treatment plans. Although validated recommendations on rating mHealth apps have been published, it remains a challenging task for physicians and patients to choose a suitable app for each case, especially in non–English-speaking countries.

Technical Factors That May Influence mHealth Adherence in Children With Chronic Pulmonary Diseases: Scoping Review

“…The properties of the included studies are summarized in Table 1. Of these, 9 studies were original research studies,9,23–30 one was a conference paper,31 and one was a comparison study 32…”

“…Protection should be provided for personal data, and integration of person-generated health data via mHealth solutions needs to be done in a way that safeguards the privacy and integrity of individuals. 32 Therefore, a secure Web app specifically designed to support data capture for research studies can be used to ensure the security and privacy of person-generated health data. 30 Furthermore, a conceptual model is proposed to describe how person-controlled real-world data can be shared effectively with the chronic care management team in a way that supports individual health, while respecting personal data privacy and control.…”

“…Of the 6 apps that have been included in this review, only one was not freely available. In detail, the app for children with CF, named “Genia,” is supported free for both iOS and Android,9,30 as well as 3 apps for patients with asthma, named Asthma First Aid” and “Kiss my Asthma”24,32 and “ASTHMAXcel,”32 are free for iOS and Android devices. The mHealth app named “mPneumonia” has been developed as an assistive tool for people with pneumonia and is supported only in Android devices,23 and the “MyCyFAAP” app for CF that is supported in Android is not freely available 31…”

Using Telemedicine to Care for the Asthma Patient

“…Previously, it was questioned if such apps were effective in asthma care since there are no official criteria on its evaluation, lack of FDA regulation, and their lack of effectiveness in monitoring childhood asthma. Furthermore, they are usually created without guidance from medical experts [ 13 – 18 ]. However, mobile apps continue to be used in various aspects of asthma care to remotely monitor patients and in the self-monitoring of patients’ asthma symptoms.…”

“…This can help to decipher if the patients are taking acceptable breaths with their medications [ 33 ]. Other popular apps being used include Kiss my asthma (KmAsthma), Asthma MD, AsthmaXcel, Asthma Australia, Ask Me, AsthMe!, and MASK-air [ 18 , 34 , 35 ]. Two recent reviews looking at various digital technologies showed that it can be implemented in asthma care.…”