Effectiveness of myAirCoach: A mHealth Self-Management System in Asthma

Khusial, Rishi; Honkoop, Persijn; Usmani, Omar; Soares, Marta O; Simpson, Andrew; Biddiscombe, Martyn; Meah, Sally; Bonini, Matteo; Lalas, Antonios; Polychronidou, Eleftheria; Koopmans, Julia; Μουστάκας, Κωνσταντίνος; Snoeck-Stroband, Jiska B.; Ortmann, Steffen; Votis, Konstantinos; Tzovaras, Dimitrios; Chung, Kian Fan; Fowler, Stephen J.; Sont, Jacob K.

doi:10.1016/j.jaip.2020.02.018

Cited by 53 publications

(54 citation statements)

References 27 publications

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“…Although a reduction in inflammation and symptoms can occur within days, it may take ICS several months to reach a plateau and can vary per patient [ 9 - 11 ]. Recent efficacy trials of asthma self-management mHealth interventions have used a 6-month follow-up duration in adults [ 125 , 126 ] and adolescents [ 127 ]. This would also provide a representation of longer term app use across this population.…”

Section: Discussionmentioning

confidence: 99%

A Smartphone App to Support Adherence to Inhaled Corticosteroids in Young Adults With Asthma: Multi-Methods Feasibility Study

et al. 2021

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Background Young adults with asthma often report low adherence to inhaled corticosteroids (ICS), leading to uncontrolled symptoms and poor disease outcomes. Technology-enabled digital supports such as mobile health (mHealth) asthma smartphone apps have the potential to support adherence to ICS and asthma self-management. There is a need for feasibility studies to determine the usability, acceptability, and feasibility of these interventions. In addition, it is essential to determine the feasibility of recruiting and retaining young adults to plan future efficacy and effectiveness trials and therefore, establish evidence-based asthma apps. Objective This study aimed to determine (1) the feasibility of recruiting and retaining young adults to a trial and (2) the usability, acceptability, and feasibility of using the AsthmaMD app to support adherence to ICS in a population of young adults living with asthma. Methods A multi-methods feasibility study was conducted. Young adults aged 18-30 years with asthma and current prescription for ICS were eligible and invited to take part through a university circular email, social media, and general practice sites. Participation involved completing a baseline self-report questionnaire, downloading and using the AsthmaMD app for 2 weeks, and completing the follow-up assessment, including self-report and open-ended questions about participants’ experience of using the app. Primary outcomes included participant recruitment and retention and the usability, acceptability, and feasibility of using AsthmaMD. Quantitative self-report data were analyzed using descriptive statistics, and qualitative open-ended data were analyzed using inductive reflexive thematic analysis. Results A total of 122 young adults (females, n=101, 82.8%) with a mean age of 24.4 (SD 3.8) years were recruited and they completed baseline measures. Of the 122 young adults, 59 (48.4%) completed the study. The AsthmaMD app received a mean score of 63.1/100 (SD 20.1) on the System Usability Scale (ie, a standardized measure of usability for technology-based apps), and an overall user satisfaction score of 5.8/10 (SD 2.2). Of the 59 participants who completed the study, 49 (83%) participants used the app ≥1 day per week. Two main themes were identified in the qualitative analysis of user experiences: (1) learning how to use the app to suit the individual and (2) benefits and relevance of using the app. Conclusions The findings from this study indicate that it is feasible to recruit and retain young adults to examine efficacy and effectiveness in a future trial and that young adults living with asthma may find AsthmaMD to be usable, acceptable, and feasible to support adherence to ICS. Our findings also identified opportunities to further optimize the usability of AsthmaMD and similar apps. Based on our findings, we recommend providing more accessible information on how to use the app and replacing medical terminology with simplified language within the app to improve usability. Trial Registration ISRCTN Registry ISRCTN11295269; https://www.isrctn.com/ISRCTN11295269

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Section: Discussionmentioning

confidence: 99%

A Smartphone App to Support Adherence to Inhaled Corticosteroids in Young Adults With Asthma: Multi-Methods Feasibility Study

et al. 2021

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“…eHealth is a catch-all concept of care using home monitoring devices, communication tools, and ambulatory ICT to organize care. Despite recent validations of eHealth strategies and devices for use at home (14) and the promising results of a few eHealth studies conducted in childhood asthma (13,15), the actual uptake of eHealth programs into daily clinical practice is scarce. Published eHealth studies are difficult to compare due to heterogeneity in study endpoints and designs which are usually specifically tailored to healthcare systems and cultural backgrounds.…”

Section: Discussion Implementation Considerations: What Covid-19 Taugmentioning

confidence: 99%

COVID-19: Technology-Supported Remote Assessment of Pediatric Asthma at Home

et al. 2020

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The COVID-19 crisis has pressured hospital-based care for children with high-risk asthma as they have become deprived of regular clinical evaluations. However, COVID-19 also provided important lessons about implementing novel directions for care. Personalized eHealth technology, tailored to the individual and the healthcare system, could substitute elements of hospital care and facilitate early and appropriate medical anticipation in response to imminent loss of control. This perspective article discusses new approaches to the clinical, organizational, and scientific aspects of the use of eHealth technology in pediatric asthma care in times of COVID-19, as illustrated by a case report of an acute asthma exacerbation possibly caused by COVID-19 infection.

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“…Nevertheless, these devices are not routinely available for clinical use and can record for only 24 hours. Therefore, cost-effective monitoring devices with longer recording capability are required [58], [59].…”

Section: ) Respiratory Healthmentioning

confidence: 99%

A Wearable Tele-Health System towards Monitoring COVID-19 and Chronic Diseases

Jiang

Majumder

Kumar

et al. 2022

IEEE Rev. Biomed. Eng.

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused a pandemic since early 2020. The coronavirus disease 2019 (COVID-19) has already caused more than two million deaths worldwide and affected people's physical and mental health. COVID-19 patients with mild symptoms are generally required to selfisolate and monitor for symptoms at least for 14 days in the case the disease turns towards severe complications. In this work, we overviewed the impact of COVID-19 on the patients' general health with a focus on their cardiovascular, respiratory and mental health, and investigated several existing patient monitoring systems. We addressed the limitations of these systems and proposed a wearable telehealth solution for monitoring a set of physiological parameters that are critical for COVID-19 patients such as body temperature, heart rate, heart rate variability, blood oxygen saturation, respiratory rate, blood pressure, and cough. This physiological information can be further combined to potentially estimate the lung function using artificial intelligence (AI) and sensor fusion techniques. The prototype, which includes the hardware and a smartphone app, showed promising results with performance comparable to or better than similar commercial devices, thus potentially making the proposed system an ideal wearable solution for long-term monitoring of COVID-19 patients and other chronic diseases.

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Effectiveness of myAirCoach: A mHealth Self-Management System in Asthma

Cited by 53 publications

References 27 publications

A Smartphone App to Support Adherence to Inhaled Corticosteroids in Young Adults With Asthma: Multi-Methods Feasibility Study

A Smartphone App to Support Adherence to Inhaled Corticosteroids in Young Adults With Asthma: Multi-Methods Feasibility Study

COVID-19: Technology-Supported Remote Assessment of Pediatric Asthma at Home

A Wearable Tele-Health System towards Monitoring COVID-19 and Chronic Diseases

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