Effects of maintaining web‐based diaries by caregivers on adherence to care regimens in preschoolers with asthma

Hashi, Shinobu; Tsukasaki, Kunihiro; Nakamura, Teruya; Kyota, Kaoru; Itatani, Tomoya

doi:10.1111/jspn.12263

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Most studies (19/23, 83%) showed a positive effect of their digital intervention on controller medication adherence [96,98,304,305], whereas few studies showed no effect [208,297]. This corresponds with the review results of Ramsey et al [8], who showed that 87% of digital interventions improved adherence.…”

Section: Adherencesupporting

confidence: 70%

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eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review (Preprint)

Kamp¹,

Hengeveld²,

Brusse-Keizer³

et al. 2023

Preprint

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BACKGROUND eHealth monitoring technologies offers opportunities to more objectively assess symptoms when they appear in daily life. Asthma is the most common chronic disease in childhood with an episodic course, requiring close follow-up of pediatric asthma control to identify disease deterioration, prevent exacerbations and enhance quality of life. eHealth technologies in pediatric asthma care show promising results regarding feasibility, acceptability and asthma related health outcomes. However, broad systematic evaluations of eHealth technologies in pediatric asthma are lacking. OBJECTIVE The objective of this scoping review is to identify the types and applications of eHealth technologies for monitoring and treatment in pediatric asthma and explore which monitoring domains show most relevance or potential for future research. METHODS A scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A systematic and comprehensive search was performed on English papers that investigated the development, validation or application of eHealth technologies for home-monitoring or treatment in pediatric asthma in the following databases: Pubmed, the Cochrane Library, IEEE, Scopus, CINAHL, PsycINFO and ACM digital library. Two authors independently assessed eligibility and extracted data. Data were presented by a descriptive analysis of characteristics and a narrative report per eHealth domain. RESULTS The review included 370 manuscripts. Ten monitoring domains were identified: air quality, airway inflammation marker, lung function, physical activity, sleep, audiovisual, other physiological measurements, questionnaires, medication monitoring and digital environment (i.e. digital platforms, applications, websites and software tools to monitor or support monitoring). Rising numbers of studies were seen, which accelerated over the last years throughout most domains, especially medication monitoring and digital environment. Limited studies of multi-parameter monitoring strategies were seen. The number of monitoring validation studies remained stable while development and intervention studies increased. Interventions outcomes seem to indicate at least non-inferiority, and potential superiority, of eHealth monitoring in pediatric asthma. CONCLUSIONS This systematic scoping review provides a unique overview of eHealth pediatric asthma monitoring studies and revealed that eHealth research takes place throughout different monitoring domains using different approaches. The outcomes of the review showed potency for efficacy of most monitoring domains. Future studies could focus on combining home-monitoring domains to facilitate multi-parameter decision making and personalized clinical decision support.

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Section: Adherencesupporting

confidence: 70%

“…Of the 19 studies that reported on the effect regarding QoL, 10 reported a positive effect [8,98,290,303] and the other 9 reported no difference [14,293,304,305] regarding the studied intervention. There was no clear difference in the types of interventions that had significant or no significant effect on QoL.…”

Section: Qolmentioning

confidence: 99%

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review (Preprint)

Kamp¹,

Hengeveld²,

Brusse-Keizer³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Of the 19 studies that reported on the effect regarding QoL, 10 reported a positive effect [ 8 , 98 , 290 , 303 ] and the other 9 reported no difference [ 14 , 293 , 304 , 305 ] regarding the studied intervention. There was no clear difference in the types of interventions that had significant or no significant effect on QoL.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (19/23, 83%) showed a positive effect of their digital intervention on controller medication adherence [ 96 , 98 , 304 , 305 ], whereas few studies showed no effect [ 208 , 297 ]. This corresponds with the review results of Ramsey et al [ 8 ], who showed that 87% of digital interventions improved adherence.…”

Section: Resultsmentioning

confidence: 99%

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Kamp¹,

Hengeveld²,

Brusse-Keizer³

et al. 2023

J Med Internet Res

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Background eHealth monitoring technologies offer opportunities to more objectively assess symptoms when they appear in daily life. Asthma is the most common chronic disease in childhood with an episodic course, requiring close follow-up of pediatric asthma control to identify disease deterioration, prevent exacerbations, and enhance quality of life. eHealth technologies in pediatric asthma care show promising results regarding feasibility, acceptability, and asthma-related health outcomes. However, broad systematic evaluations of eHealth technologies in pediatric asthma are lacking. Objective The objective of this scoping review was to identify the types and applications of eHealth technologies for monitoring and treatment in pediatric asthma and explore which monitoring domains show the most relevance or potential for future research. Methods A scoping review was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A systematic and comprehensive search was performed on English papers that investigated the development, validation, or application of eHealth technologies for home monitoring or treatment of pediatric asthma in the following databases: PubMed, Cochrane Library, IEEE, Scopus, CINAHL, PsycINFO, and ACM Digital Library. Two authors independently assessed eligibility and extracted data. Data were presented by a descriptive analysis of characteristics and a narrative report for each eHealth domain. Results The review included 370 manuscripts. The following 10 monitoring domains were identified: air quality, airway inflammation markers, lung function, physical activity, sleep, audiovisual, other physiological measurements, questionnaires, medication monitoring, and digital environment (ie, digital platforms, applications, websites, and software tools to monitor or support monitoring). Rising numbers of studies were seen, and the numbers accelerated in the last few years throughout most domains, especially medication monitoring and digital environment. Limited studies (35/370, 9.5%) of multiparameter monitoring strategies, using three or more domains, were found. The number of monitoring validation studies remained stable, while development and intervention studies increased. Intervention outcomes seemed to indicate the noninferiority and potential superiority of eHealth monitoring in pediatric asthma. Conclusions This systematic scoping review provides a unique overview of eHealth pediatric asthma monitoring studies, and it revealed that eHealth research takes place throughout different monitoring domains using different approaches. The outcomes of the review showed the potency for efficacy of most monitoring domains (especially the domains of medication monitoring, lung function, and digital environment). Future studies could focus on modifying potentially relevant hospital-based diagnostics for the home setting to investigate potential beneficial effects and focus on combining home-monitoring domains to facilitate multiparameter decision-making and personalized clinical decision support.

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Telemonitoring of pediatric asthma in outpatient settings: A systematic review

Pais‐Cunha,

Fontoura Matias,

Almeida

et al. 2024

Pediatric Pulmonology

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Telemonitoring technologies are rapidly evolving, offering a promising solution for remote monitoring and timely management of asthma acute episodes. We aimed to describe current pediatric asthma telemonitoring technologies. A systematic review was conducted until September 2023 on Medline, Scopus, and Web of Science. We included studies of children (0–18 years) with asthma or recurrent wheezing whose respiratory condition was telemonitored outside the healthcare setting. A narrative synthesis was performed. We identified 40 telemonitoring technologies described in 40 studies. The more frequently used technologies for telemonitoring were mobile applications (n = 21) and web‐based systems (n = 14). Telemonitoring duration varied between 2 weeks and 32 months. Data collection included asthma symptoms (n = 30), patient‐reported outcome measures (PROMs) (n = 11), spirometry/peak flow readings (n = 20), medication adherence (n = 17), inhaler technique (n = 3), air quality (n = 2), and respiratory sounds (n = 2). Both parents and children were the technology target users in most studies (n = 23). Technology training was reported in 23 studies of which 3 provided ongoing support. Automatic feedback was found in 30 studies, mostly related with asthma control. HCP were involved in data management in 27 studies. Technologies were tested in samples from 4 to 327 children, with most studies including school‐aged children and/or adolescents (n = 38) and eight including preschool children. This review provides an overview of existing technologies for the outpatient telemonitoring of pediatric asthma. Specific technologies for preschool children represent a gap in the literature that needs to be specifically addressed in future research.

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Effects of maintaining web‐based diaries by caregivers on adherence to care regimens in preschoolers with asthma

Cited by 3 publications

References 21 publications

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review (Preprint)

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review (Preprint)

eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review

Telemonitoring of pediatric asthma in outpatient settings: A systematic review

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