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Effect of a mobile health, sensor-driven asthma management platform on asthma control.
- Source :
-
Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology [Ann Allergy Asthma Immunol] 2017 Nov; Vol. 119 (5), pp. 415-421.e1. - Publication Year :
- 2017
-
Abstract
- Background: Asthma inflicts a significant health and economic burden in the United States. Self-management approaches to monitoring and treatment can be burdensome for patients.<br />Objective: To assess the effect of a digital health management program on asthma outcomes.<br />Methods: Residents of Louisville, Kentucky, with asthma were enrolled in a single-arm pilot study. Participants received electronic inhaler sensors that tracked the time, frequency, and location of short-acting β-agonist (SABA) use. After a 30-day baseline period during which reference medication use was recorded by the sensors, participants received access to a digital health intervention designed to enhance self-management. Changes in outcomes, including mean daily SABA use, symptom-free days, and asthma control status, were compared among the initial 30-day baseline period and all subsequent months of the intervention using mixed-model logistic regressions and χ <superscript>2</superscript> tests.<br />Results: The mean number of SABA events per participant per day was 0.44 during the control period and 0.27 after the first month of the intervention, a 39% reduction. The percentage of symptom-free days was 77% during the baseline period and 86% after the first month, a 12% improvement. Improvement was observed throughout the study; each intervention month demonstrated significantly lower SABA use and higher symptom-free days than the baseline month (P < .001). Sixty-nine percent had well-controlled asthma during the baseline period, 67% during the first month of the intervention. Each intervention month demonstrated significantly higher percentages than the baseline month (P < .001), except for month 1 (P = .80).<br />Conclusion: A digital health asthma management intervention demonstrated significant reductions in SABA use, increased number of symptom-free days, and improvements in asthma control.<br />Trial Registration: ClinicalTrials.gov Identifier: NCT02162576.<br /> (Copyright © 2017 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Anti-Asthmatic Agents therapeutic use
Asthma diagnosis
Asthma drug therapy
Child
Child, Preschool
Electronic Nicotine Delivery Systems
Female
Follow-Up Studies
Humans
Male
Middle Aged
Monitoring, Physiologic
Pilot Projects
Self-Care Units
United States epidemiology
Young Adult
Asthma epidemiology
Self Care statistics & numerical data
Telemedicine statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1534-4436
- Volume :
- 119
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
- Publication Type :
- Academic Journal
- Accession number :
- 29150069
- Full Text :
- https://doi.org/10.1016/j.anai.2017.08.002