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

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

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)

Abstract

Background: Self-management programs have beneficial effects on asthma control, but their implementation in clinical practice is poor. Mobile health (mHealth) could play an important role in enhancing self-management. Objective: To assess the clinical effectiveness and technology acceptance of myAirCoach-supported self-management on top of usual care in patients with asthma using inhalation medication. Methods: Patients were recruited in 2 separate studies. The myAirCoach system consisted of an inhaler adapter, an indoor air-quality monitor, a physical activity tracker, a portable spirometer, a fraction exhaled nitric oxide device, and an app. The primary outcome was asthma control; secondary outcomes were exacerbations, quality of life, and technology acceptance. In study 1, 30 participants were randomized to either usual care or myAirCoach support for 3 to 6 months; in study 2, 12 participants were provided with the myAirCoach system in a 3-month before-after study. Results: In study 1, asthma control improved in the intervention group compared with controls (Asthma Control Questionnaire difference, 0.70; P =.006). A total of 6 exacerbations occurred in the intervention group compared with 12 in the control group (hazard ratio, 0.31; P =.06). Asthma-related quality of life improved (mini Asthma-related Quality of Life Questionnaire difference, 0.53; P =.04), but forced expiratory volume in 1 second was unchanged. In study 2, asthma control improved by 0.86 compared with baseline (P =.007) and quality of life by 0.16 (P =.64). Participants reported positive attitudes toward the system. Discussion: Using the myAirCoach support system improves asthma control and quality of life, with a reduction in severe asthma exacerbations. Well-validated mHealth technologies should therefore be further studied.
Lingua originaleEnglish
pagine (da-a)1-2
Numero di pagine2
RivistaJOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. IN PRACTICE
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • App
  • Asthma
  • Personalized care
  • Quality of life
  • Self-management
  • Telemedicine
  • eHealth
  • mHealth

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