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

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

Authors

Rishi J. Khusial

Persijn J. Honkoop

Omar Usmani

Marcia Soares

Martyn Biddiscombe

Sally Meah

Matteo Bonini

Antonios Lalas

Eleftheria Polychronidou

Julia G. Koopmans

Kostas Moustakas

Jiska B. Snoeck-Stroband

Steffen Ortmann

Konstantinos Votis

Dimitrios Tzovaras

Kian Fan Chung

Stephen Fowler

Jacob K. Sont



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.

Citation

Khusial, R. J., Honkoop, P. J., Usmani, O., Soares, M., Simpson, A., Biddiscombe, M., …Sont, J. K. (2020). Effectiveness of myAirCoach: A mHealth Self-Management System in Asthma. The journal of allergy and clinical immunology. In practice, 8(6), 1972-1979.e8. https://doi.org/10.1016/j.jaip.2020.02.018

Journal Article Type Article
Acceptance Date Feb 10, 2020
Online Publication Date Mar 3, 2020
Publication Date 2020-06
Deposit Date Mar 4, 2020
Publicly Available Date Mar 16, 2020
Journal Journal of Allergy and Clinical Immunology: In Practice
Print ISSN 2213-2198
Peer Reviewed Peer Reviewed
Volume 8
Issue 6
Pages 1972-1979.e8
DOI https://doi.org/10.1016/j.jaip.2020.02.018
Keywords Immunology and Allergy; asthma; mHealth; app; eHealth; telemedicine; self-management; quality of life; personalized care
Public URL https://hull-repository.worktribe.com/output/3456596
Publisher URL https://www.sciencedirect.com/science/article/pii/S2213219820301781?via%3Dihub

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