Rishi J. Khusial
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
Persijn J. Honkoop
Omar Usmani
Marcia Soares
Dr Andrew Simpson A.Simpson2@hull.ac.uk
Lecturer
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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© 2020 Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology
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©2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
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