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.
Persijn J. Honkoop
Dr Andrew Simpson A.Simpson2@hull.ac.uk
Julia G. Koopmans
Jiska B. Snoeck-Stroband
Kian Fan Chung
Jacob K. Sont
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.
To assess the clinical effectiveness and technology acceptance of myAirCoach supported self-management on top of usual care in asthma patients using inhalation medication .
Patients were recruited in two 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 (FeNO) 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 3-6 months; in study 2, 12 participants were provided with the myAirCoach system in a 3 month before-after study.
In study 1 asthma control improved in the intervention group compared to controls (ACQ difference 0.70, p=0.006). A total of six exacerbations occurred in the intervention group compared to 12 in the control group (hazard ratio 0.31, p=0.06). Asthma related quality of life improved (m-AQLQ difference 0.53, p= 0.04), but FEV1 was unchanged. In study 2, asthma control improved by 0.86 compared to baseline (p=0.007) and quality of life by 0.16 (p=0.64). Participants reported positive attitudes towards the system.
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.
|Journal Article Type||Article|
|Journal||The Journal of Allergy and Clinical Immunology: In Practice|
|Peer Reviewed||Peer Reviewed|
|APA6 Citation||Khusial, R. J., Honkoop, P. J., Usmani, O., Soares, M., Simpson, A., Biddiscombe, M., …Sont, J. K. (in press). Effectiveness of myAirCoach: a mHealth self-management system in asthma. The journal of allergy and clinical immunology. In practice, 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|
© 2020 Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology
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