Skip to main content

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.


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


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
Print ISSN 2213-2198
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,
Keywords Immunology and Allergy; asthma; mHealth; app; eHealth; telemedicine; self-management; quality of life; personalized care


Pre-proof (1.4 Mb)

Copyright Statement
© 2020 Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology

You might also like

Downloadable Citations