A Mobile Phone Short Message Service Improves Perceived Control of Asthma: A Randomized Controlled Trial
A Mobile Phone Short Message Service Improves Perceived Control of Asthma: A Randomized Controlled Trial
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DOI：
10.1089/tmj.2011.0218
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发表时间：
2012-07-01
影响因子：
4.7
通讯作者：
Cai, Shaoxi
中科院分区：
文献类型：
--
作者：
Lv, Yanhua;Zhao, Haijin;Cai, Shaoxi
目的：手机短信服务被认为是改善哮喘预后的一种潜在的有力工具，它可以克服时间和距离等外部障碍参与教育项目。我们想知道短信是否可以帮助克服内在障碍，如哮喘的感知控制(PCA)。对象和方法：150例门诊哮喘患者随机分为对照组、传统组和短信组。所有组的患者都接受了基于全球哮喘倡议的口头教育，传统组的患者接受了额外的个性化哮喘行动计划，以进行自我管理，呼气峰流速监测和记录哮喘日记，而短信组的患者在他们的手机上收到额外的每日短信提醒。收集初诊时和12周时的PCAQ-6、哮喘特有的标准生活质量[S]、肺活量、血和诱导痰细胞计数、随访依从率、服药依从率和急诊科就诊资料。结果：共有71名受试者完成试验分析。治疗12周后，短信组和传统组患者的PCAQ-6评分均有显著提高(p<；0.001)，且短信组患者的PCAQ-6评分变化高于传统组(p=0.018)。短信组患者在12周后的生活质量问卷(S)评分和随访率最高。PCAQ-6评分的变化与生活质量问卷(S)评分的变化呈正相关(r=0.442)。两组患者12周后用力呼气量(FEV1%)均较好，急诊次数较少，但三组间FEV1%、血和诱导痰嗜酸粒细胞计数、中性粒细胞计数的变化差异无统计学意义。结论：SMS能改善PCA，在提高随访率和哮喘患者的生活质量方面比传统方案更具优势。
Objective: Mobile phone short message service (SMS) has been suggested as a potentially powerful tool to improve asthma outcomes, and it can overcome external barriers such as time and distance to participate education programs. We wanted to know whether SMS can help to overcome intrinsic barriers such as perceived control of asthma (PCA). Subjects and Methods: One hundred fifty outpatients with asthma were randomly assigned to the control, traditional, and SMS groups. Patients in all groups received verbal education based on the Global Initiative for Asthma, and patients in the traditional group received additional individualized asthma action plan for self-management with peak expiratory flow monitoring and recording asthma diary, while patients in the SMS group received additional daily SMS reminders on their mobile phone. The six-item PCA Questionnaire (PCAQ-6), Standard Asthma-Specific Quality of Life [AQLQ(S)], spirometry, blood and induced sputum cell count, follow-up compliance rate, medicine compliance rate, and emergency department (ED) visits data were collected at the initial visit and at 12 weeks. Results: In total, 71 participants completed the trial for analysis. Patients' PCAQ-6 score was significantly increased in the SMS and traditional groups (p < 0.001) after 12 weeks, and the change of patients' PCAQ-6 score in the SMS group was higher than in the traditional group (p = 0.018). Patients in the SMS group had the highest AQLQ(S) score and follow-up rate after 12 weeks. The change in PCAQ-6 score was associated with change in AQLQ(S) score (r = 0.442). Patients in all groups had better forced expiratory volume in 1 s (FEV1%) and fewer ED visits after 12 weeks, but no significant differences were found among the three groups in the changes of FEV1% and blood and induced sputum eosinophil counts and neutrophil counts. Conclusions: SMS can improve PCA, and it has a greater advantage in improving follow-up rate and asthma-specific quality of life than traditional programs.