Development and pilot testing of a mobile health solution for asthma self-management: Asthma action plan smartphone application pilot study
Development and pilot testing of a mobile health solution for asthma self-management: Asthma action plan smartphone application pilot study
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DOI：
10.1155/2013/906710
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发表时间：
2013-07-01
影响因子：
2.2
通讯作者：
Ferrone, Madonna
中科院分区：
文献类型：
--
作者：
Licskai, Christopher J.;Sands, Todd W.;Ferrone, Madonna
背景技术背景：协作自我管理是国家哮喘指南的核心建议;书面行动计划是支持这一目标的知识工具。移动的卫生技术有潜力提高行动计划的有效性作为一个知识translation tool.OBJECTIVE：设计，开发和试点移动的卫生系统，以支持哮喘自我management.METHODS：本研究是一个前瞻性的，单中心的，非随机，试点干预前-干预后分析。系统的设计和开发由一个专家指导委员会指导。该网络包括一个基于不可知论网络浏览器的哮喘行动计划智能手机应用程序（SPA）。受试者安全地传输症状和峰值流量数据，每天，并收到自动控制评估，治疗建议和环境alerts.RESULTS：22名成年受试者（平均年龄47岁，82%的妇女）完成了研究。在84%的受试者日（受试者日= 1例受试者x 1天）收到生物物理学数据。受试者在54%的受试者日查看了他们的行动计划当前控制区，在61%的受试者日查看了当前空气质量，86%的受试者遵循了自我管理建议，50%的受试者采取行动降低暴露风险。绝大多数人肯定了易用性，清晰度和及时性，95%的人希望在研究后使用SPA。基线时，91%的患者至少有一个哮喘未控制的症状标准，64%的患者有≥ 2个症状标准，而研究结束时分别为45%（P=0.006）和27%（P=0.022）。平均哮喘生活质量问卷评分从4.3提高到4.8（P=0.047）。结论：一个动态的，实时的，交互式的，移动的健康系统与综合哮喘行动计划SPA可以支持知识翻译在患者和供应商的水平。
BACKGROUND: Collaborative self-management is a core recommendation of national asthma guidelines; the written action plan is the knowledge tool that supports this objective. Mobile health technologies have the potential to enhance the effectiveness of the action plan as a knowledge translation tool.OBJECTIVE: To design, develop and pilot a mobile health system to support asthma self-management.METHODS: The present study was a prospective, single-centre, non-randomized, pilot preintervention-postintervention analysis. System design and development were guided by an expert steering committee. The network included an agnostic web browser-based asthma action plan smartphone application (SPA). Subjects securely transmitted symptoms and peak flow data daily, and received automated control assessment, treatment advice and environmental alerts.RESULTS: Twenty-two adult subjects (mean age 47 years, 82% women) completed the study. Biophysical data were received on 84% of subject days (subject day = 1 subject x 1 day). Subjects viewed their action plan current zone of control on 54% and current air quality on 61% of subject days, 86% followed self-management advice and 50% acted to reduce exposure risks. A large majority affirmed ease of use, clarity and timeliness, and 95% desired SPA use after the study. At baseline, 91% had at least one symptom criterion for uncontrolled asthma and 64% had >= 2, compared with 45% (P=0.006) and 27% (P=0.022) at study close. Mean Asthma Quality of Life Questionnaire score improved from 4.3 to 4.8 (P=0.047).CONCLUSIONS: A dynamic, real-time, interactive, mobile health system with an integrated asthma action plan SPA can support knowledge translation at the patient and provider levels.