Abstract
Asthma is a chronic disease that is associated with significant morbidity and mortality. In general, the use of technology resources or electronic health (e-health) has been shown to have beneficial effects on patients with asthma. E-health can impact a broad section of patients and can be cost-effective and associated with high patient satisfaction. E-health may enable remote delivery of care, as well as timely access to health care, which are some of the common challenges faced by patients with asthma. Web-based asthma self-management systems have been found to improve quality of life, self-reported asthma symptoms, lung function, reduction in asthma symptoms/exacerbations, and self-reported adherence for adults. Social media is commonly being used as a platform to disseminate information on asthma to increase public awareness. It can facilitate asthma self-management in a patient friendly manner and has shown to improve asthma control test scores as well as self-esteem. Text massages reminders can increase awareness regarding asthma treatment and control, thus potentially can improve adherence to medications and asthma outcome. Mobile health applications can support asthma self-management, improve a patient’s quality of life, promote medication adherence, and potentially reduce the overall costs for asthma care. Inhaler trackers have shown to be beneficial to asthma outcome in various populations by improving adherence to asthma medications. Barriers such as physician financial reimbursement as well as licensing for rendering tele-healthcare services are important concerns. Other limitations of using technology resources in health care are related to liability, professionalism, and ethical issues such as breach of patient confidentiality and privacy. Additionally, there may be less face-to-face interaction and care of the patient when e-health is used.
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Abbreviations
- AAAAI:
-
American Academy of Allergy, Asthma and Immunology
- AAP:
-
Asthma Adherence Pathway
- ACAAI:
-
American College of Allergy, Asthma and Immunology
- ACT:
-
Asthma control test
- eAMS:
-
Electronic Asthma Management System
- ED:
-
Emergency department
- E-Health:
-
Electronic health
- EMR:
-
Electronic medical record
- FeNO:
-
Fractional exhaled nitric oxide
- FEV1:
-
Forced Expiratory Volume
- GINA:
-
Global initiative for asthma
- HIPAA:
-
Health Insurance Portability and Accountability Act
- IBS:
-
Internet-based monitoring systems
- IBSM:
-
Internet-based self-management
- ICS:
-
Inhaled corticosteroid
- ICT:
-
Information and communication technology
- MAP:
-
My Asthma Portal
- mHealth apps:
-
Mobile health applications
- P’ASMA:
-
Portal for Assessment and Self-management of Asthma
- PCA:
-
Perceived control of asthma
- PEF:
-
Peak expiratory flow
- PHR:
-
Personal health record
- RCT:
-
Randomized controlled trial
- RTMM:
-
Real-time medication monitoring
- SABA:
-
Short-acting beta agonist
- SARP-3:
-
Severe Asthma Research Program-3
- SMS:
-
Short message service
- SMT:
-
Social media technology
- VAC:
-
Virtual asthma clinic
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Poowuttikul, P., Seth, D. New Concepts and Technological Resources in Patient Education and Asthma Self-Management. Clinic Rev Allerg Immunol 59, 19–37 (2020). https://doi.org/10.1007/s12016-020-08782-w
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DOI: https://doi.org/10.1007/s12016-020-08782-w