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New Concepts and Technological Resources in Patient Education and Asthma Self-Management

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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Keywords

  • Asthma self-management
  • Technology tools for asthma education
  • Electronic health
  • Telemedicine
  • Web-based asthma self-management systems
  • Mobile health applications
  • Inhaler trackers
  • Asthma medication adherence