Advertisement

Asthma Management in the Era of Smart-Medicine: Devices, Gadgets, Apps and Telemedicine

  • Umakanth Katwa
  • Estefania Rivera
Review Article

Abstract

Asthma is the most common chronic pediatric condition. Effective asthma management requires a proactive and inclusive approach that controls the patient’s symptoms and prevents recurrence of exacerbations. Clinicians should encourage patients to become involved in their management since self-management approaches have proven to be an effective means for chronic illness treatment. Novel forms of self-monitoring and management are technological interventions. In the last decade, novel technology has been developed and used to improve asthma control since it is a powerful agent that addresses a variety of challenges in chronic disease management such as education, communication and adherence. A myriad of technology-based strategies are available although many of these are not evidence based and further studies are needed to evaluate their efficacy in specific asthma-control endpoints. Herein, authors present a review of current and future technology-based options for asthma management and a comparison between them.

Keywords

Asthma management Wearable devices Telemedicine Developing technology 

Notes

Contributions

UK: Conceptualized the manuscript, literature review, editing and will act as guarantor for this paper; ER: Literature review, write up and editing.

Compliance with Ethical Standards

Conflict of Interest

None.

References

  1. 1.
    WHO | Asthma [Internet]. WHO. Chronic respiratory diseases. Available at: http://www.who.int/respiratory/asthma/en/. Accessed on 16 May 2017.
  2. 2.
    Akinbami LJ, Moorman JE, Liu X. Asthma prevalence, health care use, and mortality: United States, 2005-2009. Natl Health Stat Rep. 2011;32:1–14.Google Scholar
  3. 3.
    Williams LK, Peterson EL, Wells K, et al. Quantifying the proportion of severe asthma exacerbations attributable to inhaled corticosteroid nonadherence. J Allergy Clin Immunol. 2011;128:1185–91.e2.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Lee JXW, Wojtczak HA, Wachter AM, et al. Understanding asthma medical nonadherence in an adult and pediatric population. J Allergy Clin Immunol Pract. 2015;3:436–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Huang X, Matricardi PM. Allergy and asthma care in the mobile phone era. Clin Rev Allergy Immunol [Internet]. 2016 May 21. Available at: http://link.springer.com/10.1007/s12016-016-8542-y. Accessed on 16 May 2017.
  6. 6.
    Liptzin DR, Szefler SJ. Evolution of asthma self-management programs in adolescents: from the crisis plan to facebook. J Pediatr. 2016;179:19–23.CrossRefPubMedGoogle Scholar
  7. 7.
    Lorig KR, Holman HR. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26:1–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Creer TL, Renne CM, Christian WP. Behavioral contributions to rehabilitation and childhood asthma. Rehabil Lit. 1976;37:226–32;47.PubMedGoogle Scholar
  9. 9.
    Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ. 2003;326:1308–9.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Vrijens B, Dima AL, Van Ganse E, et al. What we mean when we talk about adherence in respiratory medicine. J Allergy Clin Immunol Pract. 2016;4:802–12.CrossRefPubMedGoogle Scholar
  11. 11.
    Chan AHY, Stewart AW, Harrison J, Camargo CA, Black PN, Mitchell EA. The effect of an electronic monitoring device with audiovisual reminder function on adherence to inhaled corticosteroids and school attendance in children with asthma: a randomised controlled trial. Lancet Respir Med. 2015;3:210–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Merchant RK, Inamdar R, Quade RC. Effectiveness of population health management using the propeller health asthma platform: a randomized clinical trial. J Allergy Clin Immunol Pract. 2016;4:455–63.CrossRefPubMedGoogle Scholar
  13. 13.
    Mosnaim G, Li H, Martin M, et al. A tailored mobile health intervention to improve adherence and asthma control in minority adolescents. J Allergy Clin Immunol Pract. 2015;3:288–90.e1.Google Scholar
  14. 14.
    Farooqui N, Phillips G, Barrett C, Stukus D. Acceptability of an interactive asthma management mobile health application for children and adolescents. Ann Allergy Asthma Immunol. 2015;114:527–9.Google Scholar
  15. 15.
    Burbank AJ, Lewis SD, Hewes M, et al. Mobile-based asthma action plans for adolescents. J Asthma. 2015;52:583–6.Google Scholar
  16. 16.
    Haze KA, Lynaugh J. Building patient relationships: a smartphone application supporting communication between teenagers with asthma and the RN care coordinator. Comput Inform Nurs. 2013;31:266-71.Google Scholar
  17. 17.
    Dzubur E, Li M, Kawabata K, et al. Design of a smartphone application to monitor stress, asthma symptoms, and asthma inhaler use. Ann Allergy Asthma Immunol. 2015;114:341–2.e2. Available at: http://linkinghub.elsevier.com/retrieve/pii/S1081120614009223.
  18. 18.
    Ryan D, Price D, Musgrave SD, et al. Clinical and cost effectiveness of mobile phone supported self monitoring of asthma: multicentre randomised controlled trial. BMJ. 2012;344:e1756.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Lenhart A. Teens, Social Media & Technology Overview 2015 [Internet]. Available at: http://www.pewinternet.org/2015/04/09/teens-social-media-technology-2015/. Accessed in September 2017.
  20. 20.
    Darwish A, Hassanien AE. Wearable and implantable wireless sensor network solutions for healthcare monitoring. Sensors. 2011;11:5561–95.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Oletic D, Arsenali B, Bilas V. Low-power wearable respiratory sound sensing. Sensors. 2014;14:6535–66.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Boner AL, Piacentini GL, Peroni DG, et al. Children with nocturnal asthma wheeze intermittently during sleep. J Asthma. 2010;47:290–4.CrossRefPubMedGoogle Scholar
  23. 23.
    Rhee H, Miner S, Sterling M, Halterman JS, Fairbanks E. The development of an automated device for asthma monitoring for adolescents: methodologic approach and user acceptability. JMIR Mhealth Uhealth. 2014;2:e27.CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Hsueh-Ting Chu, Chir-Chang Huang, Zhi-Hui Lian, Tsai JJP. A ubiquitous warning system for asthma-inducement. In IEEE; 2006. p. 186–91. Available at: http://ieeexplore.ieee.org/document/1636272/. Accessed on 17 May 2017.
  25. 25.
    Dieffenderfer J, Goodell H, Mills S, et al. Low-power wearable systems for continuous monitoring of environment and health for chronic respiratory disease. IEEE J Biomed Health Inform. 2016;20:1251–64.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    FAQs - ATA Main [Internet]. Available at: https://www.americantelemed.org/about/telehealth-faqs-. Accessed on 26 May 2017.
  27. 27.
    Morrison D, Wyke S, Saunderson K, et al. Findings from a pilot randomised trial of an asthma internet self-management intervention (RAISIN). BMJ Open. 2016;6:e009254.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Newhouse N, Martin A, Jawad S, et al. Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma. BMJ Open. 2016;6:e013401.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    van der Meer V, van Stel HF, Detmar SB, Otten W, Sterk PJ, Sont JK. Internet-based self-management offers an opportunity to achieve better asthma control in adolescents. Chest. 2007;132:112–9.CrossRefPubMedGoogle Scholar
  30. 30.
    Rasmussen LM, Phanareth K, Nolte H, Backer V. Internet-based monitoring of asthma: a long-term, randomized clinical study of 300 asthmatic subjects. J Allergy Clin Immunol. 2005;115:1137–42.CrossRefPubMedGoogle Scholar
  31. 31.
    Pool AC, Kraschnewski JL, Poger JM, et al. Impact of online patient reminders to improve asthma care: a randomized controlled trial. PLoS One. 2017;12:e0170447.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Rhee H, Allen J, Mammen J, Swift M. Mobile phone-based asthma self-management aid for adolescents (mASMAA): a feasibility study. Patient Prefer Adherence. 2014;214:63–72.CrossRefGoogle Scholar
  33. 33.
    Perry TT, Rettiganti MR, Bian J, et al. Utilization and outcomes associated with mobile-based asthma action plans compared to paper asthma action plans among adolescents. J Allergy Clin Immunol. 2016;137:AB100.CrossRefGoogle Scholar
  34. 34.
    Kew KM, Cates CJ. Home telemonitoring and remote feedback between clinic visits for asthma. In: The Cochrane Collaboration, editor. Cochrane Database of Systematic Reviews [Internet]. Chichester, UK: Wiley , Ltd; 2016. Available at: http://doi.wiley.com/10.1002/14651858.CD011714.pub2. Accessed on 17 Feb 2017.
  35. 35.
    About Rural Health Care - NRHA [Internet]. Available at: https://www.ruralhealthweb.org/about-nrha/about-rural-health-care. Accessed on 27 May 2017.
  36. 36.
    ltd R and M. Global Telemedicine Market Outlook 2020-Research and Markets [Internet]. Available at: http://www.researchandmarkets.com/reports/3229907/global-telemedicine-market-outlook-2020. Accessed on 27 May 2017.
  37. 37.
    Zar HJ, Stickells D, Toerien A, Wilson D, Klein M, Bateman ED. Changes in fatal and near-fatal asthma in an urban area of South Africa from 1980-1997. Eur Respir J. 2001;18:33–7.CrossRefPubMedGoogle Scholar
  38. 38.
    Zahran HS, Bailey CM, Qin X, Johnson C. Long-term control medication use and asthma control status among children and adults with asthma. J Asthma. 2017;54:1065–72.CrossRefPubMedGoogle Scholar
  39. 39.
    Kotwani A. Availability, price and affordability of asthma medicines in five Indian states. Int J Tuberc Lung Dis. 2009;13:574–9.PubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  1. 1.Division of Pulmonary and Respiratory Diseases, Boston Children’s HospitalHarvard Medical SchoolBostonUSA

Personalised recommendations