Effectiveness of myAirCoach: A mHealth Self-Management System in Asthma
Rishi J Khusial, Persijn J Honkoop, Omar Usmani, Marcia Soares, Andrew Simpson, Martyn Biddiscombe, Sally Meah, Matteo Bonini, Antonios Lalas, Eleftheria Polychronidou, Julia G Koopmans, Konstantinos Moustakas, Jiska B Snoeck-Stroband, Steffen Ortmann, Konstantinos Votis, Dimitrios Tzovaras, Kian Fan Chung, Stephen Fowler, Jacob K Sont, myAirCoach study group, Rishi J Khusial, Persijn J Honkoop, Omar Usmani, Marcia Soares, Andrew Simpson, Martyn Biddiscombe, Sally Meah, Matteo Bonini, Antonios Lalas, Eleftheria Polychronidou, Julia G Koopmans, Konstantinos Moustakas, Jiska B Snoeck-Stroband, Steffen Ortmann, Konstantinos Votis, Dimitrios Tzovaras, Kian Fan Chung, Stephen Fowler, Jacob K Sont, myAirCoach study group
Abstract
Background: Self-management programs have beneficial effects on asthma control, but their implementation in clinical practice is poor. Mobile health (mHealth) could play an important role in enhancing self-management.
Objective: To assess the clinical effectiveness and technology acceptance of myAirCoach-supported self-management on top of usual care in patients with asthma using inhalation medication.
Methods: Patients were recruited in 2 separate studies. The myAirCoach system consisted of an inhaler adapter, an indoor air-quality monitor, a physical activity tracker, a portable spirometer, a fraction exhaled nitric oxide device, and an app. The primary outcome was asthma control; secondary outcomes were exacerbations, quality of life, and technology acceptance. In study 1, 30 participants were randomized to either usual care or myAirCoach support for 3 to 6 months; in study 2, 12 participants were provided with the myAirCoach system in a 3-month before-after study.
Results: In study 1, asthma control improved in the intervention group compared with controls (Asthma Control Questionnaire difference, 0.70; P = .006). A total of 6 exacerbations occurred in the intervention group compared with 12 in the control group (hazard ratio, 0.31; P = .06). Asthma-related quality of life improved (mini Asthma-related Quality of Life Questionnaire difference, 0.53; P = .04), but forced expiratory volume in 1 second was unchanged. In study 2, asthma control improved by 0.86 compared with baseline (P = .007) and quality of life by 0.16 (P = .64). Participants reported positive attitudes toward the system.
Discussion: Using the myAirCoach support system improves asthma control and quality of life, with a reduction in severe asthma exacerbations. Well-validated mHealth technologies should therefore be further studied.
Keywords: App; Asthma; Personalized care; Quality of life; Self-management; Telemedicine; eHealth; mHealth.
Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.
Source: PubMed