Western University, London.
Can Respir J. 2013 Jul-Aug;20(4):301-6. doi: 10.1155/2013/906710.
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.
To design, develop and pilot a mobile health system to support asthma self-management.
The present study was a prospective, single-centre, nonrandomized, 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.
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 × 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).
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.
协作式自我管理是国家哮喘指南的核心推荐；书面行动计划是支持这一目标的知识工具。移动健康技术有可能增强行动计划作为知识转化工具的有效性。
设计、开发和试行移动健康系统以支持哮喘自我管理。
本研究为前瞻性、单中心、非随机、预干预-后干预分析。系统设计和开发由一个专家指导委员会指导。网络包括一个基于通用网络浏览器的哮喘行动计划智能手机应用程序（SPA）。患者每天安全地传输症状和峰值流量数据，并接收自动控制评估、治疗建议和环境警报。
22 名成年患者（平均年龄 47 岁，82%为女性）完成了研究。生物物理数据在 84%的患者日（患者日=1 名患者×1 天）中收到。患者在 54%的患者日查看了当前控制区的行动计划，在 61%的患者日查看了当前空气质量，86%的患者遵循了自我管理建议，50%的患者采取行动降低暴露风险。绝大多数患者肯定了易用性、清晰度和及时性，95%的患者希望在研究结束后使用 SPA。在基线时，91%的患者至少有一个未控制哮喘的症状标准，64%的患者有≥2 个，而在研究结束时，分别为 45%（P=0.006）和 27%（P=0.022）。哮喘生活质量问卷平均评分从 4.3 提高到 4.8（P=0.047）。
一个具有动态、实时、互动、移动健康系统和集成哮喘行动计划 SPA 的系统可以在患者和提供者层面支持知识转化。
