Burbank Allison J, Lewis Shannon D, Hewes Matthew, Schellhase Dennis E, Rettiganti Mallikarjuna, Hall-Barrow Julie, Bylander Lisa A, Brown Rita H, Perry Tamara T
a Department of Pediatrics , University of Arkansas for Medical Sciences , Little Rock , AR , USA .
J Asthma. 2015;52(6):583-6. doi: 10.3109/02770903.2014.995307. Epub 2015 Jul 7.
To examine feasibility and utilization of a mobile asthma action plan (AAP) among adolescents.
Adolescents (aged 12-17 years) with persistent asthma had their personalized AAP downloaded to a smartphone application. Teens were prompted by the mobile application to record either daily symptoms or peak flow measurements and to record medications. Once data were entered, the application provided immediate feedback based on the teen's AAP instructions. Asthma Control Test (ACT(®)) and child asthma self-efficacy scores were examined pre- and post-intervention.
Adolescents utilized the mobile AAP a median 4.3 days/week. Participant satisfaction was high with 93% stating that they were better able to control asthma by utilizing the mobile AAP. For participants with uncontrolled asthma at baseline, median (interquartile range) ACT scores improved significantly from 16 (5) to 18 (8) [p = 0.03]. Median asthma attack prevention self-efficacy scores improved from 34 (3.5) to 36 (5.3) [p = 0.04].
Results suggest that personalized mobile-based AAPs are a feasible method to communicate AAP instructions to teens.
研究青少年使用移动哮喘行动计划（AAP）的可行性和使用率。
患有持续性哮喘的青少年（年龄在12 - 17岁之间）将其个性化的AAP下载到智能手机应用程序中。移动应用程序会提示青少年记录每日症状或峰值流量测量结果，并记录用药情况。一旦输入数据，应用程序会根据青少年的AAP指令提供即时反馈。在干预前后对哮喘控制测试（ACT(®)）和儿童哮喘自我效能感得分进行检测。
青少年使用移动AAP的中位数为每周4.3天。参与者满意度较高，93%的人表示通过使用移动AAP，他们能更好地控制哮喘。对于基线时哮喘未得到控制的参与者，ACT得分中位数（四分位间距）从16（5）显著提高到18（8）[p = 0.03]。哮喘发作预防自我效能感得分中位数从34（3.5）提高到36（5.3）[p = 0.04]。
结果表明，基于移动设备的个性化AAP是向青少年传达AAP指令的一种可行方法。
