关于智能手机与纸质哮喘行动计划对哮喘控制效果的循证综述。
Evidence-Based Review of Smartphone Versus Paper Asthma Action Plans on Asthma Control.
作者信息
Murphy Julie A, Heisser Jennifer M, Montgomery McKenzie
机构信息
University of Toledo, Toledo, OH, USA.
出版信息
J Pharm Technol. 2019 Jun;35(3):126-134. doi: 10.1177/8755122519830446. Epub 2019 Feb 19.
To summarize and evaluate existing literature regarding the impact of mobile asthma action plans (MAAPs) versus written asthma action plans (WAAPs) on degree of asthma control. PubMed, EMBASE, Web of Science, and ClinicalTrials.gov were searched (2000-January 2019) using the term with each of the following: , or . The search was limited to cohort and randomized controlled trials examining MAAP versus WAAP data. Data extracted included the following: study design, population, intervention, control, outcomes related to asthma control, and potential biases assessed using Cochrane Collaboration's Risk of Bias Assessment Tool. Four of the 41 studies identified were included, each of which were randomized control trials. One study showed significant improvement using a non-asthma-specific assessment tool, 1 study showed improvement only for patients with uncontrolled asthma at baseline, and 2 studies showed no difference in asthma control scores. Overall risk of bias across all studies was low to moderate. Health care providers should select an asthma action plan (AAP) format based on what the patient is most likely to understand and consistently use. Because of conflicting published data regarding the use of MAAPs versus WAAPs and risk of bias, it is unclear at this time whether one format of AAP is superior to the other for either adolescents or adults.
总结并评估关于移动哮喘行动计划(MAAPs)与书面哮喘行动计划(WAAPs)对哮喘控制程度影响的现有文献。检索了PubMed、EMBASE、科学网和ClinicalTrials.gov(2000年 - 2019年1月),使用以下术语: ,或 。检索限于检查MAAP与WAAP数据的队列研究和随机对照试验。提取的数据包括:研究设计、人群、干预措施、对照、与哮喘控制相关的结果,以及使用Cochrane协作网的偏倚风险评估工具评估的潜在偏倚。纳入了所识别的41项研究中的4项,每项均为随机对照试验。一项研究使用非哮喘特异性评估工具显示出显著改善,一项研究仅显示基线时哮喘未得到控制的患者有改善,两项研究显示哮喘控制评分无差异。所有研究的总体偏倚风险为低到中度。医疗保健提供者应根据患者最可能理解并持续使用的情况选择哮喘行动计划(AAP)格式。由于关于MAAPs与WAAPs使用的已发表数据相互矛盾以及存在偏倚风险,目前尚不清楚对于青少年或成年人而言,一种AAP格式是否优于另一种。