From the Ferkauf Graduate School of Psychology (Silverstein, Styke, Feldman), Yeshiva University; Division of Allergy and Immunology, Department of Medicine (Kaur, Singh, Green, Jariwala), Albert Einstein College of Medicine; and Division of Academic General Pediatrics, Department of Pediatrics and Department of Psychiatry and Behavioral Sciences (Feldman), Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, New York.
Psychosom Med. 2023 Sep 1;85(7):605-611. doi: 10.1097/PSY.0000000000001170. Epub 2023 Jan 27.
The ASTHMAXcel PRO mobile app provides asthma education and collects asthma outcome data. The objective of this study was to evaluate the associations between health/electronic health literacy (eHealth literacy) and depressive symptoms with app usage and clinical outcomes.
Adults with persistent asthma were recruited to use the app. Participants completed the Patient Health Questionnaire-9 to assess for depressive symptoms, Asthma Control Test, Mini Asthma Quality of Life (QOL) Questionnaire, and the Newest Vital Sign tool to measure health literacy. Data on a subset of participants were available on eHealth literacy ( n = 24) and average number of app logins across 2 months ( n = 40).
The total study sample included 96 participants (46% non-Hispanic Black, 44.4% Hispanic). The average participant age was 44.0 (standard deviation = 14.9) years, with 74% identifying as female. Increased depressive symptoms were associated with worse asthma control ( β = -0.46, p < .001) and asthma QOL ( β = -0.38, p < .001), but not eHealth literacy. Higher eHealth literacy was associated with worse asthma QOL ( β = -0.48, p = .02) and more app logins ( β = 0.59, p = .04). Newest Vital Sign scores were not associated with any of the other measures.
Depressive symptoms were associated with worse asthma outcomes. eHealth literacy was associated with increased patient engagement with the app and worse asthma QOL, which may reflect patients with worse QOL seeking out health information on the Internet (although directionality could not be assessed). Digital health literacy may be key to increasing patient engagement with mobile health interventions.Trial Registration: National Clinical Trial No. 03847142, https://clinicaltrials.gov/ct2/show/NCT03847142 .
ASTHMAXcel PRO 移动应用程序提供哮喘教育并收集哮喘结果数据。本研究的目的是评估健康/电子健康素养（eHealth literacy）和抑郁症状与应用程序使用和临床结果之间的关联。
招募持续性哮喘患者使用该应用程序。参与者完成了患者健康问卷-9 以评估抑郁症状、哮喘控制测试、迷你哮喘生活质量（QOL）问卷和最新生命体征工具以衡量健康素养。在 eHealth literacy（n = 24）和平均 2 个月内应用程序登录次数（n = 40）方面，部分参与者的数据可用。
总研究样本包括 96 名参与者（46%非西班牙裔黑人，44.4%西班牙裔）。平均参与者年龄为 44.0（标准差= 14.9）岁，74%为女性。抑郁症状增加与哮喘控制更差（β= -0.46，p <.001）和哮喘 QOL 更差（β= -0.38，p <.001）相关，但与 eHealth literacy 无关。较高的 eHealth literacy 与更差的哮喘 QOL（β= -0.48，p =.02）和更多的应用程序登录次数（β= 0.59，p =.04）相关。最新生命体征评分与其他任何指标均无关。
抑郁症状与哮喘结果更差相关。eHealth literacy 与患者对应用程序的参与度增加以及哮喘 QOL 更差相关，这可能反映出 QOL 更差的患者在互联网上寻求健康信息（尽管无法评估方向）。数字健康素养可能是增加患者对移动健康干预措施参与度的关键。
国家临床试验号 03847142，https://clinicaltrials.gov/ct2/show/NCT03847142。
