PMC:7275133 / 20901-23991 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7275133","sourcedb":"PMC","sourceid":"7275133","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7275133","text":"Technology Measures Outcomes in asthma studies Comments\nWearable technology\n− Fitbit™\n− Apple™ Watch Fitbit: heart rate (available on most but not all models), steps/day, physical activity (light, moderate and vigorous), sedentary time, sleep efficiency, wake counts\nApple Watch: heart rate, EKG, steps/day, physical activity (light, moderate and vigorous), sedentary time − Fitbit overestimated sleep efficiency and underestimated wake counts compared with actigraphy.18\n− Fitbit-derived sleep quality correlated with PROMIS pediatric asthma impact score.21 Corresponding Apps: Apple Watch App on iPhone, Fitbit App on iPhone and Android\nPros: portable; commercially available; may be useful when used with other measures such as air quality, lung function and asthma symptoms to digitally phenotype asthma patients\nCons: No sleep data available on Apple Watch without 3rd party App\nData sharing: Data does not sync to EMR directly but patient can access file and send to provider via mail, secure email, or patient portal.\nElectronic monitoring devices (e.g., inhaler sensors ± digital health platform) Digihaler™:\n− Inhaler time of inhaler use, peak inspiratory flow rate (PIFR), time to PIFR, inhalation volume and duration.\nPropeller Health System:\n− Inhaler sensor: date, time and number of doses taken\n− Asthma Health Platform App: Location of inhaler use using phone GPS, current weather/pollen counts/air pollution and self-report asthma symptoms/triggers\nHailie™ solution:\n− Inhaler sensor: date, time, number of inhaler actuations and missed doses\n− Hailie™ App: medication adherence, daily medication reminders\nInhaler compliance assessment device:\nTime of dose, inhaler technique errors − Greater asthma control31,38–39 and symptom-free days33\n− Reduction in daily symptoms31, rescue medication use29,32–33, and exacerbations34,38–39\n− Improved medication adherence36–40\n− High patient acceptability of device and digital health platform36–37. Corresponding Apps: Digihaler™, Propeller Health, Hailie™. Web-based platform also available for Propeller Health, Hailie™ solution.\nPros: portable, high acceptability among patients, improvements in asthma control in those with a digital health platform (e.g., Propeller Health, Hailie™ solution).\nCons: Additional efficacy studies of the devices are needed, cost of devices are not always covered by insurance reimbursement\nData sharing: Provider platform available to share results (e.g. Digihaler™, Propeller Health, Hailie™ solution), patients may share data from Digihaler™ also via file share.\nMobile-based applications Self-monitoring of:\n− Asthma symptoms\n− Triggers\n− Medication use -Improvements in asthma control though low-quality evidence45\n-Improvements in asthma control in five studies, lung function in two studies and quality of life in three studies46 Pros: Acceptable and feasible to use\nCons: Vary in quality; data are self-reported, most apps have not been validated; risk of loss of privacy of health information\nData sharing: Vary in ability to share with provider, most are up to user to share with 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