Id |
Subject |
Object |
Predicate |
Lexical cue |
T225 |
0-28 |
Sentence |
denotes |
Use of Mobile Apps in Asthma |
T226 |
29-133 |
Sentence |
denotes |
As with wearable devices, the use of health apps on phones and tablets has rapidly been increasing [13]. |
T227 |
134-225 |
Sentence |
denotes |
There are a large number of asthma-related apps with well over 500 reported in 2019 [41••]. |
T228 |
226-346 |
Sentence |
denotes |
The mobile apps range from providing health education, symptom tracking, environmental alerts, and medication reminders. |
T229 |
347-474 |
Sentence |
denotes |
A review conducted in 2015 selected 209 English asthma-related apps that were available in Google Play and/or Apple Store [42]. |
T230 |
475-877 |
Sentence |
denotes |
The majority (52%) of the apps evaluated were teaching and training information for patients, with 39% based on alternative treatments, such as yoga, acupressure, and breathing exercises; 22% helped users to monitor symptoms and medication adherence; 18% provided medical reference information for providers; 6% provided air quality information; and 2% served as social forums for patients with asthma. |
T231 |
878-1000 |
Sentence |
denotes |
Despite the great number of currently available mobile apps for asthma, few effectiveness evaluations have been conducted. |
T232 |
1001-1103 |
Sentence |
denotes |
In 2013, Marcano and colleagues conducted a Cochrane review on mobile apps for asthma self-management. |
T233 |
1104-1306 |
Sentence |
denotes |
Only two randomized controlled trials (RCTs) fit the review criteria and assessed efficacy of the apps on asthma outcomes such as asthma control, asthma quality of life, and healthcare utilization [43]. |
T234 |
1307-1495 |
Sentence |
denotes |
Both RCTs (n = 408) evaluated the effect of a mobile phone-based asthma self-management intervention on asthma control by comparing it with traditional, paper-based asthma self-management. |
T235 |
1496-1633 |
Sentence |
denotes |
Overall, the results were inconclusive, as the evidence was low quality (GRADE) and attrition bias plus other sources of bias were found. |
T236 |
1634-1725 |
Sentence |
denotes |
In 2017, another systematic review assessed asthma self-management using mHealth apps [44]. |
T237 |
1726-1870 |
Sentence |
denotes |
The authors found that mHealth apps improved asthma control in five studies, lung function in two studies, and quality of life in three studies. |
T238 |
1871-1954 |
Sentence |
denotes |
There was no significant impact on economic outcomes such as hospitalization rates. |
T239 |
1955-2134 |
Sentence |
denotes |
While there is preliminary evidence on the efficacy of asthma self-management mobile apps to improve asthma control and quality of life, the mechanisms have not been well studied. |
T240 |
2135-2236 |
Sentence |
denotes |
Ramsey and colleagues reviewed the content and quality of mHealth asthma self-management apps [45••]. |
T241 |
2237-2426 |
Sentence |
denotes |
The mobile apps were identified through systematic searches of the Apple and Google Play stores and then coded to evaluate the inclusion of evidence-based behavior change techniques (BCTs). |
T242 |
2427-2598 |
Sentence |
denotes |
Examples of BCTs include providing information about behavior-health link, identifying barriers to performing health behaviors, and prompting self-monitoring of behaviors. |
T243 |
2599-2779 |
Sentence |
denotes |
The quality of the apps was also rated using the Mobile App Rating Scale (MARS) to determine app engagement, functionality, aesthetics, information quality, and subjective quality. |
T244 |
2780-2860 |
Sentence |
denotes |
Of the twenty-three apps identified, a range of 1–11 BCTs were used by the apps. |
T245 |
2861-3022 |
Sentence |
denotes |
The most commonly included BCTs were instruction, behavior-health link, self-monitoring, feedback, teach to use prompts/cues, consequences, and others’ approval. |
T246 |
3023-3111 |
Sentence |
denotes |
Three apps used at least eight BCTs (i.e., AsthmaMD, Kiss myAsthma, and My Breathefree). |
T247 |
3112-3216 |
Sentence |
denotes |
The overall quality of the apps, as measured by MARS, ranged from 2.45 to 4.50 (out of a possible 5.00). |
T248 |
3217-3331 |
Sentence |
denotes |
Four apps had an overall MARS quality of > 4.0 (AsthmaMD, Asthma Health Storylines, Kiss myAsthma, and Wizdy Pets: |
T249 |
3332-3351 |
Sentence |
denotes |
Kids’ Asthma Game). |
T250 |
3352-3629 |
Sentence |
denotes |
As it is more common for patients to ask their healthcare providers to help them choose apps, it is important that providers are knowledgeable about which asthma management apps are high quality and include evidence-based components that will be successful for behavior change. |
T251 |
3630-3786 |
Sentence |
denotes |
To date, Kiss myAsthma and AsthmaMD are the asthma management apps with the highest number of BCTs and quality scores, but this area is constantly evolving. |
T252 |
3787-3870 |
Sentence |
denotes |
There are some limitations to consider regarding the use of mobile apps for asthma. |
T253 |
3871-3959 |
Sentence |
denotes |
The majority of commercially available asthma apps lack validation in clinical settings. |
T254 |
3960-4113 |
Sentence |
denotes |
Further, the apps are not regulated or approved as medical devices and may provide recommendations to patients that are not evidence-based or inaccurate. |
T255 |
4114-4213 |
Sentence |
denotes |
Finally, there is a risk of loss of privacy of health information for patients that use these apps. |
T256 |
4214-4310 |
Sentence |
denotes |
One study showed that only 30% of the most commonly used mHealth apps had privacy policies [46]. |
T257 |
4311-4466 |
Sentence |
denotes |
These policies often required a high-level of literacy for comprehension, were often not focused on the app itself, and were not informative for end users. |
T258 |
4467-4636 |
Sentence |
denotes |
Therefore, clinicians should evaluate asthma management apps to ensure high quality and evidenced-based information prior to recommending them for their asthma patients. |