PMC:7275133 / 30325-34961 JSONTXT 10 Projects

Annnotations TAB TSV DIC JSON TextAE

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.