ArticleJMIR pediatrics and parenting2018
Smartphones for Real-time Assessment of Adherence Behavior and Symptom Exacerbation for High-Risk Youth with Asthma: Pilot Study.
Article in JMIR pediatrics and parenting, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Systematic Review of Electronic Monitoring to Increase Medication Adherence in Children With Asthma.Pediatric pulmonology · 2025Pooled it
- Applications of the experience sampling method (ESM) in paediatric healthcare: a systematic review.Pediatric research · 2024Pooled it
- Digital interventions to improve adherence to maintenance medication in asthma.The Cochrane database of systematic reviews · 2022Pooled it
- Trial
- Feasibility of RESP-FIT: Technology-Enhanced Self-Management Intervention for Adults with COPD.International journal of chronic obstructive pulmonary diseaseTrial
- A Comprehensive Scoping Review of Technology in the Care of Historically Marginalized Populations With Asthma: A Work Group Report of the AAAAI Diversity, Equity, and Inclusion Committee.The journal of allergy and clinical immunology. In practice · 2025Article
- RESP-FIT: A Technology-Enhanced Combined Inspiratory and Expiratory Muscle Strength Training Intervention for Adults With COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Children and young people's preferences and needs when using health technology to self-manage a long-term condition: a scoping review.Archives of disease in childhood · 2024Article
- Use of Ecological Momentary Assessment to Measure Dyspnea in COPD.International journal of chronic obstructive pulmonary disease · 2024Article
- eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review.Journal of medical Internet research · 2023Article
- Advancing Digital Solutions to Overcome Longstanding Barriers in Asthma and COPD Management.Patient preference and adherence · 2023Review
- Development and Feasibility of a Mobile Asthma App for Children and Their Caregivers: Mixed Methods Study.JMIR formative research · 2022Article
- The applications of eHealth technologies in the management of asthma and allergic diseases.Clinical and translational allergy · 2021Review
- Nurse Perspectives Regarding Implementation of an Asthma Monitoring Mobile Health Application in the School Setting.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2021Article
- Parent Experiences With Electronic Medication Monitoring in Pediatric Asthma Management: Qualitative Study.JMIR pediatrics and parenting · 2021Article
- Leveraging health system telehealth and informatics infrastructure to create a continuum of services for COVID-19 screening, testing, and treatment.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Managing Asthma and Obesity Related Symptoms (MATADORS): An mHealth Intervention to Facilitate Symptom Self-Management among Youth.International journal of environmental research and public health · 2020Article
- Quality of life and psychosocial outcomes in children with severe acute asthma and their parents.Pediatric pulmonology · 2020Article
- Patient and Parent Perspectives on Improving Pediatric Asthma Self-Management Through a Mobile Health Intervention: Pilot Study.JMIR formative research · 2020Article
- iPREDICT: proof-of-concept study to develop a predictive model of changes in asthma control.Therapeutic advances in respiratory diseaseObservational
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
backgroundYouth with asthma who have poor medication adherence, have limited access to care, and are frequently seen in the acute care setting are often termed "high risk."
objectiveThis study aimed to design and test the feasibility of using smartphone technology to assess contextual factors that may impact changes in daily medication adherence and to identify new symptom episodes among high-risk youth with asthma in their home environment.
methodsYouth aged 8-17 years with high-risk asthma from 2 children's hospitals were eligible for the 2-month study. An app was downloaded on participants' phones at enrollment. Daily text message (short message service) reminders were sent to complete ecological momentary assessment of asthma symptoms and other contextual factors such as emotional state using the app. Bluetooth inhaler devices were used to record timestamps of inhaler use with the ability to review and manually enter data. The acceptability was assessed with surveys, key informant interviews (KII), and frequency of days with asthma data. KII data were used in an iterative design approach to identify challenges, strengths, and suggestions for maximizing use. Generalized linear mixed modeling was used to preliminarily explore contextual factors associated with changes in daily adherence.
resultsWe enrolled 14 children aged 8-16 years (13/14, 93% were African Americans). Over the 2-month study period, participants reported coughing (42/110, 38%), wheezing (8/111, 7%), chest tightness (9/109, 8%), boredom (57/109, 52%), and 10 new asthma symptom episodes. The controller medication adherence was 30%, which increased significantly on days with asthma symptoms or boredom. Data were received on 89% (606/681) of study days. Surveys and KIIs suggest acceptability among youth and their caregivers. Challenges reported during the study included lost or damaged phones and available memory.
conclusionsYouth and their caregivers reported the acceptability of using smartphones for real-time asthma monitoring. Overall, the controller medication adherence was low but increased significantly on days with reported asthma symptoms or boredom, suggesting that daily contextual factors may be associated with a change in the adherence behavior.
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Registered trials
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