ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2020
Developing and evaluating ASTHMAXcel adventures: A novel gamified mobile application for pediatric patients with asthma.
Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07224061 (Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination in Clinics and Schools), which is not on this map. Cited by 20 papers, 4 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.
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination in Clinics and Schools (PRAGMATIC-S)
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Mapping the research landscape of mHealth and technology in pediatric chronic illness: a bibliometric study.Frontiers in digital health · 2025Pooled it
- Mobile health applications designed for self-management of chronic pulmonary diseases in children and adolescents: a systematic mapping review.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023Pooled it
- Facilitators and Barriers to the Adoption of Telemedicine During the First Year of COVID-19: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Use of web and mobile device technologies in the management of childhood asthma: a systematic review and meta-analysis.Jornal de pediatriaPooled it
- Peak Flow Feedback Intervention Improves Underperception of Airflow Limitation in Pediatric Asthma: A Randomized Clinical Trial.Annals of the American Thoracic Society · 2025Trial
- Evidence-based clinical recommendations on the use of telemedicine for the management of children, adolescents and young adults with moderate-severe asthma.Italian journal of pediatrics · 2026Review
- From Promise to Practice: Harmonizing Telemedicine in Pediatric Chronic Respiratory Diseases.Journal of clinical medicine · 2026Review
- Gamification-Based Interventions for Treatment Adherence and Self-Management in Pediatric Chronic Diseases: A Scoping Review with Implications for Thalassemia.Journal of multidisciplinary healthcare · 2026Review
- ASTHMAXcelED: A Patient-Facing Asthma Mobile Application with High User Acceptance and Improved Clinical Outcomes.ACI open · 2026Article
- Evaluating Cost Savings Associated with a Patient-Facing Asthma Mobile Health Intervention.Applied clinical informatics · 2025Article
- Multidisciplinary Telemedicine in Healthcare During and After the COVID-19 Pandemic: A Narrative Review.Life (Basel, Switzerland) · 2025Review
- A Mixed-Methods Evaluation of a Novel, Augmented Reality Educational App for Asthma.Journal of medical extended reality · 2025Review
- Mobile asthma apps for emerging adults transitioning to college: A scoping review.Health care transitions · 2025Article
- Developing and Evaluating the DiabetesXcel Mobile Application for Adult Patients With Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2024Article
- Why the role of mHealth in allergy diagnosis and treatment adherence cannot be overlooked.Clinical and translational allergy · 2023Review
- The Relationship Between Depressive Symptoms, eHealth Literacy, and Asthma Outcomes in the Context of a Mobile Health Intervention.Psychosomatic medicine · 2023Article
- The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis.JMIR pediatrics and parenting · 2023Article
- A scoping review of mHealth monitoring of pediatric bronchial asthma before and during COVID-19 pandemic.Paediatric respiratory reviews · 2022Article
- Ethical Implications of e-Health Applications in Early Preventive Healthcare.Frontiers in genetics · 2022Article
- Chronic urticaria patients are interested in apps to monitor their disease activity and control: A UCARE CURICT analysis.Clinical and translational allergy · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe ASTHMAXcel mobile application has been linked to favorable outcomes among adult patients with asthma.
objectiveTo assess the impact of ASTHMAXcel Adventures, a gamified, guideline-based, pediatric version on asthma control, knowledge, health care utilization, and patient satisfaction.
methodsPediatric patients with asthma received the ASTHMAXcel Adventures mobile intervention on-site only at baseline (visit 1), 4 months (visit 2), and 6 months (visit 3). The asthma control test, asthma illness representation scale-self-administered, pediatric asthma impact survey, and Client Satisfaction Questionnaire-8 were used to assess asthma control, knowledge, and patient satisfaction. Patients reported the number of asthma-related emergency department (ED) visits, hospitalizations, and oral prednisone use.
resultsA total of 39 patients completed the study. The proportion of controlled asthma increased from visit 1 to visits 2 and 3 (30.8% vs 53.9%, P = .04; 30.8% vs 59.0%, P = .02), and largely seen in boys. The mean asthma illness representation scale-self-administered scores increased from baseline pre- to postintervention, with sustained improvements at visits 2 and 3 (3.55 vs 3.76, P < .001; 3.55 vs 3.80, P = .001; 3.55 vs 3.99, P < .001). The pediatric asthma impact survey scores improved from baseline to visits 2 and 3 (43.33 vs 34.08, P < .001; 43.33 vs 31.74, P < .001). ED visits and prednisone use significantly decreased from baseline to visits 2 and 3 (ED: 0.46 vs 0.13, P = .03; 0.46 vs 0.02, P = .02; prednisone use, 0.49 vs 0.13, P = .02; 0.49 vs 0.03, P = .003. Satisfaction was high with mean client satisfaction questionnaire score of approximately 30 (out of 32) at all visits.
conclusionASTHMAXcel Adventures improved asthma control, knowledge, and quality of life, and reduced ED visits and prednisone use with high satisfaction scores.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.