Evidence map›Paper›PMID 37399066›Full record

ArticleJMIR research protocols2023

Remote Patient Monitoring and Teleconsultation to Improve Health Outcomes and Reduce Health Care Utilization of Pediatric Asthma (ALPACA Study): Protocol for a Randomized Controlled Effectiveness Trial.

Mattienne van der Kamp, Vera Hengeveld, Nico Willard, Boony Thio, Pascal de Graaf, Inge Geven, Monique Tabak

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05517096 (ALPACA), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05517096 nawithdrawnnot on this map

ALPACA : the Effect of Online Monitoring and Communication on the Quality and Quantity of Pediatric Asthma Care

TypeinterventionalSponsorPhilips Electronics Nederland B.V. acting through Philips CTO organizationRan2022 to 2024Enrolled0ConditionsAsthma in ChildrenArmsE-Health
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Mattienne van der KampPediatric Department, Medisch Spectrum Twente, Enschede, Netherlands.ORCID https://orcid.org/0000-0003-3053-2342
Vera HengeveldPediatric Department, Medisch Spectrum Twente, Enschede, Netherlands.ORCID https://orcid.org/0000-0001-6691-3548
Nico WillardRemote Patient Management and Chronic Care Department, Philips Research, Eindhoven, Netherlands.ORCID https://orcid.org/0009-0009-4381-6716
Boony ThioPediatric Department, Medisch Spectrum Twente, Enschede, Netherlands.ORCID https://orcid.org/0000-0001-7495-0373
Pascal de GraafRemote Patient Management and Chronic Care Department, Philips Research, Eindhoven, Netherlands.ORCID https://orcid.org/0009-0003-3391-7077
Inge GevenRemote Patient Management and Chronic Care Department, Philips Research, Eindhoven, Netherlands.ORCID https://orcid.org/0009-0009-3271-4634
Monique TabakBiomedical Signals and Systems Department, University of Twente, Enschede, Netherlands.ORCID https://orcid.org/0000-0001-5082-1112
Medisch Spectrum Twente · NLNXP (Netherlands) · NLUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood asthma is imposing a great financial burden on the pediatric health care system. Asthma costs are directly related to the level of asthma control. A substantial part of these costs may be preventable by the timely and adequate assessment of asthma deterioration in daily life and proper asthma management. The use of eHealth technology may assist such timely and targeted medical anticipation.

objectiveThis paper describes the Ambulatory Pediatric Asthma Care (ALPACA) study protocol to investigate the effectiveness of an eHealth intervention consisting of remote patient monitoring and teleconsultation integrated into the daily clinical care of pediatric patients with asthma. This intervention aims to reduce health care utilization and costs and improve health outcomes compared to a control group that receives standard care. In addition, this study aims to improve future eHealth pediatric asthma care by gaining insights from home-monitoring data.

methodsThis study is a prospective randomized controlled effectiveness trial. A total of 40 participants will be randomized to either 3 months of eHealth care (intervention group) or standard care (control group). The eHealth intervention consists of remote patient monitoring (spirometry, pulse oximetry, electronic medication adherence tracking, and asthma control questionnaire) and web-based teleconsultation (video sharing, messages). All participants will have a 3-month follow-up with standard care to evaluate whether the possible effects of eHealth care are longer lasting. During the entire study and follow-up period, all participants will use blinded observational home monitoring (sleep, cough/wheeze sounds, air quality in bedroom) as well.

resultsThis study was approved by the Medical Research Ethics Committees United. Enrollment began in February 2023, and the results of this study are expected to be submitted for publication in July 2024.

conclusionsThis study will contribute to the existing knowledge on the effectiveness of eHealth interventions that combine remote patient monitoring and teleconsultation for health care utilization, costs, and health outcomes. Furthermore, the observational home-monitoring data can contribute to improved identification of early signs of asthma deterioration in pediatric patients. Researchers and technology developers could use this study to guide and improve eHealth development, while health care professionals, health care institutions, and policy makers may employ our results to make informed decisions to steer toward high-quality, efficient pediatric asthma care.

trial registrationClinicalTrials.gov NCT05517096; https://clinicaltrials.gov/ct2/show/NCT05517096. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/45585.

Indexed as

adherenceasthmaasthma carechildrenhealth care costshealth care utilizationhome monitoringnebulizerpediatric careprotocolrandomized controlled trialremote monitoringspirometrytelemedicineutilization

Identifiers

PMID37399066
PMCPMC10365621
OpenAlexW4367592787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.