Evidence map›Paper›PMID 40272455›Full record

ArticleJMIR formative research2025

Mobile Health App for Adolescent Asthma Self-Management: Development and Usability Study of the Pulmonary Education and Knowledge Mobile Asthma Action Plan.

Xing He, Jiang Bian, Ariel Berlinski, Yi Guo, A Larry Simmons, S Alexandra Marshall, Carolyn J Greene, Rita Hudson Brown, Jessica Turner, Tamara T Perry

Abstract read
In one paragraph

Article in JMIR formative research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Xing HeDepartment of Biostatistics and Health Data Science, Indiana University, Indianapolis, IN, United States.ORCID 0000-0003-0290-8058
Jiang BianDepartment of Biostatistics and Health Data Science, Indiana University, Indianapolis, IN, United States.ORCID 0000-0002-2238-5429
Ariel BerlinskiDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.ORCID 0000-0002-4010-3659
Yi GuoDepartment of Health Outcomes & Biomedical Informatics, University of Florida, Gainesville, FL, United States.ORCID 0000-0003-0587-4105
A Larry SimmonsDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.ORCID 0009-0002-9305-750X
S Alexandra MarshallDepartment of Health Behavior & Health Education, University of Arkansas for Medical Sciences, Little Rock, AR, United States.ORCID 0000-0003-4367-7866
Carolyn J GreeneUnited States Department of Veterans Affairs, Mann-Grandstaff VA Medical Center, Spokane, WA, United States.ORCID 0000-0002-1603-952X
Rita Hudson BrownDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.ORCID 0009-0001-8194-6265
Jessica TurnerArkansas Children's Research Institute, 13 Children's Way, Little Rock, AR, 72202, United States, 1 5014751183.ORCID 0009-0002-6736-1399
Tamara T PerryDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.ORCID 0000-0003-1319-3465

Funding

Implementing a Guidelines-Based M-Health Intervention for High Risk Asthma PatientsR01NR015988 · NINR · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI PERRY, TAMARA TAYLOR · 2018 to 2023
$3.1M
NINR NIH HHS R01 NR015988
6 · The paper itself

Abstract

Background: Adolescents with asthma are vulnerable to poor asthma outcomes due to inadequate self-management skills and nonadherence to medications. Mobile health (mHealth) apps have shown promise in improving asthma control, medication adherence, and self-efficacy. However, existing mHealth asthma apps lack personalization and real-time feedback and are not tailored for at-risk adolescents. Objective: This study aimed to design, develop, and test a smartphone-based mHealth Asthma Action Plan for adolescents, called Pulmonary Education and Knowledge Mobile Asthma Action Plan (PEAK-mAAP), in preparation for a large-scale randomized controlled trial. Methods: We employed user-centered design principles to develop our app, leveraging our previous work and following guidelines from the National Heart, Lung, and Blood Institute. The app consists of a patient-facing mobile app and a provider-facing portal. A convenience sample of 13 adolescents (aged 12-20 years) was recruited from the Arkansas Children's Research Institute database or direct health care provider referrals. Participants underwent a task-based usability assessment followed by the System Usability Scale assessment to measure user satisfaction, interface effectiveness, and overall system usability. Results: PEAK-mAAP integrates 7 core modules supporting personalized asthma self-management, symptom monitoring, medication tracking, and real-time feedback. The mean System Usability Scale score was 83/100 (SD 5.54), indicating high user satisfaction and system usability. Notably, older adolescents (>17 years) reported higher usability scores (87.5) than younger users (77.5), suggesting potential age-related differences in app navigation and engagement. Conclusions: The results demonstrate that PEAK-mAAP is a feasible and user-friendly mHealth intervention for adolescent asthma self-management. While the high usability score reflects a positive user experience, some participants encountered initial usability challenges, highlighting the need for minor refinements and user training materials. The integration of personalized self-management tools and real-time feedback distinguishes PEAK-mAAP from existing asthma apps, addressing key barriers to adherence and engagement. Moving forward, an ongoing randomized controlled trial will assess its clinical effectiveness, long-term engagement, and impact on asthma outcomes, providing further insights into its potential as a scalable solution for adolescent asthma care.

Indexed as

AsthmaMobile ApplicationsPatient Education as TopicSelf-ManagementAdolescentChildFemaleHumansMaleTelemedicineYoung Adultadolescentsasthma self-managementmobile healthmobile phoneusabilityuser-centered design

Identifiers

PMID40272455
PMCPMC12045068

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.