SynthesisPediatric pulmonology2025
Systematic Review of Electronic Monitoring to Increase Medication Adherence in Children With Asthma.
Synthesis in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
introductionWhile asthma can be well-controlled with the use of inhaled corticosteroids (ICS), most children do not adhere to treatment, leading to exacerbations, emergency department (ED) visits, hospitalizations, and deaths. Electronic monitoring devices (EMDs) have been shown to increase ICS adherence and improve asthma outcomes, but have not been well-studied in young people. The aim of this systematic review is to determine the feasibility and efficacy of EMDs in children with asthma.
methodsThis review was conducted according to PRISMA guidelines. PubMed and CINAHL were searched using keywords such as asthma, wearable electronic devices, and medication adherence. Search results were screened and appraised using Covidence software. Articles were included if they were in English, peer-reviewed, published since 2000, used EMDs for inhaled corticosteroid (ICS) treatment adherence, and included participants with asthma under age 21.
resultsFourteen studies met inclusion criteria, with durations ranging from 2 to 12 months. Recruitment rates varied from 28% to 100%, and retention rates ranged from 51% to 100%. Participants found EMDs acceptable in four of six and feasible in five of six studies, highlighting ease of use and perceived benefits. Six of the 12 studies measuring ICS adherence reported improvements using EMDs with feedback compared to monitoring alone. Seven out of nine studies found improvements in asthma control, and four out of seven found reduced ED visits and hospitalizations. These findings highlight the overall efficacy of EMDs.
conclusionEMDs can improve ICS adherence in children with asthma, especially with sustained feedback. However, inconsistent results highlight the need for comprehensive approaches addressing behavioral and systemic factors.
Indexed as
Identifiers
What OpenQuestion holds
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.