SynthesisFrontiers in public health2026
Digital, remotely delivered management interventions for adult asthma: a systematic review and meta-analysis.
Synthesis in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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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.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Remote, digitally delivered asthma management is increasingly used in routine care, but its long-term impact on core clinical outcomes in adults remains uncertain. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials evaluating interactive remote digital management (smartphone applications or web-based platforms) vs. usual care in adults with physician-diagnosed asthma and ≥6 months follow-up. Primary outcome was Mini Asthma Quality of Life Questionnaire (mini-AQLQ) at 6 and 12 months. Secondary outcomes included Asthma Control Questionnaire (ACQ) at 12 months, FEV Results: Ten trials were included. Remote digital interventions improved mini-AQLQ at 6 months (MD 0.47, 95% CI 0.02 to 0.92) and 12 months (MD 0.35, 95% CI: 0.21 to 0.49) and ACQ at 12 months (MD -0.37, 95% CI: -0.62 to 0.13). FEV Conclusions: Interactive remote digital management statistically significant but modest improvements in quality of life and symptom control, which did not reach the established MCID of 0.5. These findings support structured, clinician-supported digital interventions as a useful, though limited, adjunct to standard pharmacologic management for adult asthma. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251133851, identifier: CRD420251133851.
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