Evidence map›Paper›PMID 42793617›Full record

ArticleHealthcare (Basel, Switzerland)2026

Effect of Nursing Intervention Supported by Mobile Health Applications on Asthma Control, Maternal and Neonatal Outcomes Among Pregnant Women with Asthma.

Hanan E Nada, Ishraga Abdelgadir Ibrahim Mohamed, Faten Shawky Kandil, Hanan G El-Bready, Fatma Ahmed Elsobkey, Safaa Gaber Aly Salem, Marwa A Shahin, Enas Mohamed Lotfy

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 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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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Hanan E NadaMaternal & Newborn Health Nursing, Faculty of Nursing, Menoufia University, Shibin Al Kawm 32511, Egypt.ORCID 0009-0008-8192-1384
Ishraga Abdelgadir Ibrahim MohamedCritical Care Nursing, Department of Nursing, College of Applied Medical Sciences, University of Jeddah, Jeddah 21589, Saudi Arabia.
Faten Shawky KandilDepartment of Nursing, College of Applied Medical Sciences, University of Jeddah, Jeddah 21589, Saudi Arabia.ORCID 0000-0002-6471-5772
Hanan G El-BreadyCommunity Health Nursing, Faculty of Nursing, Menoufia University, Shibin Al Kawm 32511, Egypt.
Fatma Ahmed ElsobkeyDepartment of Nursing, College of Applied Medical Sciences, University of Jeddah, Jeddah 21589, Saudi Arabia.ORCID 0000-0001-9881-1191
Safaa Gaber Aly SalemDepartment of Maternity, Obst & Gyn Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.ORCID 0000-0001-5149-6403
Marwa A ShahinNursing Program, Batterjee Medical College, Jeddah 21442, Saudi Arabia.
Enas Mohamed LotfyLeadership and Management Nursing, Public Health Nursing Department, Faculty of Nursing, Northern Border University, Arar 73213, Saudi Arabia.ORCID 0009-0003-1527-2666

Funding

Northern Border University NBU-FFR-2026-3731-02Princess Nourah bint Abdulrahman University PNURSP2026R879
6 · The paper itself

Abstract

backgroundAsthma during pregnancy is associated with adverse maternal and neonatal outcomes. Nursing education, self-management support, and mobile health (mHealth) technologies may support asthma management during pregnancy.

aimThis study evaluated the effect of a structured nursing intervention supported by an mHealth application on asthma control, treatment adherence, and self-monitoring, and maternal and neonatal outcomes among pregnant women with asthma. DESIGN AND

settingA quasi-experimental pretest-posttest design with a control group was conducted at two Maternal and Child Health Centers in Shebin El-Kom, Menoufia Governorate, Egypt.

participantsA convenience sample of 140 pregnant women with physician-diagnosed asthma was recruited and allocated non-randomly according to the center attended to a study group (

interventionThe study group received routine antenatal care plus an eight-week structured nursing intervention consisting of four individualized weekly educational sessions (60-90 min each) addressing asthma management, medication adherence, self-monitoring, trigger avoidance, warning signs, inhaler technique, lifestyle modification, and rhythmic breathing exercises. Participants were trained to use the Airlyn mHealth application for guided breathing exercises, practiced 2-3 times daily, and received telephone/WhatsApp follow-up during weeks 6-8. The control group received routine antenatal care according to usual MCH center procedures. MEASURES: Asthma control was assessed using the Asthma Control Test (ACT). Treatment adherence and self-monitoring were assessed using the Asthma Adherence and Self-Monitoring Questionnaire. Maternal outcomes included hypertensive disorders, gestational diabetes, infections, preterm labor/PPROM, hemorrhage, and mode of delivery. Neonatal outcomes included birth weight, Apgar scores, respiratory distress and respiratory support, NICU admission and length of stay, and condition at discharge. The researcher-developed instruments underwent expert assessment of content validity and assessment of internal consistency before use.

resultsBaseline ACT scores were comparable between the study and control groups (14.5 ± 4.2 vs. 14.1 ± 4.3; mean difference = 0.4;

conclusionsParticipants who received the structured nursing intervention supported by the Airlyn mHealth application were associated with improved asthma control, treatment adherence, and self-monitoring, as well as more favorable maternal and neonatal outcomes, compared with those receiving routine antenatal care. However, the quasi-experimental design, convenience sampling, and non-randomized allocation limit causal interpretation and the generalizability of the findings. Therefore, the findings should be interpreted cautiously. RECOMMENDATIONS: Larger randomized controlled trials with standardized protocols, adequate sample sizes to evaluate maternal and neonatal outcomes, and longer follow-up periods are recommended to confirm these findings and further assess their clinical relevance.

Indexed as

Ailynasthma controlmaternal outcomesmobile healthneonatal outcomesnursing interventionpregnancyself-monitoringtreatment adherence

Identifiers

PMID42793617
PMCPMC13606770

What OpenQuestion holds

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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.