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Digital asthma self-management interventions: a systematic review.

Deborah Morrison1, Sally Wyke, Karolina Agur

  • 1General Practice & Primary Care, Institute of Health & Wellbeing, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, United Kingdom.

Journal of Medical Internet Research
|February 20, 2014
PubMed
Summary

Digital self-management tools show promise for improving asthma control, enhancing self-care, and quality of life. However, more research is needed on their effectiveness across diverse populations and specific intervention components.

Keywords:
InternetasthmaeHealthpatient educationself-managementsystematic review

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Area of Science:

  • Digital Health
  • Asthma Management
  • Self-Management Support

Background:

  • Many individuals with asthma underutilize proven therapies, leading to unnecessary symptom burden and lifestyle limitations.
  • Digital technologies, including the internet, offer promising avenues for delivering enhanced self-management support to asthma patients.
  • Effective asthma self-management is crucial for improving patient outcomes and reducing healthcare utilization.

Purpose of the Study:

  • To systematically review the effectiveness and implementation of digital self-management support for asthma in adults and children.
  • To identify features that facilitate or impede the use of digital asthma self-management programs.
  • To synthesize evidence from existing systematic reviews on digital interventions for asthma self-management.

Main Methods:

  • A comprehensive search strategy was employed across 14 databases, combining terms for online technology, asthma, and self-management.
  • Systematic reviews of qualitative and quantitative studies on online or computerized asthma self-management interventions were included.
  • Two researchers independently screened titles, abstracts, and full papers, and appraised the quality of included systematic reviews.

Main Results:

  • Twenty-nine systematic reviews were included, with only 10 meeting quality standards, describing 19 clinical trials.
  • Digital interventions demonstrated improvements in self-care markers, quality of life, and medication adherence, with no evidence of harm.
  • Effects on asthma symptoms, lung function, and healthcare use were equivocal, and interventions were poorly described, hindering identification of key components.

Conclusions:

  • Digital self-management interventions for asthma show potential benefits for certain outcomes but require further investigation.
  • There is a lack of evidence regarding the utility of these interventions in individuals over 65 and their reach across socioeconomic strata.
  • Improved reporting of digital interventions, including barriers, facilitators, and economic analyses, is essential for future research and implementation.