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Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs01:25

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Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
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Asthma-I: Introduction01:29

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Asthma: Pathogenesis and Management01:20

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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Technology-Based Interventions for Asthma-Can They Help Decrease Health Disparities?

Alan P Baptist1, Nishat Islam2, Christine L M Joseph2

  • 1Division of Allergy and Clinical Immunology, University of Michigan, Ann Arbor, Mich.

The Journal of Allergy and Clinical Immunology. in Practice
|June 12, 2016
PubMed
Summary
This summary is machine-generated.

Technology-based interventions show promise for improving asthma management in minority populations, enhancing knowledge and adherence. However, they did not significantly reduce emergency visits or hospitalizations.

Keywords:
AsthmaCellular phonesComputersHealth disparitiesInner-cityTechnologyText messages

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Area of Science:

  • Health disparities
  • Digital health interventions
  • Asthma management

Background:

  • Asthma disproportionately affects minority populations, leading to health outcome inequalities.
  • Technological interventions are increasingly used for asthma care, including behavioral modification and monitoring.
  • The effectiveness of these interventions for Black and inner-city populations remains unclear.

Purpose of the Study:

  • To review randomized controlled trials of technological interventions for asthma care in minority populations from 2000 to 2015.
  • To assess the impact of these interventions on asthma knowledge, adherence, symptoms, quality of life, and healthcare utilization.
  • To identify potentially superior intervention modalities.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) published between 2000 and 2015.
  • Inclusion criteria focused on technological interventions in minority populations with asthma.
  • Data extraction included intervention type, theoretical basis, staffing needs, user satisfaction, and health outcomes.

Main Results:

  • 16 RCTs met inclusion criteria, primarily involving pediatric populations.
  • Interventions included MP3 players, text messaging, web-based systems, video games, and interactive voice response.
  • Positive user satisfaction and improvements in asthma knowledge, medication adherence, symptoms, and quality of life were observed.
  • Healthcare utilization (emergency department visits, hospitalizations) generally did not improve.
  • Computer-based interventions showed the most positive results.

Conclusions:

  • Technology-based asthma interventions are well-received by minority and urban/low-income individuals.
  • These interventions can improve various asthma outcomes, excluding healthcare utilization.
  • Further large-scale studies are necessary to determine if these interventions can effectively reduce health disparities in asthma.