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Smartphone-based vs paper-based asthma action plans for adolescents.
Tamara T Perry1, Alexandra Marshall2, Ariel Berlinski3
1Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Arkansas Children's Hospital Research Institute, Little Rock, Arkansas.
Summary
Adolescents with asthma found smartphone asthma action plans (AAPs) easy to use. Those with uncontrolled asthma showed improved control with digital AAPs, suggesting potential benefits for high-risk youth.
Area of Science:
- Pediatric Pulmonology
- Digital Health Interventions
- Asthma Management
Background:
- Adolescents with asthma face challenges in management and are difficult to engage.
- Asthma Action Plans (AAPs) are crucial for managing asthma but adherence can be an issue.
Purpose of the Study:
- To compare the use and effectiveness of smartphone-based versus paper-based Asthma Action Plans (AAPs) in adolescents.
- To assess the impact of digital vs. traditional AAPs on asthma control and self-efficacy.
Main Methods:
- A 6-month randomized clinical trial involving adolescents (12-17 years) with persistent asthma.
- Participants used either smartphone or paper AAPs for medication guidance and symptom/peak flow logging.
- Asthma Control Test (ACT) and self-efficacy scores were measured; AAP usage was tracked electronically or via diaries.
Main Results:
- No significant differences in overall ACT or self-efficacy scores between smartphone and paper AAP groups.
- Adolescents with uncontrolled asthma (baseline ACT ≤19) showed improved ACT scores with smartphone AAPs (P=.04).
- High satisfaction reported for smartphone AAP users (100% recommendation rate).
Conclusions:
- Smartphone AAPs are well-received and frequently accessed by adolescents.
- A subset of adolescents with uncontrolled asthma may benefit from digital AAP interventions.
- Larger studies are needed to confirm the effectiveness of smartphone-based AAPs in high-risk asthma populations.
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