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Mobile Technology Interventions for Asthma Self-Management: Systematic Review and Meta-Analysis
Lisa Miller1, Benjamin Schüz1, Julia Walters2
1School of Medicine, Psychology, University of Tasmania, Hobart, Australia.
JMIR Mhealth and Uhealth
|May 4, 2017
Summary
Mobile technology interventions (MTI) effectively improve asthma self-management and adherence. However, MTI show no additional benefits over paper-based monitoring, indicating a need for further research.
Area of Science:
- Digital health interventions
- Asthma management
- Behavioral science
Background:
- Mobile technology interventions (MTI) are increasingly used for chronic health behavior management.
- MTI can support medication adherence, symptom monitoring, and action plan activation in asthma patients.
- Poor adherence in asthma is linked to adverse clinical outcomes.
Purpose of the Study:
- To systematically review and meta-analyze the efficacy of MTI on clinical outcomes and adherence in asthma.
- To explore the moderating role of behavior change techniques (BCT) and engagement in MTI efficacy.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials up to June 2016.
- Random effects models assessed MTI effects on adherence and clinical outcomes.
- Mixed effects models examined BCT and engagement as moderators.
Main Results:
- MTI demonstrated moderate to large effect sizes on medication adherence and clinical outcomes compared to standard care.
- MTI provided no additional benefits over paper-based monitoring for adherence or clinical outcomes.
- Exploratory analyses did not find significant moderator effects due to small study numbers.
Conclusions:
- MTI are effective for asthma self-management, comparable to paper-based monitoring.
- Further robust studies are needed to investigate the impact of BCT and engagement on MTI efficacy in asthma.
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