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School-Based Telemedicine Interventions for Asthma: A Systematic Review
Christopher H Kim1, Monica K Lieng1, Tina L Rylee2
1Department of Pediatrics, University of California Davis Health (CH Kim, MK Lieng, and JP Marcin), Sacramento, Calif.
Academic Pediatrics
|May 25, 2020
Summary
School-based telemedicine may improve asthma outcomes for children, increasing symptom-free days and quality of life. However, limited high-quality evidence and varied study designs hinder definitive conclusions on its effectiveness.
Area of Science:
- Pediatric Health
- Health Services Research
- Digital Health
Background:
- School health systems increasingly use telemedicine for acute and chronic conditions.
- Asthma is a leading chronic childhood illness contributing to school absenteeism.
Purpose of the Study:
- To systematically review the impact of school-based telemedicine on asthma-related outcomes in pediatric patients.
Main Methods:
- A systematic review of original research, including quasi-experimental studies, was conducted.
- Databases searched included PubMed, Cochrane CENTRAL, CINAHL, ERIC, PsycINFO, Embase, and Google Scholar.
- Two authors independently screened abstracts, reviewed full texts, assessed quality, and extracted data.
Main Results:
- Seven studies involving school-aged pediatric patients with asthma were included.
- Four studies showed increased symptom-free days or decreased symptom frequency.
- Improvements were noted in quality of life, healthcare utilization, school absences, and spirometry in some studies.
Conclusions:
- Evidence suggests school-based telemedicine may benefit pediatric asthma management.
- Limited high-quality evidence and heterogeneity in study designs restrict definitive conclusions.
- Further rigorous research, particularly randomized controlled trials, is needed to clarify telemedicine's role.
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