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Developing and evaluating ASTHMAXcel adventures: A novel gamified mobile application for pediatric patients with
Brian C Hsia1, Anjani K Singh1, Obumneme Njeze1
1Division of Allergy and Immunology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Summary
ASTHMAXcel Adventures, a gamified mobile app, improved pediatric asthma control and knowledge. The intervention significantly reduced emergency department visits and prednisone use, demonstrating high patient satisfaction.
Area of Science:
- Pediatric pulmonology
- Digital health interventions
- Asthma management
Background:
- The ASTHMAXcel mobile application has shown positive outcomes in adult asthma patients.
- Pediatric asthma management can benefit from technology-driven solutions.
Purpose of the Study:
- To evaluate the impact of ASTHMAXcel Adventures, a gamified, guideline-based mobile intervention for pediatric asthma.
- Assess effects on asthma control, patient knowledge, healthcare utilization, and satisfaction.
Main Methods:
- 39 pediatric asthma patients received the ASTHMAXcel Adventures intervention.
- Assessments included asthma control tests, knowledge scales, impact surveys, and satisfaction questionnaires at baseline, 4, and 6 months.
- Asthma-related emergency department visits and oral prednisone use were recorded.
Main Results:
- Asthma control improved significantly from 30.8% to over 50% post-intervention (P < .05).
- Patient knowledge and quality of life scores showed sustained improvement.
- Emergency department visits decreased by over 70%, and prednisone use reduced significantly (P < .05).
Conclusions:
- ASTHMAXcel Adventures effectively enhances pediatric asthma control and patient knowledge.
- The intervention leads to a significant reduction in healthcare utilization, including emergency visits and medication use.
- High patient satisfaction indicates the intervention's feasibility and acceptance.
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