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Updated: Jul 28, 2025

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Digital Action Plan (Web App) for Managing Asthma Exacerbations: Randomized Controlled Trial.

Nicole Beydon1, Camille Taillé2, Harriet Corvol3

  • 1Unité Fonctionnelle de Physiologie-Explorations Fonctionnelles Respiratoires, Institut National de la Santé et de la Recherche Médicale 938, Centre de Recherche Saint Antoine, Hôpital Armand Trousseau, Assistance Publique Hôpitaux de Paris, F-75012, Paris, France.

Journal of Medical Internet Research
|May 31, 2023
PubMed
Summary
This summary is machine-generated.

A digital action plan (DAP) combined with a written action plan (WAP) did not reduce unscheduled medical contacts for asthma compared to a WAP alone. Patients used the WAP more frequently than the DAP.

Keywords:
action planasthma exacerbationmobile phoneweb application

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Area of Science:

  • Respiratory Medicine
  • Digital Health
  • Clinical Trials

Background:

  • Written action plans (WAPs) are recommended for managing asthma exacerbations.
  • The study investigated the efficacy of a digital action plan (DAP) integrated with a WAP.

Purpose of the Study:

  • To compare the impact of a DAP (via smartphone app) plus WAP versus WAP alone on unscheduled medical contacts (UMCs).
  • To assess the usage patterns and subjective usefulness of both digital and written asthma action plans.

Main Methods:

  • A randomized, multicenter trial involving children and adults with a history of severe asthma exacerbations.
  • Participants were assigned to either a WAP group or a DAP+WAP group.
  • Data on exacerbations, UMCs, and plan usage were collected over 12 months via interviews.

Main Results:

  • No significant difference in UMCs between the DAP+WAP group (0.37/year) and the WAP group (0.31/year).
  • Participants were more likely to use the WAP (51%) compared to the DAP (24%) when experiencing exacerbations.
  • Subjective evaluations of usefulness and availability did not significantly differ between the plans.

Conclusions:

  • The digital action plan (DAP) was underutilized compared to the written action plan (WAP).
  • The addition of a DAP did not reduce unscheduled medical contacts for asthma management.