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A digital health application for managing pediatric asthma: Use and benefits

Kandia Lewis1, Cynthia M Zettler-Greeley2, Kathryn V Blake3

  • 1Center for Health Delivery Innovation, Nemours Children's Health, Wilmington, Delaware, USA.

Informatics for Health & Social Care
|September 4, 2023
PubMed

Insights

Mobile health apps can help manage childhood asthma. Caregiver use of the Nemours app

Area of Science:

  • Pediatric Pulmonology
  • Digital Health
  • Health Informatics

Background:

  • Childhood asthma is a prevalent chronic respiratory condition.
  • Mobile health (mHealth) technologies offer potential for improved pediatric asthma management.
  • The Nemours app is an mHealth tool designed for asthma care.

Purpose of the Study:

  • To evaluate the Nemours app's utilization by healthcare providers and caregivers of children with asthma.
  • To determine if app utilization correlates with health benefits, including improved asthma control and reduced healthcare use.
  • To assess the impact of app features on patient-family health literacy.

Main Methods:

  • Retrospective and prospective study design.
  • Involved 9 pediatric asthma providers and 80 families (caregiver/child dyads).
  • Collected data on app usage, asthma control, healthcare utilization, and health literacy over 2 years retrospectively and 6 months prospectively.

Main Results:

  • 56% of providers accessed app data; 61% of caregivers utilized the app.
  • Caregiver use of the app's messaging feature was associated with significant improvements in health literacy scores (b=0.44, p=0.041).
  • No significant associations were found between app utilization and changes in asthma control or urgent healthcare utilization.

Conclusions:

  • The Nemours app shows potential for educational benefits, particularly through its messaging feature, enhancing caregiver health literacy.
  • Strategies to boost app engagement and consistent utilization are recommended to maximize potential benefits in pediatric asthma management.
  • Further research is needed to fully elucidate the impact of mHealth tools on clinical outcomes in childhood asthma.

Keywords:
Mobile health (mHealth)app useasthma managementpediatric asthma

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