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Use of web and mobile device technologies in the management of childhood asthma: a systematic review and
Maria Gabriella Adeodato Prado1, Francisco Placido Nogueira Arcanjo1, Luiz Odorico Monteiro de Andrade2
1Universidade Federal do Ceará, Programa de Pós-Graduação em Ciências da Saúde, Sobral, CE, Brazil.
Insights
Digital tools like mobile apps and web platforms significantly improve asthma control in children. These technologies enhance treatment adherence and caregiver quality of life, leading to better Asthma Control Test scores.
Area of Science:
- Pediatric Pulmonology
- Digital Health Interventions
- Asthma Management
Background:
- Childhood asthma requires effective management strategies.
- Traditional methods may have limitations in consistent control and adherence.
- Technological advancements offer new avenues for supporting pediatric asthma care.
Purpose of the Study:
- To evaluate the impact of web-based and mobile device support tools on asthma control in children.
- To synthesize evidence on the effectiveness of digital health technologies in pediatric asthma management.
Main Methods:
- Systematic review adhering to PRISMA and JBI guidelines.
- PICO strategy: "What are the effects of web-based and mobile device support tools on asthma control in children?"
- Searched Medline, SciELO, and Embase databases (Oct-Dec 2023).
Main Results:
- Analyzed 388 articles, selecting 4 studies for review.
- Mobile apps and electronic monitoring showed improvements in asthma control and treatment adherence.
- Meta-analysis revealed a significant mean increase in Asthma Control Test (ACT) scores of 2.73 (P < 0.0001).
Conclusions:
- Digital tools, including web and mobile technologies, significantly enhance childhood asthma management.
- Increased Asthma Control Test (ACT) scores indicate improved asthma control.
- Findings are promising for guiding clinical practice, though further research is recommended.
Objective:
The objective of this review is to assess the use of support tools for children with asthma, based on web and mobile device technologies, and their impact on asthma control.
Method:
This is a systematic review conducted in accordance with the PRISMA guidelines and the Joanna Briggs Institute (JBI) Manual. The research question defined by the PICO strategy was: ''What are the effects of web-based and mobile device support tools on asthma control in children?'' The search was conducted in the Medline (via PubMed), SciELO, and Embase databases between October and December 2023, with completion in July 2024.
Results:
The systematic review analyzed 388 articles and selected 4 studies on technologies for managing asthma in children. The studies showed that mobile apps and electronic monitoring improve asthma control, treatment adherence, and caregivers' quality of life. The meta-analysis showed a mean increase in Asthma Control Test (ACT) scores of 2.73 (95 % CI: 1.95, 3.51) with P < 0.0001, indicating a significant improvement in asthma control scores, highlighting the effectiveness of these technologies.
Conclusions:
This study demonstrates that digital tools, such as web technologies and mobile devices, can significantly improve the management of childhood asthma, as reflected by an increase in Asthma Control Test (ACT) scores. Despite limitations, the findings are promising. Future research is needed to strengthen the evidence and guide clinical practice in pediatric asthma management.
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