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Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
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An mHealth App and System Architecture for Respiratory Disease Management: Design Principles, Tool Development, and

Andrew Chao1,2, Lisa Martignetti1, René Groh3

  • 1School of Communication Sciences and Disorders, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.

JMIR Formative Research
|October 29, 2025
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Summary

The AIrway mobile health app was developed to monitor respiratory symptoms using wearable technology. It met most development standards, showing promise for patient use.

Keywords:
COPDasthmachronic obstructive pulmonary diseasedevelopment guidelines and standardsmobile health appsusability assessmentwearable devices

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Area of Science:

  • * Mobile health (mHealth) application development
  • * Wearable technology integration for health monitoring
  • * Respiratory disease management technologies

Background:

  • * Many mHealth apps for respiratory diseases lack transparency, impacting user trust.
  • * Development standards and privacy regulations are crucial for mHealth app quality.
  • * Need for reliable mHealth solutions for symptom monitoring.

Purpose of the Study:

  • * To develop and evaluate AIrway, an mHealth app for airway symptom monitoring.
  • * To ensure the app adheres to established mHealth development and reporting standards.
  • * To create a companion app for an in-house wearable device.

Main Methods:

  • * AIrway developed as a native Android app following material design and privacy laws.
  • * Core features: environmental monitoring, clinical diary, Bluetooth connectivity, data storage.
  • * Usability evaluated using the Mobile Application Rating Scale and IQVIA questionnaire.

Main Results:

  • * AIrway met 7 of 8 development criteria (usability, privacy, security, etc.).
  • * Content and interface comprehension confirmed at a 9-10th grade reading level.
  • * Reliable Bluetooth data transmission and comparable user evaluation scores achieved.

Conclusions:

  • * AIrway successfully integrated wearable devices by meeting accessibility and communication standards.
  • * Future work includes cross-platform expansion and patient-focused usability testing.
  • * The app demonstrates potential for clinical effectiveness in respiratory symptom management.