TY - JOUR
T1 - Impact of Technology-Based Interventions on Patient-Reported Outcomes in Asthma
T2 - A Systematic Review
AU - Doshi, Hiten
AU - Hsia, Brian
AU - Shahani, Jai
AU - Mowrey, Wenzhu
AU - Jariwala, Sunit P.
N1 - Publisher Copyright:
© 2021 American Academy of Allergy, Asthma & Immunology
PY - 2021/6
Y1 - 2021/6
N2 - Background: Technology-based interventions (TBIs) can improve asthma management by facilitating patient education, symptom monitoring, environmental trigger control, comorbid condition management, and medication adherence. Collecting patient-reported outcomes (PROs) can identify effective interventions and ensure patient-centered care, but it is unclear which TBIs have been formally evaluated using PROs. Objectives: We aim to: (1) identify the TBIs that have been evaluated in clinical trials using PROs; (2) identify the most commonly used PROs in these trials; and (3) determine the impact of TBIs on PROs in the management of chronic asthma. Methods: We searched the PubMed and Clinicaltrials.gov databases for studies published in English between January 2000 and February 2020 using the following search criteria: “asthma,” “IT-based interventions,” “information technology,” “technology,” “dyspnea,” “patient reported outcomes,” “PROs,” “telehealth,” “telemedicine,” and “mobile devices.” Two independent reviewers screened the studies and determined study inclusion. Studies were examined for the types of interventions used, the types of PROs collected, and outcomes. Results: The final analysis included 14 clinical trials with either 1, 2, or 3 arms. Five different types of TBIs were identified, most commonly involving multimedia education. Four different categories of PROs were identified, most commonly involving treatment self-efficacy. Positive outcomes in at least 1 PRO domain were reported in 12 of 14 studies. Pooled meta-analysis was not possible due to the heterogeneity of PRO instruments across studies. Conclusion: TBIs improve PROs overall in patients with asthma. Future trials investigating TBIs should include standardized PROs as endpoints to better clarify this relationship.
AB - Background: Technology-based interventions (TBIs) can improve asthma management by facilitating patient education, symptom monitoring, environmental trigger control, comorbid condition management, and medication adherence. Collecting patient-reported outcomes (PROs) can identify effective interventions and ensure patient-centered care, but it is unclear which TBIs have been formally evaluated using PROs. Objectives: We aim to: (1) identify the TBIs that have been evaluated in clinical trials using PROs; (2) identify the most commonly used PROs in these trials; and (3) determine the impact of TBIs on PROs in the management of chronic asthma. Methods: We searched the PubMed and Clinicaltrials.gov databases for studies published in English between January 2000 and February 2020 using the following search criteria: “asthma,” “IT-based interventions,” “information technology,” “technology,” “dyspnea,” “patient reported outcomes,” “PROs,” “telehealth,” “telemedicine,” and “mobile devices.” Two independent reviewers screened the studies and determined study inclusion. Studies were examined for the types of interventions used, the types of PROs collected, and outcomes. Results: The final analysis included 14 clinical trials with either 1, 2, or 3 arms. Five different types of TBIs were identified, most commonly involving multimedia education. Four different categories of PROs were identified, most commonly involving treatment self-efficacy. Positive outcomes in at least 1 PRO domain were reported in 12 of 14 studies. Pooled meta-analysis was not possible due to the heterogeneity of PRO instruments across studies. Conclusion: TBIs improve PROs overall in patients with asthma. Future trials investigating TBIs should include standardized PROs as endpoints to better clarify this relationship.
KW - Asthma
KW - Asthma health care utilization
KW - Asthma knowledge
KW - Asthma quality of life
KW - Patient education
KW - Technology
KW - Underserved populations
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U2 - 10.1016/j.jaip.2021.01.027
DO - 10.1016/j.jaip.2021.01.027
M3 - Article
C2 - 33548519
AN - SCOPUS:85101547771
SN - 2213-2198
VL - 9
SP - 2336
EP - 2341
JO - Journal of Allergy and Clinical Immunology: In Practice
JF - Journal of Allergy and Clinical Immunology: In Practice
IS - 6
ER -