Assessing adolescent asthma symptoms and adherence using mobile phones
| Autor: | Yun-Xian Ho, Cather Marie Cala, Qingxia Chen, Hui Nian, Kevin B. Johnson, Barron L. Patterson, Shelagh A. Mulvaney |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Adolescent assessment Health Informatics Context (language use) lcsh:Computer applications to medicine. Medical informatics Quality of life medicine Humans Anti-Asthmatic Agents adherence Disease management (health) Child Asthma Chronic care Original Paper business.industry Inhaler lcsh:Public aspects of medicine lcsh:RA1-1270 asthma Response bias medicine.disease mobile technology Mobile phone Physical therapy lcsh:R858-859.7 Patient Compliance Female business Cell Phone |
| Zdroj: | Journal of Medical Internet Research Journal of Medical Internet Research, Vol 15, Iss 7, p e141 (2013) |
| ISSN: | 1438-8871 |
| Popis: | Background: Self-report is the most common method of measuring medication adherence but is influenced by recall error and response bias, and it typically does not provide insight into the causes of poor adherence. Ecological momentary assessment (EMA) of health behaviors using mobile phones offers a promising alternative to assessing adherence and collecting related data that can be clinically useful for adherence problem solving. Objective: To determine the feasibility of using EMA via mobile phones to assess adolescent asthma medication adherence and identify contextual characteristics of adherence decision making. Methods: We utilized a descriptive and correlational study design to explore a mobile method of symptom and adherence assessment using an interactive voice response system. Adolescents aged 12-18 years with a diagnosis of asthma and prescribed inhalers were recruited from an academic medical center. A survey including barriers to mobile phone use, the Illness Management Survey, and the Pediatric Asthma Quality of Life Questionnaire were administered at baseline. Quantitative and qualitative assessment of asthma symptoms and adherence were conducted with daily calls to mobile phones for 1 month. The Asthma Control Test (ACT) was administered at 2 study time points: baseline and 1 month after baseline. Results: The sample consisted of 53 adolescents who were primarily African American (34/53, 64%) and female (31/53, 58%) with incomes US$40K/year or lower (29/53, 55%). The majority of adolescents (37/53, 70%) reported that they carried their phones with them everywhere, but only 47% (25/53) were able to use their mobile phone at school. Adolescents responded to an average of 20.1 (SD 8.1) of the 30 daily calls received (67%). Response frequency declined during the last week of the month ( b =-0.29, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|