Exploring the feasibility, acceptability, usability and safety of a digitally supported self-management intervention for uncontrolled asthma: A pre-post pilot study in secondary care

Autor: Anne Zijp, Anke Versluis, Laura Joosse, Taco Kind, Tess MJ Rouveroy van Nieuwaal, Chantal Wassink-Bergman, Ilonka HPAA van Veen, Els JM Weersink, Niels H Chavannes, Jiska J Aardoom
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Digital Health, Vol 10 (2024)
Druh dokumentu: article
ISSN: 2055-2076
20552076
DOI: 10.1177/20552076241292391
Popis: Introduction Asthma control is often suboptimal, which is associated with incorrect medication use and poor asthma management by patients. Astmakompas, a digital self-management intervention, comprises a mobile app for patients, a web portal for healthcare professionals (HCP), and a wireless spirometer. Together, these components are intended to facilitate symptom monitoring, patient-HCP communication and assist in asthma-related self-management. Objective The pilot study primarily aims to assess the feasibility, acceptability, usability and safety of Astmakompas from patient and HCP perspectives, and secondarily to explore potential effects on asthma control, medication use, Quality of Life, self-efficacy and (in)direct costs. Methods A mixed-method, multi-center, pre-post study design was conducted in two Dutch hospitals, involving patients with uncontrolled asthma and four HCPs. Primary outcomes were assessed post-intervention using questionnaires and in-depth interviews. Secondary outcomes were assessed at baseline and post-intervention using questionnaires, and post-intervention using in-depth interviews. Results In general, the data show that Astmakompas was considered feasible, acceptable, usable and safe by both patients ( n = 14) and HCPs ( n = 4). Furthermore, qualitative data of 11 patients and all HCPs showed the importance of guidance from HCPs and tailoring of Astmakompas to care needs. Astmakompas helped patients recognise symptoms and provided valuable insights into asthma control while being easy to use. Asthma control improved from baseline ( M = 2.1, SD = 1.3) to post-intervention ( M = 1.3, SD = 1.0, t (13) = 2.61; p = .02). Conclusion Astmakompas shows promise for further implementation and research. Future randomized studies with longer evaluation periods are crucial to assess the tool's impact on asthma outcomes and workload. It is important that HCPs guide and tailor interventions to meet the patient's individual needs and circumstances.
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