Mobile phone-based asthma self-management aid for adolescents (mASMAA): a feasibility study
Open Access
- 1 January 2014
- journal article
- Published by Informa UK Limited in Patient Preference and Adherence
- Vol. 8, 63-72
- https://doi.org/10.2147/PPA.S53504
Abstract
Purpose: Adolescents report high asthma-related morbidity that can be prevented by adequate self-management of the disease. Therefore, there is a need for a developmentally appropriate strategy to promote effective asthma self-management. Mobile phone-based technology is portable, commonly accessible, and well received by adolescents. The purpose of this study was to develop and evaluate the feasibility and acceptability of a comprehensive mobile phone-based asthma self-management aid for adolescents (mASMAA) that was designed to facilitate symptom monitoring, treatment adherence, and adolescent–parent partnership. The system used state-of-the-art natural language-understanding technology that allowed teens to use unconstrained English in their texts, and to self-initiate interactions with the system. Materials and methods: mASMAA was developed based on an existing natural dialogue system that supports broad coverage of everyday natural conversation in English. Fifteen adolescent–parent dyads participated in a 2-week trial that involved adolescents' daily scheduled and unscheduled interactions with mASMAA and parents responding to daily reports on adolescents' asthma condition automatically generated by mASMAA. Subsequently, four focus groups were conducted to systematically obtain user feedback on the system. Frequency data on the daily usage of mASMAA over the 2-week period were tabulated, and content analysis was conducted for focus group interview data. Results: Response rates for daily text messages were 81%–97% in adolescents. The average number of self-initiated messages to mASMAA was 19 per adolescent. Symptoms were the most common topic of teen-initiated messages. Participants concurred that use of mASMAA improved awareness of symptoms and triggers, promoted treatment adherence and sense of control, and facilitated adolescent–parent partnerships. Conclusion: This study demonstrates the utility and user acceptability of mASMAA as a potential asthma self-management tool in a selective group of adolescents. Further research is needed to replicate the findings in a large group of adolescents from sociodemographically diverse backgrounds to validate the findings.Keywords
This publication has 41 references indexed in Scilit:
- Asthma prevalence, health care use, and mortality: United States, 2005-2009.2011
- Healthcare via Cell Phones: A Systematic ReviewTelemedicine and e-Health, 2009
- At What Age Do Children Start Taking Daily Asthma Medicines on Their Own?Published by American Academy of Pediatrics (AAP) ,2008
- Youth risk behavior surveillance--selected steps communities, 2005.2007
- Chester: Towards a personal medication advisorJournal of Biomedical Informatics, 2006
- Asthma in Middle Schools: What Students Have to Say About Their AsthmaJournal of School Health, 2006
- The Influence of Variation in Type and Pattern of Symptoms on Assessment in Pediatric AsthmaPediatrics, 2006
- Summary health statistics for U.S. children: National Health Interview Survey, 2002.2004
- Compliance of adolescents with asthmaNursing & Health Sciences, 1999
- Medication management issues for adolescents with asthmaAmerican Journal of Health-System Pharmacy, 1995