Ambulatory management of childhood asthma using a novel self-management application

Flory L. Nkoy, Bernhard A. Fassl, Victoria L. Wilkins, Joseph Johnson, Eun Hea Unsicker, Karmella J. Koopmeiners, Andrea Jensen, Michelle Frazier, Jordan Gaddis, Lis Malmgren, Stacey Williams, Heather Oldroyd, Tom Greene, Xiaoming Sheng, Derek A. Uchida, Christopher G. Maloney, Bryan L. Stone

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


BACKGROUND AND OBJECTIVES: Pediatric ambulatory asthma control is suboptimal, reducing quality of life (QoL) and causing emergency department (ED) and hospital admissions. We assessed the impact of the electronic-AsthmaTracker (e-AT), a self-monitoring application for children with asthma. METHODS: Prospective cohort study with matched controls. Participants were enrolled January 2014 to December 2015 in 11 pediatric clinics for weekly e-AT use for 1 year. Analyses included: (1) longitudinal changes for the child (QoL, asthma control, and interrupted and missed school days) and parents (interrupted and missed work days and satisfaction), (2) comparing ED and hospital admissions and oral corticosteroid (OCS) use pre- and postintervention, and (3) comparing ED and hospital admissions and OCS use between e-AT users and matched controls. RESULTS: A total of 327 children and parents enrolled; e-AT adherence at 12 months was 65%. Compared with baseline, participants had significantly (P, .001) increased QoL, asthma control, and reduced interrupted and missed school and work days at all assessment times. Compared with 1 year preintervention, they had reduced ED and hospital admissions (rate ratio [RR]: 0.68; 95% confidence interval [CI]: 0.49–0.95) and OCS use (RR: 0.74; 95% CI: 0.61–0.91). Parent satisfaction remained high. Compared with matched controls, participants had reduced ED and hospital admissions (RR: 0.41; 95% CI: 0.22–0.75) and OCS use (RR: 0.65; 95% CI: 0.46–0.93). CONCLUSIONS: e-AT use led to high and sustained participation in self-monitoring and improved asthma outcomes. Dissemination of this care model has potential to broadly improve pediatric ambulatory asthma care.

Original languageEnglish (US)
Article numbere20181711
Issue number6
StatePublished - 2019

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


Dive into the research topics of 'Ambulatory management of childhood asthma using a novel self-management application'. Together they form a unique fingerprint.

Cite this