Implementing a Guidelines-Based M-Health Intervention for High Risk Asthma Patients

Implementing a Guidelines-Based M-Health Intervention for High Risk Asthma Patients

The goal of this research study is to test how good an app is in making asthma easier to manage for 372 adolescents/young adults. The app is a mobile version of the asthma action plan.

The proposed project aligns with our prior work targeting high-risk pediatric asthma populations in non-inner city environments by targeting adolescents at risk for future exacerbations from the Patient-Centered Medical Home (PCMH) at Arkansas Children's Hospital (ACH).

We propose to conduct a 3-arm randomized, controlled trial with 372 adolescents with uncontrolled asthma to test the effectiveness of mAAP. mAAP provides real-time, personalized feedback, asthma education, and data logging/tracking capabilities.

Inclusion Criteria:

• Age ≥12 and <21 years
• Persistent asthma according to national guidelines criteria
• Asthma Control Test (ACT) score ≤19
• Prescribed a preventive (controller) asthma medication in the past 6 months
• Access to a smartphone compatible with the PEAKmAAP and NutriMap
• Access to the internet
• Able to read and speak English

Exclusion Criteria:

• Significant underlying respiratory disease other than asthma, such as cystic fibrosis
• Significant co-morbid conditions, such as moderate to severe developmental delay that could interfere with the adolescent's ability to self-monitor asthma
• Current smoker
• Participation in the investigator's or other asthma clinical trials in the previous 6 months