The use of the ehealth application PatientCoach combined with home monitoring devices supports sustained long term asthma control after AACT
ID
Source
Brief title
Health condition
Severe or uncontrolled asthma
Sponsors and support
Intervention
Outcome measures
Primary outcome
Time to first exacerbation
Secondary outcome
• Total exacerbation rate • Asthma control • Asthma-related quality of life • Fatigue • Anxiety / depression • Health care utilisation • Work productivity and activity impairment • Technology acceptance
Background summary
In uncontrolled or severe asthma, alpine altitude climate treatment (AACT) may be used as add-on therapy, according to the Dutch severe asthma guidelines. AACT at the Davos Asthma Centre Davos combines a clinical multidisciplinary treatment programme with environmental trigger avoidance in the alpine climate. The treatment includes optimisation of asthma control, interactive patient self- management education, a personalised exercise program and sessions addressing behavioural aspects of living with a chronic disease and problems such as anxiety, stress and depression. Once the patient returns to his/her home environment, there is a risk of relapse. In a previous project we showed that such a relapse in patients with severe asthma after discharge from AACT can be partially attenuated by eHealth support of self-management with a web-based application called PatientCoach. We improved PatientCoach based on feedback of patients and professionals and made it available as an application for a smartphone. Recent advances in the use of bio-wearables and home-monitoring systems might also improve asthma outcomes and could be integrated into PatientCoach. These potential improvements must be weighed against feasibility of use, since more devices and measurements also require more time. We plan to perform a pragmatic randomized controlled trial in which we will evaluate the clinical effectiveness of the PatientCoach app with home-monitoring devices (intervention) as compared to the PatientCoach app without home-monitoring devices (control) in patients with severe asthma after AACT with a follow-up period of 12 months.
Study objective
The use of the ehealth application PatientCoach combined with home monitoring devices supports sustained long term asthma control after AACT
Study design
Baseline, 3 months, 6 months, 9 months, 12 months.
Intervention
PatientCoach app with home monitoring devices (spirometer, activity meter, FeNO measurement device)
Inclusion criteria
Adults (≥18 years) with uncontrolled or severe asthma, despite using high doses of inhaled corticosteroids combined with long-acting bronchodilators for more than 1 year, who are eligible for ACT. Uncontrolled asthma is defined as having two or more exacerbations per year requiring OCS and / or an ACQ of 1.5 or higher.
Exclusion criteria
Not in possession of a smartphone. Illiterate.
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL9273 |
| CCMO | NL75682.058.20 |
| OMON | NL-OMON54107 |