Wearable technology to assess children’s asthma control in the home-situation

Asthma is a chronic disease with a high prevalence and high health care costs. Pediatric asthma management is focused on control of asthma symptoms, enabling patients to fully participate in daily life. However, monitoring pediatric asthma is challenging as symptoms are episodic and therefore often absent during clinical visitation. Additionally, children’s expression of asthma symptoms is often difficult to assess and interpret.

Home monitoring of asthma symptoms could be used to provide the physician with more insight into the current asthma status and provide an opportunity to anticipate into the episodically waves of asthma. Therefore this research will focus on home monitoring of asthmatic children with the use of wearable technology.
In this study it will be investigated whether the home measured wearable signals could accurately predict a child's asthma control, compared to the current clinical standard (the exercise challenge test).

Home monitoring of asthma symptoms could be used to provide the physician with more insight into the current asthma status and provide an opportunity to anticipate into the episodically waves of asthma. Therefore this research will focus on home monitoring of asthmatic children with the use of wearable technology.

It is hypothesized that asthma control can be accurately determined with home measured signals of the wearables.

Every week 3-4 patients are asked to participate.
These patient were recruited based on the already clinically scheduled asthma patient for an exercise challenge test (ECT).

-4 weeks before ECT: recruitment of patients.

-3 weeks before ECT: informed consent.

-2 weeks before ECT: instruction and start using wearables.

-0 weeks before ECT: exercise challenge test.

*The use of 4 wearables. ECG recorder, activity tracker, smart inhaler and spirometer for 2 weeks.

*3 questionnaires at the end of each monitoring week. (C-ACT, PAQ-C, PAQLQ)

*Single bio-impedance scale measurement and exhaled breath measurement.