Feasibility, Efficacy, and Efficiency of eHealth-Supported Pediatric Asthma Care: Six-Month Quasi-Experimental Single-Arm Pretest-Posttest Study
نویسندگان
چکیده
Background Early detection of loss asthma control can effectively reduce the burden disease. However, broad implementation in clinical practice has not been accomplished so far. We are need research investigating operationalization eHealth pediatric care practice, which provide most potential benefits terms adoption, efficiency, and effectiveness. Objective The aim this study was to investigate technical feasibility, including an exploration efficacy cost-efficiency, program implemented daily practice. Methods designed eHealth-supported facilitating early while increasing symptom awareness self-management. In 6-month program, monitored by 4 health professionals (HCPs) using objective home measurements web-based Puffer app allow timely medical anticipation prevent treatment delay. Technical feasibility assessed technology use, system usability, acceptance. Clinical participation patient-reported outcomes via a focus group with HCPs regarding their experiences implementing cost-efficiency were explored comparing pretest-posttest differences (asthma control, lung function, therapy adherence) consumption. Results Of 41 children, 35 children moderate-to-severe volunteered for participation. With regard scored good usability score 78 on System Usability Scale 70 acceptance scale 1 100. Approximately 75% (18/24) indicated that helped them during program. real time communication enabled make safe substantiated decisions manifestations. average commitment 15 minutes patients, led 80% gross reduction (from €71,784 €14,018, US $1=€0.85) utilization, 8.6% increase 18.6 20.2, P=.40) 25.0% 2.8 3.5, P=.04) self-management level, 20.4% improved 71.2 76.8, P=.02) adherence. Conclusions seems be technically clinically feasible, enables remote care, beneficial utilization. Follow-up should targeted effectiveness studies lessons learned, also enabling individualization personalized care.
منابع مشابه
Pretest-posttest designs and measurement of change.
The article examines issues involved in comparing groups and measuring change with pretest and posttest data. Different pretest-posttest designs are presented in a manner that can help rehabilitation professionals to better understand and determine effects resulting from selected interventions. The reliability of gain scores in pretest-posttest measurement is also discussed in the context of re...
متن کاملSemiparametric estimation of treatment effect in a pretest-posttest study.
Inference on treatment effects in a pretest-posttest study is a routine objective in medicine, public health, and other fields. A number of approaches have been advocated. We take a semiparametric perspective, making no assumptions about the distributions of baseline and posttest responses. By representing the situation in terms of counterfactual random variables, we exploit recent developments...
متن کاملKnowledge of Acne among Medical Students: Pretest and Posttest Assessment
Background. Acne vulgaris is a disorder of sebaceous glands mainly affecting the adolescent population. There are some misconceptions about acne not only in the general population but also among the medical students. Methods. Second year medical undergraduate students attending dermatology postings for the first time were included in the study. A questionnaire (in yes or no answer format) with ...
متن کاملEffect of Education on Asthma Control in Children: A Quasi- Experimental Study
Introduction: The prevalence of asthma has increased significantly in recent decades1 especially in lower socioeconomic groups and in minority populations. Because of the increasing prevalence of asthma among children in worldwide and Iran, the importance of timely control of the disease after its diagnosis and few studies on the effect of education on asthma control in Iran, the aim of this st...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: JMIR formative research
سال: 2021
ISSN: ['2561-326X']
DOI: https://doi.org/10.2196/24634