An Internet-based store-and-forward video home telehealth system for improving asthma outcomes in children
Abstract
The adherence and disease-control outcomes associated with the use of an Internet-based store-and-forward video home telehealth system to manage asthma in children were studied. Pediatric patients with persistent asthma were provided with home computers and Internet access and monitored biweekly over the Internet. All patients were seen in the pediatric clinic at 0, 2, 6, 12, and 24 weeks. Half of the patients received asthma education in person and half via an interactive Web site. Adherence measures were assessed by therapeutic and diagnostic monitoring. Therapeutic monitoring included digital videos of patients using their controller medication inhaler. Diagnostic monitoring included an asthma symptom diary and a video of peak flow meter use. Videos were submitted electronically twice a week by using in-home telemonitoring with store-and-forward technology. Feedback was provided electronically to each patient. Disease control was assessed by examining quality of life, utilization of services, rescue-therapy use, symptom control, satisfaction with home telemonitoring, and retention of asthma knowledge. Patients were randomly assigned to an asthma education group (Internet versus office), and the data were analyzed by comparing results for study days 0-90 and 91-180. Ten children participated. A total of 321 videos of inhaler use and 309 videos of peak flow meter use were submitted. Inhaler technique scores improved significantly in the second study period. Submission of diagnostic monitoring videos and asthma diary entries decreased significantly. Peak flow values as a percentage of personal best values increased significantly. Overall, there was no change in quality of life reported by patients. However, the caregivers in the virtual-education group reported an increase in the patients' quality-of-life survey scores. Emergency department visits and hospital admissions for asthma were avoided. Rescue therapy was infrequent. A high rate of satisfaction with home telemonitoring was reported. Internet-based, store-and-forward video assessment of children's use of asthma medications and monitoring tools in their homes appeared effective and well accepted.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Methodological quality was poor in 4 studies (≤14).
“poor (≤14) in the other 4 studies [50,54,56,73]”
From Effectiveness and Acceptability of Asynchronous Digital Health in Asthma Care: Mixed Methods Systematic Review (2024) · cites this paper as [56]
Cites
Validation of a Standardized Version of the Asthma Quality of Life Questionnaire
Juniper, E. F., Buist, A. S., Cox, F. M., Ferrie, P. J., & King, D. (1999) · CHEST Journal · doi:10.1378/chest.115.5.1265 · Cited by 713 · see citing works
A National Estimate of the Economic Costs of Asthma
SMITH, D. H., MALONE, D. C., Lawson, K. A., Okamoto, L. J., Battista, C., & Saunders, W. B. (1997) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.156.3.9611072 · Cited by 562 · see citing works
Kendig's Disorders of the Respiratory Tract in Children
(2019) · Elsevier eBooks · doi:10.1016/c2015-0-01292-8 · Cited by 368 · see citing works
A Randomized Trial of A.C.T. (Asthma Care Training) for Kids
Lewis, C. E., Rachelefsky, G. S., Lewis, M. A., de la Sota, A., & Kaplan, M. (1984) · PEDIATRICS · doi:10.1542/peds.74.4.478 · Cited by 261 · see citing works
Internet-Based Home Asthma Telemonitoring
Finkelstein, J., Cabrera, M. R., & Hripcsak, G. M. (2000) · CHEST Journal · doi:10.1378/chest.117.1.148 · Cited by 209 · see citing works
Errors in Inhalation Technique and Efficiency in Inhaler Use in Asthmatic Children
Pedersen, S. S., Frost, L., & Arnfred, T. (1986) · Allergy · doi:10.1111/j.1398-9995.1986.tb00287.x · Cited by 201 · see citing works
Guendelman, S., Meade, K., Benson, M., Chen, Y. Q., & Samuels, S. (2002) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpedi.156.2.114 · Cited by 192 · see citing works
Inadequate outpatient medical therapy for patients with asthma admitted to two urban hospitals
Hartert, T. V., Windom, H. H., Peebles, R. S., et al. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89513-7 · Cited by 190 · see citing works
Homer, C. J., Susskind, O., Alpert, H. R., Owusu, M. C., Schneider, L. C., Rappaport, L., & Rubin, D. H. (2000) · PEDIATRICS · doi:10.1542/peds.106.s1.210 · Cited by 159 · see citing works
Inhaled Corticosteroids and the Prevention of Readmission to Hospital for Asthma
Blais, L., Ernst, P., Boivin, J., & Suissa, S. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.158.1.9707107 · Cited by 154 · see citing works
Compliance With Peak Expiratory Flow Monitoring in Home Management of Asthma
Côté, J., Cartier, A., Malo, J., et al. (1998) · CHEST Journal · doi:10.1378/chest.113.4.968 · Cited by 148 · see citing works
Computer-based Models to Identify High-risk Children with Asthma
Lieu, T. A., Quesenberry, C. P., Sorel, M. E., et al. (1998) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.157.4.9708124 · Cited by 141 · see citing works
Descriptive epidemiology of asthma
Sears, M. R. (1997) · The Lancet · doi:10.1016/s0140-6736(97)90028-3 · Cited by 128 · see citing works
Bynum, A. B., Hopkins, D., Thomas, A., Copeland, N., & Irwin, C. A. (2001) · Telemedicine Journal and e-Health · doi:10.1089/153056201316970902 · Cited by 126 · see citing works
Finkelstein, J., O’Connor, G. T., & Friedmann, R. (2001) · Studies in health technology and informatics · doi:10.3233/978-1-60750-928-8-810 · Cited by 88 · see citing works
Romano, M. J., Hernandez, J., Gaylor, A. S., Howard, S., & Knox, R. (2001) · Telemedicine Journal and e-Health · doi:10.1089/15305620152814683 · Cited by 78 · see citing works
Telespirometry: Novel System for Home Monitoring of Asthmatic Patients
BRUDERMAN, I., & Abboud, S. (1997) · Telemedicine Journal · doi:10.1089/tmj.1.1997.3.127 · Cited by 60 · see citing works
Asthma: Better Outcome at Lower Cost?
Bartter, T. C., & Pratter, M. R. (1996) · CHEST Journal · doi:10.1378/chest.110.6.1589 · Cited by 50 · see citing works
Patients' acceptance of Internet-based home asthma telemonitoring.
Finkelstein, J., Hripcsak, G. M., & Cabrera, M. R. (1998) · PubMed · Cited by 48 · see citing works
Development of a Scale to Measure Children's Metered-Dose Inhaler and Spacer Technique
Boccuti, L., Celano, M., Geller, R. J., et al. (1996) · Annals of Allergy Asthma & Immunology · doi:10.1016/s1081-1206(10)63258-9 · Cited by 42 · see citing works
National Asthma Education and Prevention Program Working Group Report on the Quality of Asthma Care
Headrick, L. A., Crain, E. F., Evans, D. J., et al. (1996) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm/154.3_pt_2.s96 · Cited by 40 · see citing works
Pitfalls in processing home electronic spirometric data in asthma
Reddel, H. K., Ware, S., Salome, C., Jenkins, C. R., & Woolcock, A. J. (1998) · European Respiratory Journal · doi:10.1183/09031936.98.12040853 · Cited by 37 · see citing works
Performance Improvement in Telemedicine: The Essential Elements
Eliasson, A. H., & Poropatich, R. K. (1998) · Military Medicine · doi:10.1093/milmed/163.8.530 · Cited by 24 · see citing works
Preventing hospitalizations for asthma by improving ambulatory management
Greenberger, P. A. (1996) · The American Journal of Medicine · doi:10.1016/s0002-9343(97)89511-3 · Cited by 21 · see citing works
[Hospitalization reduction by an asthma tele-medicine system].
Kokubu, F., Nakajima, S., Ito, K., Makino, S., Kitamura, S., Fukuchi, Y., Mano, K., Sano, Y., Inoue, H., Morita, Y., et al. (2000) · PubMed · Cited by 21 · see citing works
Wet Nebulization in Acute Asthma
Callahan, C. W. (2000) · CHEST Journal · doi:10.1378/chest.117.5.1226 · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Interactive telemedicine: effects on professional practice and health care outcomes
Flodgren, G., Rachas, A., Farmer, A. J., Inzitari, M., & Shepperd, S. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002098.pub2 · Cited by 806 · see citing works
Paré, G., Moqadem, K., Pineau, G., & St-Hilaire, C. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1357 · Cited by 261 · see citing works
McLean, S., Chandler, D., Nurmatov, U., Liu, J. L., Pagliari, C., Car, J., & Sheikh, A. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007717.pub2 · Cited by 119 · see citing works
Home telemonitoring and remote feedback between clinic visits for asthma
Kew, K. M., & Cates, C. J. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011714.pub2 · Cited by 61 · see citing works
van der Kamp, M., Reimering Hartgerink, P., Driessen, J., Thio, B., Hermens, H., & Tabak, M. (2021) · JMIR Formative Research · doi:10.2196/24634 · Cited by 19 · see citing works
Uzzaman, N., Hammersley, V., McClatchey, K., Sheringham, J., Singh, D., Habib, G. M., & Pinnock, H. (2024) · Journal of Medical Internet Research · doi:10.2196/57708 · Cited by 13 · see citing works
- Authors
- Chan, D. S., Callahan, C. W., Sheets, S. J., Moreno, C. N., & Malone, F. J.
- Affiliations
- Tripler Army Medical Center (US)
- Corresponding author
- Chan, Debora S.
- Venue
- American Journal of Health-System Pharmacy
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-10-01
- Volume
- 60
- Issue
- 19
- Pages
- 1976-1981
- ISSN
- 1079-2082 (ISSN-L)
- 1535-2900
- OpenAlex
- W2106969618
- Cited by
- 144
- References
- 26
- Citations by year
- 2025: 3 · 2024: 7 · 2023: 5 · 2022: 13 · 2021: 6 · 2020: 8 · 2019: 2 · 2018: 6 · 2017: 5 · 2016: 10 · 2015: 5 · 2014: 4 · 2013: 2 · 2012: 6
- FWCI
- 7.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Health-System Pharmacy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- home health monitoring, childhood asthma, asthma education, inhaler technique, peak flow monitoring, medication adherence, disease control, quality of life, salvage therapy, patient satisfaction, online health education
- MeSH terms
- Adolescent, Asthma, Child, Computer-Assisted Instruction, Female, Glucocorticoids, Humans, Male, Patient Compliance, Quality of Life, Telemetry, Telemedicine, Internet, Metered Dose Inhalers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
