Using digital technology for home monitoring, adherence and self-management in cystic fibrosis: a state-of-the-art review
Open accessAbstract
Digital healthcare is a rapidly growing healthcare sector. Its importance has been recognised at both national and international level, with the WHO recently publishing its first global strategy for digital health. The use of digital technology within cystic fibrosis (CF) has also increased. CF is a chronic, life-limiting condition, in which the treatment burden is high and treatment regimens are not static. Digital technologies present an opportunity to support the lives of people with CF. We included 59 articles and protocols in this state-of-the-art review, relating to 48 studies from 1999 until 2019. This provides a comprehensive overview of the expansion and evolution of the use of digital technology. Technology has been used with the aim of increasing accessibility to healthcare, earlier detection of pulmonary exacerbations and objective electronic adherence monitoring. It may also be used to promote adherence and self-management through education, treatment management Apps and social media.
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- Authors
- Calthorpe, R. J., Smith, S., Gathercole, K., & Smyth, A. R.
- Affiliations
- University of Nottingham (GB)
- University of Leeds (GB)
- Corresponding author
- Smyth, Alan Robert
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2019-10-08
- Volume
- 75
- Issue
- 1
- Pages
- 72-77
- ISSN
- 0040-6376 (ISSN-L)
- 1468-3296
- OpenAlex
- W2979988662
- Semantic Scholar
- ade7fa38a66492a509c88c7d026e6312275821ac
- Cited by
- 61
- References
- 39
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 12 · 2023: 14 · 2022: 8 · 2021: 9 · 2020: 7
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Repository@Nottingham (University of Nottingham) (acceptedVersion, other-oa)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by-nc)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Cystic Fibrosis Trust (VIA025)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- cystic fibrosis, digital health technologies, home monitoring, medication adherence, self-management, pulmonary exacerbations, electronic adherence monitoring, mobile health apps, social media, patient education, health care access
- MeSH terms
- Self-Management, Cystic Fibrosis, Humans, Patient Compliance, Respiratory Function Tests, Monitoring, Ambulatory
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