The evolution of mobile apps for asthma: an updated systematic assessment of content and tools
Open accessAbstract
BACKGROUND: Interest in mobile apps that support long-term conditions such as asthma is matched by recognition of the importance of the quality and safety of apps intended for patient use. We assessed how changes over a 2-year period affected the clinical suitability of apps providing self-management information and tools for people with asthma by updating a review first performed in 2011. METHODS: Systematic content assessment of all apps for iOS and Android examining the comprehensiveness of asthma information, consistency with the evidence base for asthma self-management and adherence to best practice principles for trustworthy content, comparing the quality of apps available in 2011 to those released since. RESULTS: Between 2011 and 2013, numbers of asthma apps more than doubled from 93 to 191, despite withdrawal of 25% (n = 23/93) of existing apps. Newer apps were no more likely than those available in 2011 to include comprehensive information, such as the use of action plans, or offer guidance consistent with evidence; 13% (n = 19/147) of all apps, and 39% (n = 9/23) of those intended to manage acute asthma, recommended self-care procedures unsupported by evidence. Despite increases in the numbers of apps targeting specific skills, such as acute asthma management (n = 12 to 23) and inhaler technique (from n = 2 to 12), the proportion consistent with guidelines (17%, n = 4/23) and inhaler instructions (25%, n = 3/12), respectively, was low, and most apps provided only either basic information about asthma (50%, n = 75/147) or simple diary functions (24%, n = 36/147). CONCLUSIONS: In addition to persisting questions about clinical quality and safety, dynamic aspects of app turnover and feature evolution affect the suitability of asthma apps for use in routine care. The findings underline the need for coordinated quality assurance processes that can adapt to changing clinical and information governance-related risks, ensure compliance with the evidence base and reflect local variations in clinical practice. It is unclear if substantial clinical benefits can be realized from a landscape dominated by low quality generic information apps and tools that do not adhere to accepted medical practice.
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These mobile health apps have not included scalable text-based health care conversational agents to support communication with health care professionals.
“Although these mobile health apps offer a range of features (eg, automated personalized texts, interactive websites, and online modules) to inform patients about asthma, they have not included scalable text-based health care conversational agents to support communication with health care professionals.”
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- Authors
- Huckvale, K., Morrison, C., Ouyang, J., Ghaghda, A., & Car, J.
- Affiliations
- Imperial College London (GB)
- Nanyang Technological University (SG)
- Corresponding author
- Huckvale, Kit
- Car, Josip
- Venue
- BMC Medicine
- Published
- 2015-03-23
- Volume
- 13
- Issue
- 1
- Pages
- 58-58
- ISSN
- 1741-7015 (ISSN-L)
- PMC
- PMC4391129
- OpenAlex
- W2150664025
- Cited by
- 166
- References
- 56
- Citations by year
- 2025: 2 · 2024: 7 · 2023: 12 · 2022: 7 · 2021: 10 · 2020: 19 · 2019: 25 · 2018: 31 · 2017: 23 · 2016: 23 · 2015: 7
- FWCI
- 51.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DR-NTU (Nanyang Technological University) (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- Funders
- National Institute for Health and Care Research
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- asthma, mobile health apps, asthma self-management, app quality, evidence-based recommendations, inhaler technique, action plan, acute asthma management, quality assurance, patient information tools
- MeSH terms
- Asthma, Humans, Self Care, Cell Phone, Mobile Applications
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