mHealth intervention to support asthma self-management in adolescents: the ADAPT study
Open accessAbstract
PURPOSE: Poor medication adherence in adolescents with asthma results in poorly controlled disease and increased morbidity. The aim of the ADolescent Adherence Patient Tool (ADAPT) study is to develop an mHealth intervention to support self-management and to evaluate the effectiveness in improving medication adherence and asthma control. INTERVENTION: The ADAPT intervention consists of an interactive smartphone application (app) connected to a desktop application for health care providers, in this study, the community pharmacist. The app contains several functions to improve adherence as follows: 1) a questionnaire function to rate asthma symptoms and monitor these over time; 2) short movie clips with medication and disease information; 3) a medication reminder; 4) a chat function with peers; and 5) a chat function with the pharmacist. The pharmacist receives data from the patient's app through the desktop application, which enables the pharmacist to send information and feedback to the patient. STUDY DESIGN: The ADAPT intervention is tested in a community pharmacy-based cluster randomized controlled trial in the Netherlands, aiming to include 352 adolescents with asthma. The main outcome is adherence, measured by patient's self-report and refill adherence calculated from pharmacy dispensing records. In addition, asthma control, illness perceptions, medication beliefs, and asthma-related quality of life are measured. CONCLUSION: This study will provide in-depth knowledge on the effectiveness of an mHealth intervention to support asthma self-management in adolescents. These insights will also be useful for adolescents with other chronic diseases.
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Reviewed studies assessed the number of videos watched from a playlist, educational modules completed, or self-care advice accessed.
“Others assessed the number of videos watched from a playlist [36,55], educational modules completed [52], or self-care advice accessed [69].”
From A Library of Analytic Indicators to Evaluate Effective Engagement with Consumer mHealth Apps for Chronic Conditions: Scoping Review (2019) · cites this paper as [55]
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- Authors
- Kosse, R. C., Bouvy, M., de Vries, T., Kaptein, A., Geers, H. C. J., van Dijk, L., & Koster, E.
- Affiliations
- Utrecht University (NL)
- Leiden University Medical Center (NL)
- Corresponding author
- Koster, Ellen
- Venue
- Patient Preference and Adherence
- Publisher
- Informa UK Limited
- Published
- 2017-03
- Volume
- Volume 11
- Pages
- 571-577
- ISSN
- 1177-889X (ISSN-L)
- PMC
- PMC5360404
- OpenAlex
- W2595538991
- Cited by
- 45
- References
- 37
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 4 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 11 · 2018: 8 · 2017: 2
- FWCI
- 12.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Patient Preference and Adherence (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Funders
- Pfizer
- AstraZeneca
- ZonMw
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- asthma, adolescents, medication adherence, self-management, mobile health intervention, mobile application, community pharmacy, pharmacist-patient communication, asthma control, illness perception, medication beliefs, asthma quality of life, medication reminders
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