Feasibility, Efficacy, and Efficiency of eHealth-Supported Pediatric Asthma Care: Six-Month Quasi-Experimental Single-Arm Pretest-Posttest Study
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Abstract
BACKGROUND: Early detection of loss of asthma control can effectively reduce the burden of the disease. However, broad implementation in clinical practice has not been accomplished so far. We are in need of research investigating the operationalization of eHealth pediatric asthma care in practice, which can provide the most potential benefits in terms of adoption, efficiency, and effectiveness. OBJECTIVE: The aim of this study was to investigate the technical and clinical feasibility, including an exploration of the efficacy and cost-efficiency, of an eHealth program implemented in daily clinical pediatric asthma practice. METHODS: We designed an eHealth-supported pediatric asthma program facilitating early detection of loss of asthma control while increasing symptom awareness and self-management. In the 6-month program, asthma control was monitored by 4 health care professionals (HCPs) by using objective home measurements and the web-based Puffer app to allow timely medical anticipation and prevent treatment delay. Technical feasibility was assessed by technology use, system usability, and technology acceptance. Clinical feasibility was assessed by participation and patient-reported health and care outcomes and via a focus group with HCPs regarding their experiences of implementing eHealth in daily practice. The efficacy and cost-efficiency were explored by comparing pretest-posttest program differences in asthma outcomes (asthma control, lung function, and therapy adherence) and medical consumption. RESULTS: Of 41 children, 35 children with moderate-to-severe asthma volunteered for participation. With regard to technical feasibility, the Puffer app scored a good usability score of 78 on the System Usability Scale and a score of 70 for technology acceptance on a scale of 1 to 100. Approximately 75% (18/24) of the children indicated that eHealth helped them to control their asthma during the program. HCPs indicated that home measurements and real time communication enabled them to make safe and substantiated medical decisions during symptom manifestations. With an average time commitment of 15 minutes by patients, eHealth care led to a 80% gross reduction (from €71,784 to €14,018, US $1=€0.85) in health care utilization, 8.6% increase (from 18.6 to 20.2, P=.40) in asthma control, 25.0% increase (from 2.8 to 3.5, P=.04) in the self-management level, and 20.4% improved (from 71.2 to 76.8, P=.02) therapy adherence. CONCLUSIONS: eHealth asthma care seems to be technically and clinically feasible, enables safe remote care, and seems to be beneficial for pediatric asthma care in terms of health outcomes and health care utilization. Follow-up research should focus on targeted effectiveness studies with the lessons learned, while also enabling individualization of eHealth for personalized health care.
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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 [73]
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Perceived usefulness, perceived ease of use, and user acceptance of information technology
Davis, F. D. (1989) · MIS Quarterly · doi:10.2307/249008 · Cited by 68,483 · see citing works
Miller, M. R., Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R., Coates, A., Crapo, R., Enright, P., van der Grinten, C. P. M., Gustafsson, P., et al. (2005) · European Respiratory Journal · doi:10.1183/09031936.05.00034805 · Cited by 15,627 · cited 1× · see citing works
“Incorrectly performed spirometer measurements were excluded, according to the American Thoracic Society and European Thoracic Society criteria for standardization of lung function testing [31].”
MethodBasics of Qualitative Research (3rd ed.): Techniques and Procedures for Developing Grounded Theory
Corbin, J., & Strauss, A. (2008) · SAGE · doi:10.4135/9781452230153 · Cited by 12,136 · see citing works
Eysenbach, G. (2005) · Journal of Medical Internet Research · doi:10.2196/jmir.7.1.e11 · Cited by 2,524 · see citing works
A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
van Gemert-Pijnen, J. E., Nijland, N., van Limburg, M., Ossebaard, H. C., Kelders, S. M., Eysenbach, G., & Seydel, E. R. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1672 · Cited by 1,126 · see citing works
Development and cross-sectional validation of the Childhood Asthma Control Test
Liu, A. H., Zeiger, R. S., Sorkness, C. A., Mahr, T. A., Ostrom, N. K., Burgess, S. M., Rosenzweig, J. C., & Manjunath, R. (2007) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2006.12.662 · Cited by 985 · see citing works
Mobile phone messaging for facilitating self-management of long-term illnesses
de Jongh, T., Gurol-Urganci, I., Vodopivec-Jamsek, V., Car, J., & Atun, R. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007459.pub2 · Cited by 599 · see citing works
Granja, C., Janssen, W., & Johansen, M. A. (2018) · Journal of Medical Internet Research · doi:10.2196/10235 · Cited by 578 · cited 2× · see citing works
“What is the balance between obtrusiveness of home measurements versus the relevance for disease monitoring? How does eHealth adapt to the individual needs of a patient? Does continuous data collection at home compete with privacy rights and how are data securely managed, processed, and stored? These aforementioned bar…”
BackgroundMedication adherence and the risk of severe asthma exacerbations: a systematic review
Engelkes, M., Janssens, H. M., de Jongste, J. C., Sturkenboom, M., & Verhamme, K. M. C. (2014) · European Respiratory Journal · doi:10.1183/09031936.00075614 · Cited by 538 · see citing works
The Burden of Pediatric Asthma
Ferrante, G., & Grutta, S. L. (2018) · Frontiers in Pediatrics · doi:10.3389/fped.2018.00186 · Cited by 453 · see citing works
Ebert, J. F., Huibers, L., Christensen, B., & Christensen, M. B. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.8353 · Cited by 377 · see citing works
Sieverink, F., Kelders, S. M., & van Gemert-Pijnen, J. E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.8578 · Cited by 331 · see citing works
Smartphone and tablet self management apps for asthma
Marcano Belisario, J. S., Huckvale, K., Greenfield, G., Car, J., & Gunn, L. H. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010013.pub2 · Cited by 288 · see citing works
(2008) · doi:10.1016/b978-0-12-373558-4.x0001-5 · Cited by 287 · see citing works
Asthma Control Questionnaire in children: validation, measurement properties, interpretation
Juniper, E. F., Gruffydd‐Jones, K., Ward, S., & Svensson, K. (2010) · European Respiratory Journal · doi:10.1183/09031936.00117509 · Cited by 280 · see citing works
Rademakers, J. J. D. J. M., Nijman, J., van der Hoek, L., Heijmans, M., & Rijken, M. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-577 · Cited by 230 · see citing works
Usability evaluation for mobile device: a comparison of laboratory and field tests
Duh, H. B.-L., Tan, G. C. B., & Chen, V. H.-H. (2006) · Proceedings of the 8th conference on Human-computer interaction with mobile devices and services · doi:10.1145/1152215.1152254 · Cited by 210 · see citing works
Cushing, C. C., & Steele, R. G. (2010) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsq023 · Cited by 180 · see citing works
Parents' interpretations of children's respiratory symptoms on video
Cane, R. (2001) · Archives of Disease in Childhood · doi:10.1136/adc.84.1.31 · Cited by 179 · see citing works
Digital Asthma Self-Management Interventions: A Systematic Review
Morrison, D., Wyke, S., Agur, K., Cameron, E. J., Docking, R. I., MacKenzie, A., McConnachie, A., Raghuvir, V., Thomson, N. C., & Mair, F. S. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.2814 · Cited by 177 · see citing works
Symptom Perception and Respiratory Sensation in Asthma
Banzett, R. B., Dempsey, J. A., O’Donnell, D. E., & Wamboldt, M. Z. (2000) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.162.3.9909112 · Cited by 177 · see citing works
Cohort profile: The Prevention and Incidence of Asthma and Mite Allergy (PIAMA) birth cohort
Wijga, A. H., Kerkhof, M., Gehring, U., de Jongste, J. C., Postma, D. S., Aalberse, R. C., Wolse, A., Koppelman, G. H., van Rossem, L., Oldenwening, M., et al. (2013) · International Journal of Epidemiology · doi:10.1093/ije/dys231 · Cited by 159 · see citing works
Evidence-Based Evaluation of eHealth Interventions: Systematic Literature Review
Enam, A., Torres-Bonilla, J., & Eriksson, H. (2018) · Journal of Medical Internet Research · doi:10.2196/10971 · Cited by 151 · see citing works
Chan, D. S., Callahan, C. W., Sheets, S. J., Moreno, C. N., & Malone, F. J. (2003) · American Journal of Health-System Pharmacy · doi:10.1093/ajhp/60.19.1976 · Cited by 144 · see citing works
Klok, T., Kaptein, A. A., & Brand, P. L. P. (2015) · Pediatric Allergy and Immunology · doi:10.1111/pai.12362 · Cited by 132 · see citing works
Inhaler Technique in Children With Asthma: A Systematic Review
Gillette, C., Rockich‐Winston, N., Kuhn, J. A., Flesher, S., & Shepherd, M. W. (2016) · Academic Pediatrics · doi:10.1016/j.acap.2016.04.006 · Cited by 130 · see citing works
Lancaster, K., Abuzour, A. S., Khaira, M., Mathers, A., Chan, A. J., Bui, V., Lok, A., Thabane, L., & Dolovich, L. R. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9284 · Cited by 129 · see citing works
Type I Error Inflation in the Presence of a Ceiling Effect
Austin, P. C., & Brunner, L. J. (2003) · The American Statistician · doi:10.1198/0003130031450 · Cited by 123 · see citing works
Chan, A. H. Y., Reddel, H. K., Apter, A. J., Eakin, M. N., Riekert, K. A., & Foster, J. M. (2013) · The Journal of Allergy and Clinical Immunology In Practice · doi:10.1016/j.jaip.2013.06.015 · Cited by 122 · see citing works
Karaca‐Mandic, P., Jena, A. B., Joyce, G., & Goldman, D. P. (2012) · JAMA · doi:10.1001/jama.2012.340 · Cited by 117 · see citing works
Jeminiwa, R., Hohmann, L., Qian, J., Garza, K., Hansen, R., & Fox, B. I. (2019) · Respiratory Medicine · doi:10.1016/j.rmed.2019.02.011 · Cited by 107 · see citing works
Mobile-based asthma action plans for adolescents
Burbank, A. J., Lewis, S. D., Hewes, M., Schellhase, D. E., Rettiganti, M. R., Hall-Barrow, J., Bylander, L., Brown, R. H., & Perry, T. T. (2014) · Journal of Asthma · doi:10.3109/02770903.2014.995307 · Cited by 107 · see citing works
Gustafson, D. H., Wise, M. E., Bhattacharya, A., Pulvermacher, A., Shanovich, K., Phillips, B. R., Lehman, E. B., Chinchilli, V. M., Hawkins, R. P., & Kim, J.-S. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1964 · Cited by 104 · see citing works
The feasibility of text reminders to improve medication adherence in adolescents with asthma
Johnson, K. B., Patterson, B. L., Ho, Y.-X., Chen, Q., Nian, H., Davison, C. L., Slagle, J. M., & Mulvaney, S. A. (2015) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocv158 · Cited by 97 · see citing works
Systematic Review of Digital Interventions for Pediatric Asthma Management
Ramsey, R. R., Plevinsky, J. M., Kollin, S. R., Gibler, R. C., Guilbert, T. W., & Hommel, K. A. (2020) · The Journal of Allergy and Clinical Immunology: In Practice · doi:10.1016/j.jaip.2019.12.013 · Cited by 95 · see citing works
Symptom Perception in Childhood Asthma: How Accurate Are Children and Their Parents?
Yoos, H. L., Kitzman, H. J., McMullen, A. H., & Sidora, K. (2003) · Journal of Asthma · doi:10.1081/jas-120017204 · Cited by 95 · see citing works
Ahmed, S., Ernst, P., Bartlett, S. J., Valois, M., Zaihra, T., Paré, G., Grad, R. M., Eilayyan, O., Perreault, R. B., & Tamblyn, R. M. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5866 · Cited by 85 · see citing works
Evaluation of a web-based asthma self-management system: a randomised controlled pilot trial
Wiecha, J. M., Adams, W. G., Rybin, D., Rizzodepaoli, M., Keller, J., & Clay, J. M. (2015) · BMC Pulmonary Medicine · doi:10.1186/s12890-015-0007-1 · Cited by 83 · see citing works
Managing the paediatric patient with an acute asthma exacerbation
Ortiz-Alvarez, O., Mikrogianakis, A., & Canadian Paediatric Society (2012) · Paediatrics & Child Health · doi:10.1093/pch/17.5.251 · Cited by 79 · see citing works
Perspectives of patients and healthcare professionals on mHealth for asthma self-management
Simpson, A., Honkoop, P., Kennington, E. J., Snoeck-Stroband, J. B., Smith, I. P., East, J., Coleman, C., Caress, A., Chung, K. F., Sont, J. K., et al. (2017) · European Respiratory Journal · doi:10.1183/13993003.01966-2016 · Cited by 74 · see citing works
Deaths from asthma in New Zealand.
Sears, M. R., Rea, H. H., Fenwick, J., Beaglehole, R., Gillies, A. J., Holst, P. E., O'Donnell, T. V., Rothwell, R., & Sutherland, D. C. (1986) · Archives of Disease in Childhood · doi:10.1136/adc.61.1.6 · Cited by 66 · see citing works
Self-managed eHealth Disease Monitoring in Children and Adolescents with Inflammatory Bowel Disease
Carlsen, K., Jakobsen, C., Houen, G., Kallemose, T., Pærregaard, A., Riis, L. B., Munkholm, P., & Wewer, V. (2017) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000001026 · Cited by 63 · see citing works
A virtual asthma clinic for children: fewer routine outpatient visits, same asthma control
van den Wijngaart, L. S., Roukema, J., Boehmer, A. L. M., Brouwer, M. L., Hugen, C. A. C., Niers, L. E. M., Sprij, A., Rikkers-Mutsaerts, E. R. V. M., Rottier, B. L., Donders, A. R. T., et al. (2017) · European Respiratory Journal · doi:10.1183/13993003.00471-2017 · Cited by 62 · see citing works
State-Based Medicaid Costs for Pediatric Asthma Emergency Department Visits
Pearson, W. S., Goates, S., Harrykissoon, S. D., & Miller, S. A. (2014) · Preventing Chronic Disease · doi:10.5888/pcd11.140139 · Cited by 60 · see citing works
Home self-monitoring in patients with asthma using a mobile spirometry system
Kupczyk, M., Hofman, A., Kołtowski, Ł., Kuna, P., Łukaszyk, M., Buczyłko, K., Bodzenta‐Łukaszyk, A., Nastałek, P., Soliński, M., & Dąbrowiecki, P. (2019) · Journal of Asthma · doi:10.1080/02770903.2019.1709864 · Cited by 60 · see citing works
Participation of Children in Medical Decision-Making: Challenges and Potential Solutions
Stojković, V. J., Sénécal, K., Borry, P., Chokoshvili, D., & Vears, D. F. (2016) · Journal of Bioethical Inquiry · doi:10.1007/s11673-016-9747-8 · Cited by 57 · see citing works
Real-life inhaler adherence and technique: Time to get smarter!
Chrystyn, H., Audibert, R., Keller, M., Quaglia, B., Vecellio, L., & Roche, N. (2019) · Respiratory Medicine · doi:10.1016/j.rmed.2019.09.008 · Cited by 56 · see citing works
van der Kamp, M. R., Klaver, E. C., Thio, B. J., Driessen, J. M. M., de Jongh, F. H. C., Tabak, M., van der Palen, J., & Hermens, H. J. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-01210-1 · Cited by 55 · see citing works
Self-citationPromoting participation in healthcare situations for children with JIA: a grounded theory study
Gilljam, B., Arvidsson, S., Nygren, J., & Svedberg, P. (2016) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.3402/qhw.v11.30518 · Cited by 55 · see citing works
Global Asthma Network survey suggests more national asthma strategies could reduce burden of asthma
Asher, I., Haahtela, T., Selroos, O., Ellwood, P., & Ellwood, E. (2017) · Allergologia et Immunopathologia · doi:10.1016/j.aller.2016.10.013 · Cited by 54 · see citing works
Larbi, D., Randine, P., Årsand, E., Antypas, K., Bradway, M., & Gabarrón, E. (2020) · Journal of Medical Internet Research · doi:10.2196/18480 · Cited by 52 · see citing works
Type 1 Diabetes eHealth Psychoeducation: Youth Recruitment, Participation, and Satisfaction
Whittemore, R., Jaser, S. S., Faulkner, M. S., Murphy, K., Delamater, A. M., & Grey, M. J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2170 · Cited by 52 · see citing works
Wu, Y. P., Steele, R. G., Connelly, M. A., Palermo, T. M., & Ritterband, L. M. (2014) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsu022 · Cited by 52 · see citing works
Al-Durra, M., Torio, M.-B., & Cafazzo, J. A. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4110 · Cited by 50 · see citing works
The effects of hospitalisation on children: A review
Bonn, M. (1994) · Curationis · doi:10.4102/curationis.v17i2.1384 · Cited by 49 · see citing works
Willems, D. C. M., Joore, M. A., Nieman, F. H. M., Severens, J. L., Wouters, E. F. �., & Hendriks, J. J. E. (2009) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462309990171 · Cited by 49 · see citing works
Client Satisfaction Questionnaire-8
Attkisson, C. C., & Zwick, R. (1982) · PsycTESTS Dataset · doi:10.1037/t50119-000 · Cited by 49 · see citing works
Bonini, M. (2016) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000336 · Cited by 44 · see citing works
PEACE study group, van Dellen, Q. M., van Aalderen, W. M. C., Bindels, P., Öry, F. G., Bruil, J., & Stronks, K. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-380 · Cited by 38 · see citing works
Svedberg, P., Arvidsson, S., Larsson, I., Carlsson, I., & Nygren, J. (2019) · Journal of Medical Internet Research · doi:10.2196/14271 · Cited by 32 · see citing works
McClure, N., Seibert, M., Johnson, T., Kannenberg, L., Brown, T., & Lutenbacher, M. (2018) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2018.06.001 · Cited by 26 · see citing works
Janssens, T., & Harver, A. (2015) · Pulmonary Medicine · doi:10.1155/2015/825137 · Cited by 22 · see citing works
Rolfsjord, L. B., Skjerven, H. O., Bakkeheim, E., Carlsen, K., Hunderi, J. O. G., Kvenshagen, B. K., Mowinckel, P., & Carlsen, K. C. L. (2014) · Acta Paediatrica · doi:10.1111/apa.12792 · Cited by 16 · see citing works
The Effects of Hospitalisation and Medical Procedures on Children and Their Families
Kirkby, R. J., & Whelan, T. A. (1996) · Journal of Family Studies · doi:10.5172/jfs.2.1.65 · Cited by 14 · see citing works
The Visual Analog Scale detects exercise-induced bronchoconstriction in children with asthma
Lammers, N., van Hoesel, M. H. T., van der Kamp, M. R., Brusse-Keizer, M. G. J., van der Palen, J. A. M., Visser, R., Driessen, J. M. M., & Thio, B. J. (2019) · Journal of Asthma · doi:10.1080/02770903.2019.1652640 · Cited by 11 · see citing works
Self-citationJurkeviciute, M., van Velsen, L., Eriksson, H., Lifvergren, S., Trimarchi, P., Andin, U., & Svensson, J. (2020) · Journal of Medical Internet Research · doi:10.2196/17720 · Cited by 8 · see citing works
Monthly virtual asthma care at least as efficacious as routine visits
Morton, R. (2018) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2018.02.056 · Cited by 3 · see citing works
Medisch Spectrum Twente Enschede, the Netherlands IAA Architecten
Wagenaar, C., & Mens, N. (2018) · De Gruyter eBooks · doi:10.1515/9783035611250-032 · Cited by 1 · see citing works
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Drummond, D., Roukema, J., & Pijnenburg, M. W. H. (2023) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000963 · Cited by 34 · see citing works
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van der Kamp, M. R., Hengeveld, V., Brusse-Keizer, M. G. J., Thio, B., & Tabak, M. (2023) · Journal of Medical Internet Research · doi:10.2196/45896 · Cited by 34 · see citing works
Self-citationTelemonitoring of pediatric asthma in outpatient settings: A systematic review
Pais‐Cunha, I., Fontoura‐Matias, J., Almeida, A. L., Ferreira‐Magalhães, M., Fonseca, J., Azevedo, I., & Jácome, C. I. O. (2024) · Pediatric Pulmonology · doi:10.1002/ppul.27046 · Cited by 14 · see citing works
Savoldelli, A., Landi, D., & Rizzi, C. (2024) · Sustainability · doi:10.3390/su16062438 · Cited by 11 · 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
Iio, M., Sato, M., Narita, M., Yamamoto‐Hanada, K., Oishi, T., Kishino, A., Kawaguchi, T., Nishi, R., Nagata, M., & Ohya, Y. (2022) · JMIR Formative Research · doi:10.2196/34509 · Cited by 8 · see citing works
van der Kamp, M. R., Hengeveld, V., Willard, N. P., Thio, B., de Graaf, P., Geven, I., & Tabak, M. (2023) · JMIR Research Protocols · doi:10.2196/45585 · Cited by 8 · see citing works
Self-citationSchoultz, K., Svensson, A., & Emilsson, M. (2022) · Digital Health · doi:10.1177/20552076221092542 · Cited by 6 · see citing works
Perspectives of Caregivers on Access to Health Care for Children with CKD
Guha, C., Khalid, R., Mallitt, K., van Zwieten, A., Francis, A., Kim, S., Teixeira-Pinto, A. M., Aquino, M., Bernier-Jean, A., Johnson, D. W., et al. (2024) · Kidney International Reports · doi:10.1016/j.ekir.2024.08.029 · Cited by 6 · see citing works
Sportel, E. T., Movig, K. L. L., Thio, B. J., van der Kamp, M. R., van der Palen, J. A. M., & Brusse-Keizer, M. G. J. (2025) · JMIR Pediatrics and Parenting · doi:10.2196/78526 · Cited by 3 · see citing works
Self-citationRuuls, T., Sprengers, R., Hengeveld, V., Thio, B., Tabak, M., Zagers, D. A., van der Palen, J. A. M., & van der Kamp, M. R. (2025) · Therapeutic Advances in Respiratory Disease · doi:10.1177/17534666251323192 · Cited by 3 · see citing works
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Bousquet, J., Sousa‐Pinto, B., Puggioni, F., Antó, A., Balli, F., Casale, T. B., Czarlewski, W., Bedbrook, A., Brussino, L., Gaga, M., et al. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-85419-1.00001-3 · Cited by 2 · see citing works
Blanco‐Aparicio, M., Almonacid, C., Lamas, M. C., Delgado, J., Gandolfo‐Cano, M., López-Carrasco, V., Vega, J. M., Díaz-Pérez, D., & Villamañán, E. (2023) · Open Respiratory Archives · doi:10.1016/j.opresp.2023.100239 · Cited by 2 · see citing works
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Brigadoi, G., Donà, D., Boscarino, G., Masetti, M., Antignani, R., Barbieri, E., Bignamini, E., Campana, B. R., Capello, F., Carturan, L., et al. (2026) · The Italian Journal of Pediatrics/Italian journal of pediatrics · doi:10.1186/s13052-026-02219-4
Soflaee, M., Pourghasem, M., Hosseini-Vajari, A., Bahrami, R., Golshan-Tafti, M., Aarafi, H., Shajari, A., Noroozi, N., & Neámatzadeh, H. (2026) · Sage Open Pediatrics · doi:10.1177/30502225261490412
Korel, J., Kühn, S., Gloeckl, R., Koczulla, R., Dreher, M., Müller, B. S., Hirschbrich, R., Junker, E., Hastenteufel, T., Llauradó, X., et al. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1927835
- Authors
- van der Kamp, M., Reimering Hartgerink, P., Driessen, J., Thio, B., Hermens, H., & Tabak, M.
- Affiliations
- Medisch Spectrum Twente (NL)
- Roessingh Research and Development (NL)
- ORCID
- Venue
- JMIR Formative Research
- Publisher
- JMIR Publications Inc.
- Published
- 2021-07-26
- Volume
- 5
- Issue
- 7
- Pages
- e24634
- ISSN
- 2561-326X (ISSN-L)
- PMC
- PMC8367169
- OpenAlex
- W3163812540
- Cited by
- 19
- References
- 68
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 3
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Formative Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Twente Research Information (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- childhood asthma, e-health, asthma control, asthma self-management, home spirometry, health care utilization, cost efficiency, technology acceptance, usability, health professionals' experiences, lung function, patient-reported outcomes
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.
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