Internet-based monitoring of asthma: A long-term, randomized clinical study of 300 asthmatic subjects

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY

卷:115

Article

Rasmussen, LM ; Phanareth, K ; Nolte, H ; Backer, V

关键词: asthma;    telemonitoring;    telemedicine;    Internet;    outcome assessment;    disease management;    action plan;    self-management;   

DOI  :  10.1016/j.jaci.2005.03.030

来源: Elsevier

【 摘 要 】

Background: Experience from other fields of internal medicine shows that Internet-based technology can be used to monitor various diseases. The new technology handles complex calculation programs easily, and it is a unique way of communicating. These advantages might be used in optimizing the treatment for asthmatic subjects because undertreatment is a common problem found in European asthmatic subjects. Objective: We sought to investigate the outcome of monitoring and treatment using a physician-managed online interactive asthma monitoring tool and to assess whether the outcome differs from that of monitoring and treatment in an outpatient respiratory clinic or in primary care. Methods: Three hundred asthmatic subjects were randomized to 3 parallel groups in a 6-month prospective study: (1) Internet-based monitoring (n = 100); (2) specialist monitoring (n = 100); and (3) general practitioner (GP) monitoring (n = 100). All the patients were examined on entry into the study and after 6 months of treatment. Results: The treatment and monitoring with the Internet-based management tool lead to significantly better improvement in the Internet group than in the other 2 groups regarding asthma symptoms (Internet vs specialist: odds ratio of 2.64, P =.002; Internet vs GP: odds ratio of 3.26; P < .001), quality, of life (Internet vs specialist: odds ratio of 2.21, P = .03; Internet vs GP: odds ratio of 2.10, P = .04), lung function (Internet vs specialist: odds ratio of 3.26, P =.002; Internet vs GP: odds ratio of 4.86, P < .001), and airway responsiveness (Internet vs GP: odds ratio of 3.06, P = .02). Conclusion: When physicians and patients used an interactive Internet-based asthma monitoring tool, better asthma control was achieved.

【 授权许可】

Free