National Healthcare Quality and Disparities Report
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大象视频Research Studies
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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.
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1 to 5 of 5 Research Studies DisplayedRudin RS, Plombon S, Sulca Flores J
Between-visit asthma symptom monitoring with a scalable digital intervention: a randomized clinical trial.
The objective of this randomized clinical trial was to assess the effect of a scalable symptom monitoring intervention on asthma outcomes. Intervention group patients used a mobile health app to complete symptom questionnaires and view educational information. The results indicated that increase in asthma-related quality of life did not reach the threshold for a minimally important change; however, exploratory analyses suggested possible benefits for patients with low levels of activation.
AHRQ-funded; HS026432.
Citation: Rudin RS, Plombon S, Sulca Flores J .
Between-visit asthma symptom monitoring with a scalable digital intervention: a randomized clinical trial.
JAMA Netw Open 2025 Apr 1; 8(4):e256219. doi: 10.1001/jamanetworkopen.2025.6219.
Keywords: Asthma, Respiratory Conditions, Telehealth, Health Information Technology (HIT)
Sulca Flores JA, Dalal AK, Sousa J
Evaluation of a primary care-integrated mobile health intervention to monitor between-visit asthma symptoms.
This study鈥檚 aim was to evaluate implementation of a digital remote symptom monitoring intervention that delivered weekly symptom questionnaires and included the option to receive nurse callbacks via a mobile app for asthma patients in primary care. This 12-month randomized controlled trial assessed scalability of the electronic health record (EHR)-integrated app intervention, with data sources including patient asthma control questionnaires; app usage logs; EHRs; and interviews and discussions with patients, primary care providers (PCPs), and nurses. The authors included app usage data from 190 patients and interview data from 21 patients and several clinician participants. Among those patients, average questionnaire completion rate was 72.3% and retention was 78.9%. App usage was lower among younger and Hispanic patients and those with fewer years of education. Of the 84 PCP participants, 14 accessed the patient-reported data in the EHR. The intervention was shown to be appropriate for all levels of asthma control; had no major technical barriers; was desirable and useful for patient treatment; involved achievable tasks for patients; required modest role changes for clinicians; and was a minimal burden on the organization.
AHRQ-funded; HS026432.
Citation: Sulca Flores JA, Dalal AK, Sousa J .
Evaluation of a primary care-integrated mobile health intervention to monitor between-visit asthma symptoms.
Appl Clin Inform 2024 Aug; 15(4):785-97. doi: 10.1055/s-0044-1788978.
Keywords: Asthma, Respiratory Conditions, Primary Care, Patient-Centered Healthcare, Telehealth, Health Information Technology (HIT)
Silverstein GD, Styke SC, Kaur S
The relationship between depressive symptoms, eHealth literacy, and asthma outcomes in the context of a mobile health intervention.
This study鈥檚 objective was to evaluate the associations between health/eHealth literacy and depressive symptoms with app usage and clinical outcomes. The authors recruited adults with persistent asthma to utilize the ASTHMAXcel PRO mobile app. Participants completed the following questionnaires: Patient Health Questionnaire-9 (PHQ-9) to assess for depressive symptoms, Asthma Control Test (ACT), Mini Asthma Quality of Life (QOL) Questionnaire, and the Newest Vital Sign (NVS) tool to measure health literacy. Subsets of participant data were available on eHealth literacy (eHeals) (n = 24) and average number of app logins across 2 months (n = 40). The average participant age was 44.0 years, with 74% identifying as female. Increased depressive symptoms were associated with worse asthma control and asthma QOL, but not eHealth literacy. Higher eHealth literacy was associated with worse asthma QOL and more app logins. NVS scores weren鈥檛 associated with any measures.
AHRQ-funded; HS025645.
Citation: Silverstein GD, Styke SC, Kaur S .
The relationship between depressive symptoms, eHealth literacy, and asthma outcomes in the context of a mobile health intervention.
Psychosom Med 2023 Sep 1; 85(7):605-11. doi: 10.1097/psy.0000000000001170..
Keywords: Health Literacy, Asthma, Telehealth, Health Information Technology (HIT), Education: Patient and Caregiver, Outcomes, Respiratory Conditions, Chronic Conditions
Rudin RS, Qureshi N, Foer D
Toward an asthma patient-reported outcome measure for use in digital remote monitoring.
The purpose of this study was to create a patient-reported outcome measure (PROM) and evaluate its suitability for digital remote asthma symptom monitoring to identify uncontrolled asthma. The researchers modified the asthma control measure (ACM), an existing, non-licensed PROM, and tested it with the asthma control questionnaire (ACQ-5) on 498 individuals with asthma, all of whom were recruited through an online platform. The study concluded that the modified ACM can be used in digital remote monitoring, does not require a license, and is able to differentiate between patients with uncontrolled asthma and patients with well-controlled asthma.
AHRQ-funded; HS026432.
Citation: Rudin RS, Qureshi N, Foer D .
Toward an asthma patient-reported outcome measure for use in digital remote monitoring.
J Asthma 2022 Aug;59(8):1697-702. doi: 10.1080/02770903.2021.1955378..
Keywords: Asthma, Respiratory Conditions, Telehealth, Health Information Technology (HIT)
Doshi H, Hsia B, Shahani J
Impact of technology-based interventions on patient-reported outcomes in asthma: a systematic review.
This systematic review鈥檚 goal was to identify which technology-based interventions (TBIs) for asthma management have been formally evaluated using patient-reported outcomes (PROs). The authors aimed to: 1) identify the TBIs that have been evaluated in clinical trials using PROs; 2) identify the most commonly used PROs in these trials; and 3) determine the impact of TBIs on PROs in the management of chronic asthma. PubMed and Clinicaltrials.gov databases were searched for English-language studies published between January 2000 and February 2020. The final analysis included 14 clinical trials with 1 to 3 arms. Five different TBI types were identified, most commonly involving multimedia education. Four different categories of PROs were identified. At least 1 PRO domain with positive outcomes were reported by patients in 12 of 14 studies.
AHRQ-funded; R18 HS025645.
Citation: Doshi H, Hsia B, Shahani J .
Impact of technology-based interventions on patient-reported outcomes in asthma: a systematic review.
J Allergy Clin Immunol Pract 2021 Jun;9(6):2336-41. doi: 10.1016/j.jaip.2021.01.027..
Keywords: Asthma, Respiratory Conditions, Chronic Conditions, Telehealth, Health Information Technology (HIT)
