Evidence Table 28

Outcomes in studies addressing the impact of CHI applications on intermediate outcomes of asthma and COPD (KQ1b)

Author, yearOutcomesControl InterventionnMeasure at BLMeasure at time point 2Measure at final time pointratios at time pointsSignificance
Asthma
Jan, 20071Monitoring adherence (peak flow meter technique score (%))Control7185.6NA12 week, 93.5NA
Education and interactive asthma monitoring system8283.512 week, 99.7
Monitoring adherence (asthma diary entries per month)Control71Mean, 21 SD, 4.512 weeks, mean, 15 SD, 5.3Significantly different from BL value
Education and interactive asthma monitoring system82Mean, 27 SD, 3.212 weeks, mean, 23 SD, 4.3
Monitoring adherence (adherence to asthma diary (%))Control7193.212 weeks, 53.4
Education and interactive asthma monitoring system8296.012 weeks, 82.5
Therapeutic adherence (DPI or MDI plus spacer technique score (%))Control7180.312 week, 93.1
Education and interactive asthma monitoring system8282.112 week, 96.5
Therapeutic adherence (adherence to inhaled corticosteroid, (%))Control7182.312 week, 42.1
Education and interactive asthma monitoring system8283.512 week, 63.2
Joseph , 20072Controller medication adherence: positive behavior changeControl143NRNA12 months, n(%) 18 (12.6)NA0.09
Puff City internet intervention15212 months, n(%) 31 (20.4)
Controller medication adherence: no change in negative behaviorControl14312 months, n(%) 91 (63.6)0.09
Puff City internet intervention15212 months, n(%) 95 (62.5)
Controller medication adherence: negative change in behaviorControl14312 months, n(%) 34 (23.8)0.09
Puff City internet intervention15212 months, n(%) 26 (17.1)
Rescue inhaler availability: positive behavior changeControl14312 months, n(%) 46 (32.2)0.01
Puff City internet intervention15212 months, n(%) 59 (38.8)
Rescue inhaler availability: no change in negative behaviorControl14312 months, n (%) 62 (43.3)0.01
Puff City internet intervention15212 months, n (%) 74 (48.7)
Rescue inhaler availability: negative change in behaviorControl14312 months, n (%) 35 (24.5)0.01
Puff City internet intervention15212 months, n (%) 19 (12.5)
Krishna, 20033Asthma Knowledge score (caregivers of children 0–6yr)Control23Mean, 48.41 SD, 6.64NA12 months mean, 52.3 SD, 5.55NA<0.01
Interactive asthma education24Mean, 47.94 SD, 5.2412 months mean, 55.68 SD, 4.28
Asthma knowledge score (caregivers of children 7–17yr)Control28Mean, 49.57 SD, 4.7512 months mean, 55.38 SD, 4.16<0.01
Interactive asthma education26Mean, 49.95 SD, 5.5912 months mean, 55.68 SD, 4.28
Asthma knowledge score (children 7–17yr)Control28Mean, 43.44 SD, 4.7512 months mean, 47.51 SD, 5.95<0.001
Interactive asthma education25Mean, 49.95 SD, 6.1012 months mean, 53.12 SD, 5.56
Change in knowledge(caregivers of children 0–6yr)Control23mean, 2.52 SD, 6.71 median, 5 95% CI, −0.38 to 5.420.0293
Interactive asthma education24mean, 7.97 SD, 4.57 median, 7 95% CI, 5 to 11<0.0001
Change in knowledge (caregivers of children 7–17yr)Control28mean, 2.38 SD, 4.38 median, 2.55 95% CI, 0 to 40.0079
Interactive asthma education26mean, 4.62 SD, 4.48 median, 3 95% CI, 2 to 7<0.0001
Change in knowledge (children 7–17yr)Control27mean, 4.44 SD, 5.49 median, 4 95% CI, 2 to 70.0001
Interactive asthma education25mean, 10 SD, 6.99 median, 8 95% CI, 7 to 11<0.0001
COPD
Nguyen, 20084Dyspnea knowledge score (range 0–15)Face-to-face dyspnea self-management program20Mean, 12.5 SD, 2.33 months mean,13.3 SD, 1.66 months mean,13.8 SD, 1.5NAGroup P: 0.49 time P value: <0.001 group X time P value: 0.68
Internet-based dyspnea self-management program19Mean, 12.6 SD, 1.83 months mean, 13.8 SD,1.06 months mean, 14.1 SD, 1.0
Self-efficacy score for managing dyspnea (range 0–10)Face-to-face dyspnea self-management program20Mean, 4.6 SD, 2.43 months mean, 5.5 SD,3.36 months mean, 5.0 SD, 3.6Group P: 0.18 time P value: 0.2 group X time P value: 0.34
Internet-based dyspnea self-management program19Mean, 4.7 SD, 2.33 months mean, 6.8 SD,2.36 months mean, 6.7 SD, 2.6

NS = not specified, NA = not applicable, yr = year, SD = standard deviation, BL = baseline, NR = not reported

Reference List

1

Jan RL, Wang JY, Huang MC, Tseng SM, Su HJ, Liu LF. An internet-based interactive telemonitoring system for improving childhood asthma outcomes in Taiwan. Telemed J E Health 2007; 13(3):257–68.

2

Joseph CL, Peterson E, Havstad S et al. A web-based, tailored asthma management program for urban African-American high school students. Am J Respir Crit Care Med 2007; 175(9):888–95.

3

Krishna S, Francisco BD, Balas EA, Konig P, Graff GR, Madsen RW. Internet-enabled interactive multimedia asthma education program: a randomized trial. Pediatrics 2003; 111(3):503–10.

4

Nguyen HQ, Donesky-Cuenco D, Wolpin S et al. Randomized controlled trial of an internet-based versus face-to-face dyspnea self-management program for patients with chronic obstructive pulmonary disease: pilot study. J Med Internet Res 2008; 10(2):e9.

From: Appendix G

Cover of Impact of Consumer Health Informatics Applications
Impact of Consumer Health Informatics Applications.
Evidence Reports/Technology Assessments, No. 188.
Gibbons MC, Wilson RF, Samal L, et al.

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