| Authors | Zairina, E. Abramson, M.J. McDonald, C.F. Li, J. Dharmasiri, T. Stewart, K. Walker, S. P. Paul, E. George, J. |
|---|---|
| Type | Journal Article (Review) |
| Journal | Respirology |
| PubMed ID | 27037722 |
| Year of Publication | 2016 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/27037722 |
| DOI | http://dx.doi.org/10.1186/s12890-015-0082-310.1111/resp.12773 |
| Download |  2016_July_Respirology_Zairina_Telehealth.pdf (604.1 KB) |
| Abstract | BACKGROUND AND OBJECTIVE: Poorly controlled asthma during pregnancy is hazardous for both mother and foetus. Better asthma control may be achieved if patients are involved in regular self-monitoring of symptoms and self-management according to a written asthma action plan. Telehealth applications to optimize asthma management and outcomes in pregnant women have not yet been evaluated. This study evaluated the efficacy of a telehealth programme supported by a handheld respiratory device in improving asthma control during pregnancy. METHODS: Pregnant women with asthma (n = 72) from two antenatal clinics in Melbourne, Australia, were randomized to one of two groups: (i) intervention-involving a telehealth programme (management of asthma with supportive telehealth of respiratory function in pregnancy (MASTERY((c)) )) supported by a handheld respiratory device and an Android smart phone application (Breathe-easy((c)) ) and written asthma action plan or (ii) control-usual care. The primary outcome was change in asthma control at 3 and 6 months (prenatal). Secondary outcomes included changes in quality of life and lung function, and perinatal/neonatal outcomes. RESULTS: At baseline, participants' mean (+/- standard deviation) age was 31.4 +/- 4.5 years and gestational age 16.7 +/- 3.1 weeks. At 6 months, the MASTERY group had better asthma control (P = 0.02) and asthma-related quality of life (P = 0.002) compared with usual care. There were no significant differences between groups in lung function, unscheduled health-care visits, days off work/study, oral corticosteroid use, or perinatal outcomes. Differences between groups were not significant at 3 months. CONCLUSION: Telehealth interventions supporting self-management are feasible and could potentially improve asthma control and asthma-related quality of life during pregnancy. |
http://www.ibas.org.au/what-we-do/publications/3872837
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