dc.contributor.author
Dramburg, Stephanie
dc.contributor.author
Dellbrügger, Ellen
dc.contributor.author
Aalderen, Wim van
dc.contributor.author
Matricardi, Paolo Maria
dc.date.accessioned
2023-03-07T16:25:17Z
dc.date.available
2023-03-07T16:25:17Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/38239
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-37957
dc.description.abstract
Background: Viral airway infections are a major reason for doctor's visits at pre-school age, especially when associated with wheezing. While proper treatment requires adequate recognition of airway obstruction, caretakers are often struggling with this judgment, consequently leading to insufficient or late treatment and an unnecessary discomfort of the patient. Digital technologies may serve to support parental decision taking. The aim of the present pilot study is to acquire data on the feasibility of recruitment and observation procedures for a randomized controlled trial on the impact of a digital wheeze detector in a home management setting of pre-school wheezing.
Methods: This single-armed pilot study enrolled patients with a doctor's diagnosis of wheezing aged 9 to 72 months. Participants were asked to use a digital wheeze detector (WheezeScan, Omron Healthcare, Japan) 2x/day for 30 days and record the child's respiratory symptoms, detection of wheezing, and medication intake via an electronic diary (eDiary) app. Demographic and clinical data were collected at the recruitment visit. The asthma control test and the Parent Asthma Management Self-Efficacy Scale (PAMSES) were assessed both, at recruitment and follow-up.
Results: Twenty families were recruited and completed the monitoring. All but one completed the follow-up after 30 days. The recruitment procedures were feasible, and adherence to daily monitoring reached an average of 81%. The use of the wheeze detector was rated as uncomplicated. Parents detected wheezing without digital support in only 22/708 (3.1%) of the recorded events. By contrast, the wheeze detector indicated an airway obstruction in 140/708 (19.8%) of the recordings.
Conclusion: In parallel to feasible recruitment procedures, we observed good usability of the wheeze detection device and high adherence to eDiary recording. The positive outcomes show that the WheezeScan may empower parents by increasing their capacity for wheeze detection. This deserves to be investigated in a larger randomized controlled trial.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Pre-school wheezing
en
dc.subject
Digital health
en
dc.subject
Asthma self-management
en
dc.subject
Wheeze detector
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
The impact of a digital wheeze detector on parental disease management of pre-school children suffering from wheezing—a pilot study
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
185
dcterms.bibliographicCitation.doi
10.1186/s40814-021-00917-w
dcterms.bibliographicCitation.journaltitle
Pilot and Feasibility Studies
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
7
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
34627391
dcterms.isPartOf.eissn
2055-5784