PMID- 28800273
OWN - NLM
STAT- MEDLINE
DCOM- 20190807
LR  - 20190807
IS  - 1532-4303 (Electronic)
IS  - 0277-0903 (Linking)
VI  - 55
IP  - 7
DP  - 2018 Jul
TI  - Assessing the impact of a remote digital coaching engagement program on 
      patient-reported outcomes in asthma.
PG  - 795-800
LID - 10.1080/02770903.2017.1362430 [doi]
AB  - BACKGROUND: Low adherence and poor outcomes provide opportunity for digital 
      coaching to engage patients with uncontrolled asthma in their care to improve 
      outcomes. OBJECTIVE(S): To examine the impact of a remote digital coaching 
      program on asthma control and patient experience. METHODS: We recruited 51 adults 
      with uncontrolled asthma, denoted by albuterol use of >2 times per week and/or 
      exacerbations requiring corticosteroids, and applied a 12-week patient-centered 
      remote digital coaching program using a combination of educational pamphlets, 
      symptom trackers, best peak flow establishment, physical activity, and dietary 
      counseling, as well as coaches who implemented emotional enforcement to motivate 
      disease self-management through telephone, text, and email. Baseline and 
      post-intervention measures were quality of life (QOL), spirometry, Asthma Control 
      Test (ACT), Asthma Symptom Utility Index (ASUI), rescue albuterol use, and 
      exacerbation history. RESULTS: Among 51 patients recruited, 40 completed the 
      study. Eight subjects required assistance reading medical materials. Significant 
      improvements from baseline were observed for Patient-Reported Outcomes 
      Measurement Information System mental status (p = 0.010), body weight, and 
      outpatient exacerbation frequency (p = 0.028). The changes from baseline in ACT 
      (p = 0.005) were statistically significant but did not achieve the pre-specified 
      minimum clinically important difference (MCID), whereas for ASUI, the MCID and 
      statistical significance were achieved. Spirometry and rescue albuterol use were 
      no different. CONCLUSION: A patient-oriented, remote digital coaching program 
      that utilized trained health coaches and digital materials led to statistically 
      significant improvement in mental status, outpatient exacerbations, body weight, 
      and ASUI. Digital coaching programs may improve some outcomes in adults with 
      uncontrolled asthma.
FAU - Rasulnia, Mazi
AU  - Rasulnia M
AD  - a Pack Health, President , Birmingham , Alabama , USA.
FAU - Burton, Billy Stephen
AU  - Burton BS
AD  - b Pack Health, Outcomes , Birmingham , Alabama , USA.
FAU - Ginter, Robert P
AU  - Ginter RP
AD  - c Pack Health LLC, Operations , Birmingham , Alabama , USA.
FAU - Wang, Tracy Y
AU  - Wang TY
AD  - d Department of Medicine , Duke University, Duke Clinical Research Institute and 
      Duke University Division of Cardiology , Durham , North Carolina , USA.
FAU - Pleasants, Roy Alton
AU  - Pleasants RA
AD  - e Duke University , Division of Pulmonary, Allergy, and Critical Care Medicine 
      and Duke Asthma, Allergy and Airways Center , Durham , North Carolina , USA.
FAU - Green, Cynthia L
AU  - Green CL
AD  - f School of Medicine, Biostatistics and Bioinformatics , Duke University , Durham 
      , North Carolina , USA.
FAU - Lugogo, Njira
AU  - Lugogo N
AD  - e Duke University , Division of Pulmonary, Allergy, and Critical Care Medicine 
      and Duke Asthma, Allergy and Airways Center , Durham , North Carolina , USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20171011
PL  - England
TA  - J Asthma
JT  - The Journal of asthma : official journal of the Association for the Care of 
      Asthma
JID - 8106454
RN  - 0 (Anti-Asthmatic Agents)
MH  - Adult
MH  - Aged
MH  - Anti-Asthmatic Agents/therapeutic use
MH  - Asthma/diagnosis/*drug therapy/pathology
MH  - Disease Progression
MH  - Electronic Mail
MH  - Female
MH  - Humans
MH  - Male
MH  - Mentoring/*methods
MH  - Middle Aged
MH  - Patient Education as Topic/*methods
MH  - *Patient Reported Outcome Measures
MH  - Program Evaluation
MH  - Prospective Studies
MH  - Quality of Life
MH  - Remote Consultation/*methods
MH  - Self Care/methods
MH  - Severity of Illness Index
MH  - Telephone
MH  - Text Messaging
MH  - Young Adult
OTO - NOTNLM
OT  - Alternative medicine
OT  - education
OT  - management/control
OT  - quality of life
OT  - treatment
EDAT- 2017/08/12 06:00
MHDA- 2019/08/08 06:00
CRDT- 2017/08/12 06:00
PHST- 2017/08/12 06:00 [pubmed]
PHST- 2019/08/08 06:00 [medline]
PHST- 2017/08/12 06:00 [entrez]
AID - 10.1080/02770903.2017.1362430 [doi]
PST - ppublish
SO  - J Asthma. 2018 Jul;55(7):795-800. doi: 10.1080/02770903.2017.1362430. Epub 2017 
      Oct 11.