Web-based or paper-based self-management tools for Asthma - patients' opinions and quality of data in a randomized crossover study

• Type: Article in International Conference Proceedings Book
• Date: 2007

Authors

Ricardo Cruz Correia (Author) FMUP; Fonseca, J (Author) FMUP; Lima, L (Author) Other; Araujo, L (Author) Other; Delgado, L (Author) FMUP; Castel Branco, MG (Author) Other; Costa-Pereira A (Author) FMUP

Conference proceedings International

Title: MEDICAL AND CARE COMPUNETICS 4

Pages: 178-189

4th Conference of the International-Council-on-Medical-and-Care-Compunetics

Amsterdam, NETHERLANDS, 2007

Indexing

ISI Web of Knowledge - 30 Citations

Scopus - 34 Citations

Other information

Authenticus ID: P-004-DXX

Abstract (EN): The use of communication technologies may overcome some of the difficulties of conventional, paper-based, self-management of chronic diseases. This paper aims to describe and evaluate the use of P'ASMA - a web based asthma self-management support tool regarding the opinion of patients and their adherence to monitoring in comparison to standard paper-based tools. System description: P'ASMA allows the collection of asthma monitoring data and provides, to both patient and doctor, immediate feedback about patient's condition. For each patient a set of forms and scheduling options can be chosen. Evaluation methods: Twenty-one adults with previous medical diagnosis of asthma were included in an exploratory randomized crossover study. Patients used P'ASMA or a paper asthma diary and action-plan each during 4 weeks in a random sequence. Results: The number of patients who wrote negative remarks regarding P'ASMA was 2 and regarding paper-tools was 11; positive comments were 6 and I respectively for P'ASMA and Paper-based. Twelve patients were very interested to continue to monitor their asthma using P'ASMA whereas only 2 with Paper-based (p=0.002). Of the 19 problems reported with P'ASMA, 9 were related to the Internet connection, 5 to the user interface, 3 to internal system errors and 2 to the questions interpretation. The completeness of paper diary records was better; however, 10 patients reported filling it several days at once which was not allowed in P'ASMA. Conclusions: The intervention was feasible, safe and the problems detected in the web-application can be corrected. With P'ASMA data quality improved as the integrity features increase the reliability of the data. Moreover, patients preferred the web-based application to monitor their asthma.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 12