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

• Tipo: Artigo em Livro de Atas de Conferência Internacional
• Data: 2007

Autores

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

Ata de Conferência Internacional

Título: MEDICAL AND CARE COMPUNETICS 4

Páginas: 178-189

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

Amsterdam, NETHERLANDS, 2007

Indexação

ISI Web of Knowledge - 30 Citações

Scopus - 34 Citações

Outras Informações

ID Authenticus: 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.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 12