Development and implementation of the home asthma telemonitoring (HAT) system to facilitate asthma self-care

J. Finkelstein, G. O'Connor, R. H. Friedman

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

National Asthma Education and Prevention Program (NAEPP) suggests using asthma action plans for patient self-care. Recent studies reported that many asthma patients had difficulties in following action plans on a daily basis and had low compliance to medication regimens. The goal of our study was to design and evaluate the Home Asthma Telemonitoring (HAT) system aimed to help asthma patients to follow their self-care plans according to the NAEPP recommendations. Our study resulted in the development of the system which provided patients with continuous individualized help in the daily routine of asthma self-care and notified heath care providers if certain clinical conditions occurred. This allowed early recognition of potentially dangerous situations and timely intervention. The evaluation of the HAT system underwent several stages. First we showed, that the HAT system provides reliable reciprocal exchange of all relevant information between a physician and asthma patient in home settings. Further evaluation demonstrated that lung function test results collected during home asthma telemonitoring are comparable to those collected under the supervision of trained professionals, and Internet-based home asthma telemonitoring can be successfully implemented in a group of patients without previous computer experience. Preliminary results of an on-going HAT evaluation showed higher patient compliance to asthma action plans in comparison to the compliance reported for patients in standard care. The clinical impact of HAT on asthma outcomes is being currently evaluated in a randomized clinical trial funded by NIH. HAT has a potential for improving clinical outcomes and quality of life in the studied patient population and may be a model for monitoring and self-management of patients with other chronic health conditions.

Original languageEnglish (US)
Title of host publicationMEDINFO 2001 - Proceedings of the 10th World Congress on Medical Informatics
PublisherIOS Press
Pages810-814
Number of pages5
ISBN (Print)1586031945, 9781586031947
DOIs
StatePublished - Jan 1 2001
Event10th World Congress on Medical Informatics, MEDINFO 2001 - London, United Kingdom
Duration: Sep 2 2005Sep 5 2005

Publication series

NameStudies in Health Technology and Informatics
Volume84
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other10th World Congress on Medical Informatics, MEDINFO 2001
CountryUnited Kingdom
CityLondon
Period9/2/059/5/05

Keywords

  • Telemedicine
  • asthma
  • self-care

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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  • Cite this

    Finkelstein, J., O'Connor, G., & Friedman, R. H. (2001). Development and implementation of the home asthma telemonitoring (HAT) system to facilitate asthma self-care. In MEDINFO 2001 - Proceedings of the 10th World Congress on Medical Informatics (pp. 810-814). (Studies in Health Technology and Informatics; Vol. 84). IOS Press. https://doi.org/10.3233/978-1-60750-928-8-810