Smart-Technologies in der Kinderpneumologie und -allergologie

ZUSAMMENFASSUNG

In der Medizin werden immer mehr digitale Anwendungen genutzt. Insbesondere der internationale Markt für medizinische Smart-Technologies wächst stetig und umfasst vielfältige Angebote, die von Apps bis zu mobilen Messgeräten reichen – sucht man jedoch deutschsprachige, für Kinder und Jugendliche geeignete Angebote, so ist die Auswahl deutlich geringer. Für die pädiatrische Pneumologie zeigen Studien erste vielversprechende Ergebnisse für den Einsatz von elektronischen Symptomtagebüchern, Smartphone-Spirometern und digitalen Inhalationshilfen. Digitale Hilfsmittel erhöhen die Therapieadhärenz bei Kindern mit Asthma. Im Bereich der pädiatrischen Allergologie sind vor allem Apps zur Pollenflugvorhersage weit verbreitet. Die Anwendung von Smart-Technologies könnte den Therapieerfolg bei verschiedenen Erkrankungen verbessern und die Versorgung in der pädiatrischen Pneumologie und Allergologie erleichtern. Aktuell steckt die Anwendung digitaler Anwendungen in diesem Bereich jedoch noch in ihren Anfängen, weshalb eine differenzierte Auswahl geeigneter Apps und Geräte nötig ist.

ABSTRACT

The medical landscape is witnessing a surge in the utilization of digital applications. The global market for medical smart technologies is growing continuously and includes a diverse range of options ranging from apps to portable measuring devices. However, the availability of German-language options suitable for children and adolescents is noticeably limited. Studies in pediatric pulmonology are revealing promising initial outcomes concerning the use of electronic symptom diaries, smartphone spirometers, and digital inhalation aids. Digital tools enhance therapy adherence in children with asthma. In the field of pediatric allergology, apps forecasting pollen levels are widely used. The application of smart technologies could enhance therapeutic outcomes in various diseases, simplifying care in pediatric pulmonology and allergology. Nevertheless, the implementation of digital applications in this domain is still in its early stages, necessitating a careful selection of suitable apps and devices.

Schlüsselwörter

mHealth - Smart-Technologies - Asthma - Apps

Keywords

mHealth - smart technologies - asthma - apps

Publication History

Article published online:
10 June 2024

• Literatur

• 1 Franzmair J, Diesner-Treiber SC, Voitl JJM. et al Effective German and English Language mHealth Apps for Self-management of Bronchial Asthma in Children and Adolescents: Comparison Study. JMIR Mhealth Uhealth 2021; 09: e24907
• 2 Farzandipour M, Nabovati E, Sharif R. et al Patient Self-Management of Asthma Using Mobile Health Applications: A Systematic Review of the Functionalities and Effects. Appl Clin Inform 2017; 08: 1068-1081
• 3 Venkataramanan R, Thirunarayan K, Jaimini U. et al Determination of Personalized Asthma Triggers From Multimodal Sensing and a Mobile App: Observational Study. JMIR Pediatr Parent 2019; 02: e14300
• 4 Al Raimi AM, Chong MC, Tang LY. et al The effect of mobile applications in enhancing asthma knowledge among school children with asthma in Malaysia. J Pediatr Nurs 2022; 65: e63-e71
• 5 Ferreira-Cardoso H, Jácome C, Silva S. et al Lung Auscultation Using the Smartphone – Feasibility Study in Real-World Clinical Practice. Sensors (Basel) 2021; 21: 4931
• 6 Kruizinga MD, Zhuparris A, Dessing E. et al Development and technical validation of a smartphone-based pediatric cough detection algorithm. Pediatr Pulmonol 2022; 57: 761-767
• 7 Ramsey RR, Plevinsky JM, Milgrim L. et al Feasibility and preliminary validity of mobile spirometry in pediatric asthma. The Journal of Allergy and Clinical Immunology: In Practice 2021; S221321982100670X. doi:10.1016/j.jaip.2021.06.005
• 8 Kruizinga MD, Essers E, Stuurman FE. et al Technical validity and usability of a novel smartphone-connected spirometry device for pediatric patients with asthma and cystic fibrosis. Pediatric Pulmonology 2020; 55: 2463-2470
• 9 Ring B, Burbank AJ, Mills K. et al Validation of an app-based portable spirometer in adolescents with asthma. Journal of Asthma 2019; 58: 497-504
• 10 Fossati A, Challier C, Dalhoumi AA. et al Telehome Monitoring of Symptoms and Lung Function in Children with Asthma. Healthcare (Basel) 2022; 10: 1131
• 11 Oppelaar MC, van den Wijngaart LS, Merkus PJFM. et al It Is Not Just the FEV1 That Matters, but the Personal Goals We Reach Along the Way: Qualitative, Multicenter, Prospective, Observational Study. J Med Internet Res 2021; 23: e29218
• 12 Wong C-H, Smith S, Kansra S. Digital technology for early identification of exacerbations in people with cystic fibrosis. Cochrane Database Syst Rev 2023; 04: CD014606
• 13 Nichols M, Miller S, Treiber F. et al Patient and Parent Perspectives on Improving Pediatric Asthma Self-Management Through a Mobile Health Intervention: Pilot Study. JMIR Form Res 2020; 04: e15295
• 14 Morton RW, Elphick HE, Rigby AS. et al STAAR: a randomised controlled trial of electronic adherence monitoring with reminder alarms and feedback to improve clinical outcomes for children with asthma. Thorax 2017; 72: 347-354
• 15 Andrews AL, Nitchie HL, Harvey JB. Parent Preferences for Methods and Content of Mobile Technology – Based Asthma Medication Adherence Intervention. Hosp Pediatr 2019; 09: 209-215
• 16 Bousquet J, Devillier P, Arnavielhe S. et al Treatment of allergic rhinitis using mobile technology with real-world data: The MASK observational pilot study. Allergy 2018; 73: 1763-1774
• 17 Pizzulli A, Perna S, Florack J. et al The impact of telemonitoring on adherence to nasal corticosteroid treatment in children with seasonal allergic rhinoconjunctivitis. Clin Exp Allergy 2014; 44: 1246-1254