Sensor-based monitoring of daily inhaled corticosteroids slightly improved symptom control but was associated with significantly greater emergency visits and hospitalizations.
Asthma is highly prevalent in children and often requires adherence to daily use of inhaled corticosteroids (ICSs) for adequate control of symptoms. To examine whether remote monitoring would improve adherence and outcomes, researchers randomized 225 caregiver–child dyads to an intervention involving sensor-based monitoring or routine care.
The children were classified as having moderate-to-severe asthma and had been prescribed a daily ICS for at least 1 year. The intervention involved remote inhaler sensors that tracked the use of ICSs and short-acting β-agonists. Providers contacted the families in the intervention group if the children missed ICS doses for 4 continuous days or had increased use of short acting β-agonists. Control of asthm…
Reviewing Author
DisclosuresGrant/Research SupportNIH Institutional Clinical and Translational Science Award; Agency for Healthcare Research and Quality National Center for Pediatric Practice Based Research Learning; Patient-Centered Outcomes Research Institute
Editorial BoardsCurrent Problems in Pediatric Adolescent Healthcare
Leadership Positions in Professional Societies College of Physicians of Philadelphia (Board of Trustees)
DisclosuresGrant/Research SupportNIH Institutional Clinical and Translational Science Award; Agency for Healthcare Research and Quality National Center for Pediatric Practice Based Research Learning; Patient-Centered Outcomes Research Institute
Editorial BoardsCurrent Problems in Pediatric Adolescent Healthcare
Leadership Positions in Professional Societies College of Physicians of Philadelphia (Board of Trustees)