Developing and Pilot Testing an Algorithmic Software Tool to Help Manage Asthma (ASTHMA)-Educator
Sunday, March 6, 2016
South Exhibit Hall H (Convention Center)
Sunit P. Jariwala, MD
Rationale: Mobile and tablet-based health technology has been increasingly utilized to facilitate patient education regarding chronic conditions. We describe the development and pilot testing of a novel Algorithmic Software Tool to Help Manage Asthma (ASTHMA)-Educator iPad-based software application. 

Methods: The ASTHMA-Educator software program delivers NAEPP guideline-based care for severe asthma patients. It consists of educational videos and personalized algorithmic interactions (the program poses a question, the patient clicks on the appropriate response, and subsequent questions are asked based on the preceding patient answers). Pre/post-software asthma knowledge, time spent using the program, and patient satisfaction were measured among asthmatic patients from our clinic. The results were compared with an external control (nurse-delivered asthma education).  

Results: 10 severe asthmatic patients received the ASTHMA-Educator intervention (3 males and 7 females with a median age of 42 years), and 5 received the nurse-delivered education (all females with a median age of 51 years). The mean asthma knowledge scores pre- and post-intervention increased for both groups (10.3 vs 11.6, p=0.0289 in the ASTHMA-Educator group; 9.4 vs 12.8, p=0.022 in the nurse-delivered education group). Similar times were spent with the ASTHMA-Educator (median of 20 minutes) and nurse-delivered education (median of 21 minutes). 

Conclusions: The ASTHMA-Educator and nurse-delivered interventions improved asthma knowledge and demonstrated similar times spent in receiving the educational interventions. Further studies are needed to evaluate clinical outcomes associated with these interventions.