668:
The Association Between Educational Levels Of Asthma Patients Using The ASTHMA-Educator Mobile Application And Emergency Department Visits
Monday, March 5, 2018
South Hall A2 (Convention Center)
Anna Chen, Merhunisa Karagic, MD, Brian Hsia, Sammy Wu, Kristine Colon, Sunit P. Jariwala, MD

RATIONALE: Although asthma self-management mobile apps are readily available, there is a lack of published literature regarding how a patient’s educational level may influence the response to these mobile interventions. This study correlates the educational levels of asthma patients using the ASTHMA-Educator mobile application with asthma emergency department (ED) visits.

METHODS: We developed the ASTHMA-Educator program to provide guideline-based asthma education for patients at our institution in the Bronx. 25 adult asthma patients received a tablet-based version of the program, and were included in this study. We collected baseline data for each subject including self-reported highest educational level. At baseline, 2 months, and 4 months, we queried patients regarding the number of asthma ED visits in the prior 2 months. We performed statistical analyses through the paired t-test.

RESULTS: Of the 25 subjects, 6 did not finish high school, 3 finished high school, 10 finished college, 3 completed a higher degree, and 3 reported ‘other’. Among patients that finished college, we observed a statistically significant decrease in mean asthma ED visits from baseline to 2 months and 4 months (p = 0.01 and p = 0.04, respectively). Among patients that did not finish high school, finished high school, or completed a higher degree, there was no significant reduction in asthma ED visits from baseline to follow-up.

CONCLUSIONS: The study showed that patients who finished college showed the most benefit from the ASTHMA-Educator. Larger sample sizes are needed to further validate these results and target the mobile software program to patients from other educational backgrounds.