The "physician on call patient engagement trial" (POPET): Measuring the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis and asthma patients
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Date
2015
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Abstract
Background: In this prospective, multicenter, randomized, controlled, double-blind study, we investigated the impact of a mobile patient engagement application on health outcomes and quality of life in allergic rhinitis (AR) and asthma patients. Methods: In total, 327 patients with diagnoses of persistent AR or mild-to-severe persistent asthma were randomized into 2 intervention groups and 2 control groups upon their admission at outpatient clinics. The intervention groups (POPET-AR and POPET-Asthma) received a mobile phone application ("physician on call patient engagement trial" [POPET]), enabling them to communicate with their physician, and record their health status and medication compliance. The AR groups completed the Rhinitis Quality of Life Questionnaire (RQLQ) at initiation and at the first month of the study. The asthma groups completed the Asthma Control Test (ACT) at initiation and at the third month of the study. Results: The POPET-AR group showed better clinical improvement than the control group in terms of the overall RQLQ score as well in measures of general problems, activity, symptoms other than nose/eye, and emotion domains (p < 0.05). In the POPET-Asthma group, more patients (49%) achieved a well-controlled asthma score (ACT > 19) compared with the control group (27%); this was statistically significant (p < 0.05). Conclusion: Use of a mobile engagement platform, such as POPET, can have a significant impact on health outcomes and quality of life in both AR and asthma, potentially decreasing the number of hospital admissions, repeat doctor visits, and losses in productivity. Improvements were seen in domains related to activity, productivity, perception of disease, and emotion. © 2015 ARS-AAOA, LLC.
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Adult , Asthma , Double-Blind Method , Female , Health Status , Humans , Male , Medication Adherence , Middle Aged , Mobile Applications , Outcome and Process Assessment (Health Care) , Patient Participation , Physician-Patient Relations , Prospective Studies , Quality of Life , Remote Consultation , Rhinitis, Allergic , Smartphone , Young Adult , antiasthmatic agent , adult , allergic rhinitis , Article , asthma , controlled study , disease severity , double blind procedure , emotion , female , health status , hospital admission , human , major clinical study , male , medication compliance , mobile application , multicenter study , outcome assessment , outpatient department , perception , physical activity , priority journal , prospective study , quality of life , randomized controlled trial , asthma , clinical trial , doctor patient relation , middle aged , patient participation , procedures , psychology , quality of life , Rhinitis, Allergic , smartphone , teleconsultation , treatment outcome , young adult