Use of web and mobile device technologies in the management of childhood asthma: a systematic review and meta-analysis

IF 2.5 4区医学 Q1 PEDIATRICS Jornal de pediatria Pub Date : 2025-07-01 Epub Date: 2025-04-09 DOI:10.1016/j.jped.2025.01.013

Maria Gabriella Adeodato Prado , Francisco Placido Nogueira Arcanjo , Luiz Odorico Monteiro de Andrade , Ivana Cristina de Holanda Cunha Barreto , Lizandro de Andrade Teles , Jeferson de Sousa Justino , Edcley de Souza Teixeira , Marya Clara Barros Mororó

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Abstract

Objective

The objective of this review is to assess the use of support tools for children with asthma, based on web and mobile device technologies, and their impact on asthma control.

Method

This is a systematic review conducted in accordance with the PRISMA guidelines and the Joanna Briggs Institute (JBI) Manual. The research question defined by the PICO strategy was: ‘‘What are the effects of web-based and mobile device support tools on asthma control in children?’’ The search was conducted in the Medline (via PubMed), SciELO, and Embase databases between October and December 2023, with completion in July 2024.

Results

The systematic review analyzed 388 articles and selected 4 studies on technologies for managing asthma in children. The studies showed that mobile apps and electronic monitoring improve asthma control, treatment adherence, and caregivers’ quality of life. The meta-analysis showed a mean increase in Asthma Control Test (ACT) scores of 2.73 (95 % CI: 1.95, 3.51) with P < 0.0001, indicating a significant improvement in asthma control scores, highlighting the effectiveness of these technologies.

Conclusions

This study demonstrates that digital tools, such as web technologies and mobile devices, can significantly improve the management of childhood asthma, as reflected by an increase in Asthma Control Test (ACT) scores. Despite limitations, the findings are promising. Future research is needed to strengthen the evidence and guide clinical practice in pediatric asthma management.

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使用网络和移动设备技术管理儿童哮喘：系统回顾和荟萃分析。

目的本综述旨在评估基于网络和移动设备技术的哮喘儿童支持工具的使用情况及其对哮喘控制的影响：本综述是根据 PRISMA 指南和乔安娜-布里格斯研究所（JBI）手册进行的系统性综述。PICO策略确定的研究问题是："基于网络和移动设备的支持工具对儿童哮喘控制有何影响？该研究于 2023 年 10 月至 12 月期间在 Medline（通过 PubMed）、SciELO 和 Embase 数据库中进行了检索，并于 2024 年 7 月完成：结果：系统性综述分析了 388 篇文章，筛选出 4 项关于儿童哮喘管理技术的研究。这些研究表明，移动应用程序和电子监测可改善哮喘控制、治疗依从性和护理人员的生活质量。荟萃分析表明，哮喘控制测试 (ACT) 分数平均提高了 2.73（95 % CI：1.95, 3.51），P 为结论：这项研究表明，网络技术和移动设备等数字化工具可以显著改善儿童哮喘的管理，哮喘控制测试 (ACT) 分数的提高就反映了这一点。尽管存在局限性，但研究结果还是很有希望的。未来的研究需要加强证据并指导儿科哮喘管理的临床实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal de pediatria 医学-小儿科

CiteScore

5.60

自引率

3.00%

发文量

审稿时长

43 days

期刊介绍： Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.