Page 24 - Delaware Medical Journal - July 2017

The program utilizes the AAP in addition to the Medtrac monitoring system. The system combines multiple monitoring devices for inhaled medication (albuterol, corticosteroid, anticholinergic) and an enhanced peak flow chronology into a wireless communications system to interact with each at-home docking station. Program outcome resulted in 72 percent in cost (data on file with BCBS).
2010-2014 Develop and host AsthmaPACT for Asthma and Allergy Foundation of America. This was derived from the AAP Patient Portal. More than 2,000 surveys completed, a 67 percent survey completion rate. AsthmaPACT provided validation of both Child and Adult AAP surveys
Weinstein AG, Laurenceau J, Vok J. The relationship between, self-reported non-adherence (NA) to anti-inflammatory therapy and asthma management behaviors/attitudes related to NA in adult patients. J Allergy Clin Immunol. 2011;127:AB149.
Weinstein AG, Laurenceau J, Vok J. Associations between self-reported adherence to asthma anti-inflammatory therapy and child/parent attitudes and behaviors regarding disease management. J Allergy Clin Immunol. 2012;129:AB143.
2014 Develop AAP web app to permit use on SmartPhone and Tablet. Ongoing controlled trials of AAP web app.
2014-2017 Merck 50009. Improving Asthma Control in the Real World: A Systematic Approach to Improving Dulera Adherence (PI Weinstein) Application
of Electronic Adherence Monitors with Asthma Adherence Clinical Decision Support Software to Improve Adherence and Adult Asthma Control
FIGURE 1
Combining AAP web app with use of Smartinhaler digital MDI monitoring device, which patient returns to clinic for evaluation of adherence, study achieved 84 percent Dulera adherence. Treatment group had significant reduction in Asthma Control (ACQ) over a three month study compared to control group. Individuals
in the treatment group also achieved greater minimal importance difference than control when ACQ of each subject was compared from entry to completion of the study.
Weinstein AG, et al., Preliminary evaluation of an adult asthma adherence management program. Am J Respir Crit Care Med. 2017;195:A7619.
2014-2017 NIH SBIR Phase 1 1R43HL115846 - 01
”An Asthma Adherence Telehealth System to Improve Asthma Management. (PI Weinstein) To determine the effectiveness of medication monitoring and Motivational Interviewing adherence strategies in adult asthmatics.
Asthma Adherence web app and Internet enabled sensors (Propeller) for albuterol and steroid MDI. Blue tooth signal sent to Hub and then to server. Data relayed from server by email to clinician who phones patient. Study ongoing. See Figure 1.
CONTRIBUTING AUTHOR
ANDREW G. WEINSTEIN, MD is an Associate Clinical Professor of Pediatrics at Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia and President of Asthma Management Systems, LLC.
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Del Med J | July 2017 | Vol. 89 | No. 7