3:05 - 3:25 pmSaturday, September 28
LK 130
Building a municipal digital health program to improve self-management and public health of asthma
LK 130
Building a municipal digital health program to improve self-management and public health of asthma
CEO and Co-Founder, Propeller Health
Background In 2012, Asthmapolis and the City of Louisville partnered to establish a data-driven, vertically integrated, asthma management program in Louisville, KY designed to improve the management of... Read more

Description

Background

In 2012, Asthmapolis and the City of Louisville partnered to establish a data-driven, vertically integrated, asthma management program in Louisville, KY designed to improve the management of asthma among city residents and develop new data sources to strengthen public health efforts to control the disease. We report interim results summarizing the effect on asthma control.

Methods

Residents of the Louisville Metro with physician-diagnosed asthma are enrolled at participating retail pharmacies and clinics where they receive at no-cost small electronic inhaler sensors that track the frequency of use of their rescue and controller medications. After an initial month-long monitoring period, participants receive access to smartphone and web-based applications designed to support and encourage appropriate self-management. Paired sample t-tests were used to examine differences in asthma-free days and rescue inhaler use between control and intervention periods.

Results

As of January 2013, a total of 238 people had enrolled; median time in study was 46 days (IQR: 24-81 days). On average, participants experienced a mean of 21 asthma-free days (or 9 days with inhaler usage) in the initial 30 day control period and used their rescue inhalers a mean of 18.5 times. In the subsequent 30 days, the mean number of asthma-free days increased by 3 to 24 (or 6 days with rescue inhaler usage) (p=0.0001) and use of rescue inhalers decreased to 13 events (p=0.0009). In general, people with more inhaler usage in the control period had bigger reductions in inhaler use in the second month.

Conclusions

Measures of the day-to-day burden and management of asthma suggest that digital tools used to capture an ongoing assessment of asthma control and provide targeted asthma education have reduced the burden of asthma morbidity. Public health dashboards and reports provide an integrated view of the real-time burden of asthma and relevant environmental information.

David Van Sickle, PhD, is the co-founder and CEO of Asthmapolis, a Madison, WI based company that is pioneering effective new disease management solutions for asthma and chronic respiratory disease. Previously, Van Sickle was a Robert Wood Johnson Foundation Health and Society Scholar at the University of Wisconsin School of Medicine and Public Health. From 2004-2006, he was an Epidemic Intelligence Service officer at the Centers for Disease Control and Prevention in Atlanta, where he was assigned to the Air Pollution and Respiratory Health Branch. Van Sickle received his PhD in medical anthropology from the University of Arizona in 2004. In 2011, he was named a Champion of Change by the White House for his work on innovation.

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