{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T22:04:48Z","timestamp":1792533888636,"version":"4.5.0"},"reference-count":38,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respiratory Care"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The New York City borough of the Bronx has epidemic rates of asthma morbidity and mortality, and mobile health interventions are an effective way to reduce disease burden among patients. ASTHMAXcel is a mobile health platform previously shown to improve asthma control, knowledge, and quality of life. This study was designed to evaluate an adapted version (ASTHMAXcel PRO) of the platform in the out-patient primary care setting over 12\u2009months, evaluating the digital tool\u2019s impact on asthma control in adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Adult subjects with asthma on daily controller medications were recruited from the primary care setting and randomized to intervention and control (usual care) groups. Subjects were assessed at baseline and 12\u2009months with the Asthma Control Test (ACT) and Mini-Asthma Quality of Life Questionnaire (mini-AQLQ). Paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      tests were used to compare time points within each group. Linear mixed models (LMM) adjusting for age, sex, insurance, and comorbidity were compared between groups by testing the interaction between time points (12 months vs baseline) and group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The analysis sample included 99 subjects (48 in the intervention group, 51 in usual care), ranging from 20 to 72\u2009years of age. There was a statistically significant increase in ACT scores in the intervention group between the baseline and 12\u2009months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .004) but not so in the control group (between-group comparison, LMM interaction\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .08). Mini-AQLQ scores in both groups increased significantly (\u03c0 = .005,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      <jats:sub>c<\/jats:sub>\n                      = .02), with a greater magnitude increase in the intervention group (between-group comparison, LMM interaction\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .24).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This mobile platform is a promising resource for patients and is a step toward creating effective long-term interventions to improve patient quality of life and symptom control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/respcare.12312","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T21:36:28Z","timestamp":1747431388000},"page":"1257-1266","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Implementing and Evaluating the Clinical Outcomes of an Asthma Management Mobile Application"],"prefix":"10.1177","volume":"70","author":[{"given":"Sonia","family":"Sakleshpur","sequence":"first","affiliation":[{"name":"Ms. Sakleshpur and Dr. Jariwala are affiliated with Division of Allergy\/Immunology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenzhu","family":"Mowrey","sequence":"additional","affiliation":[{"name":"Dr. Mowrey is affiliated with Division of Biostatistics, Albert Einstein College of Medicine. Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Green","sequence":"additional","affiliation":[{"name":"Mr. Green, Prof. Feldman, and Dr. Reznik are affiliated withDepartment of Pediatrics, Division of Academic General Pediatrics, Albert Einstein College of Medicine, Children\u2019s Hospital at Montefiore, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Feldman","sequence":"additional","affiliation":[{"name":"Mr. Green, Prof. Feldman, and Dr. Reznik are affiliated withDepartment of Pediatrics, Division of Academic General Pediatrics, Albert Einstein College of Medicine, Children\u2019s Hospital at Montefiore, Bronx, New York, USA."},{"name":"Prof. Feldman is affiliated with Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Reznik","sequence":"additional","affiliation":[{"name":"Mr. Green, Prof. Feldman, and Dr. Reznik are affiliated withDepartment of Pediatrics, Division of Academic General Pediatrics, Albert Einstein College of Medicine, Children\u2019s Hospital at Montefiore, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoyuan","family":"Su","sequence":"additional","affiliation":[{"name":"Mr. Su and Dr. Zheng are affiliated withDepartment of Informatics, University of CA Irvine, Irvine, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Zheng","sequence":"additional","affiliation":[{"name":"Mr. Su and Dr. Zheng are affiliated withDepartment of Informatics, University of CA Irvine, Irvine, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunit P.","family":"Jariwala","sequence":"additional","affiliation":[{"name":"Ms. Sakleshpur and Dr. Jariwala are affiliated with Division of Allergy\/Immunology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30255-4"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/02770900903350481"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2013.853779"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000001170"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-2041-4500"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/ped.2013.0226"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.3109\/02770903.2013.854379"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2017.1418885"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0051139"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0156164"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2016.03.005"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-10-144"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2018.02.006"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07550"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2024.2304615"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2021.10.001"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0000000000000334"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2023.2267122"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.9734\/cjast\/2023\/v42i464294"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2003.09.008"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3003.1999.14a08.x"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.3109\/02770901003702832"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2024.107539"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2023.101375"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2020.07.018"},{"key":"e_1_3_4_28_2","unstructured":"United States Census Bureau. 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