Cochrane · systematic review · CD013030
Digital interventions to improve adherence to maintenance medication in asthma
Chan, A, De Simoni, A, Wileman, V, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 50%Moderate 3 · 50%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Digital adherence interventions compared to usual care for asthma
Population: asthma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence (percentage of people adhering to their prescribed medication) Digital adherence interventions vs usual care | no estimate extracted | 16 studies · 8885 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Asthma control ‐ change from baseline (various scales; higher scores = better asthma control ‐ standardised for different scales, scale reversed if in opposite direction) Digital adherence interventions vs usual care | no estimate extracted | 15 studies · 1638 participants | Moderate |
Asthma exacerbations ‐ Number of people with one or more exacerbations Digital adherence interventions vs usual care | RR 0.53 [0.32, 0.91] | 6 studies · 678 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Unscheduled healthcare utilisation ‐ number of hospital or GP/ED visits Digital adherence interventions vs usual care | RR 0.74 [0.51, 1.06] | 4 studies · 446 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Lung function ‐ FEV1 % predicted (change from baseline) Digital adherence interventions vs usual care | no estimate extracted | 7 studies · 1052 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Quality of life ‐ change from baseline (various scales; higher scores indicate better quality of life) Digital adherence interventions vs usual care | no estimate extracted | 10 studies · 848 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |