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Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study

Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study

Asthma is the most common childhood chronic illness in the United States, affecting >5 million children [1], and is a leading cause of emergency department and urgent care visits [2], school absences [3,4], and reduced quality of life among youth [5,6]. The National Asthma Education and Prevention Program (NAEPP) guidelines are designed to prevent and reduce pediatric asthma morbidity via disseminating state of the science guidance to health care providers on asthma diagnosis and management [7].

David A Fedele, Jessica M Ray, Jaya L Mallela, Jiang Bian, Aokun Chen, Xiao Qin, Ramzi G Salloum, Maria Kelly, Matthew J Gurka, Jessica Hollenbach

JMIR Form Res 2025;9:e65794

Understanding the Engagement and Interaction of Superusers and Regular Users in UK Respiratory Online Health Communities: Deep Learning–Based Sentiment Analysis

Understanding the Engagement and Interaction of Superusers and Regular Users in UK Respiratory Online Health Communities: Deep Learning–Based Sentiment Analysis

As described in our previous work [10], data were collected by Health Unlocked [27], the platform provider of the Asthma UK (AUK) and British Lung Foundation (BLF) communities. In both communities, registered users can choose to either write posts publicly or send private posts to one another. In the latter case, posts are shared between 2 users only, whereas when posts are written publicly, other users can become connected through threads of posts.

Xiancheng Li, Emanuela Vaghi, Gabriella Pasi, Neil S Coulson, Anna De Simoni, Marco Viviani, AD HOC Group

J Med Internet Res 2025;27:e56038

Evaluation of a Global Initiative for Asthma Education and Implementation Program to Improve Asthma Care Quality (CARE4ALL): Protocol for a Multicenter, Single-Arm Study

Evaluation of a Global Initiative for Asthma Education and Implementation Program to Improve Asthma Care Quality (CARE4ALL): Protocol for a Multicenter, Single-Arm Study

However, the current status of asthma management in China is far from satisfactory. Asthma control is defined as the level to which the various manifestations of asthma have been reduced or eliminated by treatment [3]. As it is closely linked to patients’ health status, the achievement of good asthma control has been set as the key element that drives patient management [3-6].

Kewu Huang, Wenjun Wang, Ying Wang, Yanming Li, Xiaokai Feng, Huahao Shen, Chen Wang

JMIR Res Protoc 2025;14:e65197

The Effect of Inhaled Beta-2 Agonists on Heart Rate in Patients With Asthma: Sensor-Based Observational Study

The Effect of Inhaled Beta-2 Agonists on Heart Rate in Patients With Asthma: Sensor-Based Observational Study

Asthma is a highly prevalent inflammatory disease, affecting over 300 million people worldwide [1]. Asthma symptoms, including coughing, wheezing, and shortness of breath, are the result of several different pathological processes, resulting in the constriction of smooth muscle cells in the airways, which causes a reversible airflow obstruction [2]. To locally target the inflammatory component of asthma, inhaled corticosteroids (ICS) were developed, and they are still the mainstay of asthma therapy [3].

Rishi Jayant Khusial, Jacob K Sont, Omar S Usmani, Matteo Bonini, Kian Fan Chung, Stephen James Fowler, Persijn J Honkoop

JMIR Cardio 2024;8:e56848

Effectiveness and Acceptability of Asynchronous Digital Health in Asthma Care: Mixed Methods Systematic Review

Effectiveness and Acceptability of Asynchronous Digital Health in Asthma Care: Mixed Methods Systematic Review

Asthma, with an estimated 262 million cases worldwide, is the most prevalent chronic respiratory disease [1]. While some countries have witnessed a decline in asthma-related hospitalizations and deaths [1], asthma still poses an unacceptable burden on health care systems and society at large, disrupting both work and family life [2]. An asthma review helps assess asthma control, adjust management strategies, support self-management education [2,3], and understand patients' thoughts and concerns [4].

Nazim Uzzaman, Victoria Hammersley, Kirstie McClatchey, Jessica Sheringham, Diksha Singh, GM Monsur Habib, Hilary Pinnock

J Med Internet Res 2024;26:e57708

All-Cause and Cause-Specific Burden of Asthma in a Transitioning City in China: Population Study

All-Cause and Cause-Specific Burden of Asthma in a Transitioning City in China: Population Study

A recent extensive survey of asthma among a nationally representative sample of Chinese adults highlighted the substantial public health challenge posed by asthma in China. The overall prevalence of asthma in the sample was 4.20%, equating to 45.70 million Chinese adults aged 20 years and older [3]. Not only does asthma impose a significant human and economic burden but it can also be fatal.

Xuelin Cheng, Xiaoling Wu, Wenjing Ye, Yichen Chen, Peihua Fu, Wenchang Jia, Wei Zhang, Xiaoyun Xu, Di Gong, Changhua Mou, Wen Gu, Zheng Luo, Sunfang Jiang, Xiaopan Li

JMIR Public Health Surveill 2024;10:e44845

Protective Effect of Allergen Immunotherapy in Patients With Allergic Rhinitis and Asthma Against COVID-19 Infection: Observational, Nationwide, and Multicenter Study

Protective Effect of Allergen Immunotherapy in Patients With Allergic Rhinitis and Asthma Against COVID-19 Infection: Observational, Nationwide, and Multicenter Study

Allergic rhinitis (AR) and allergic asthma (AS) are prevalent chronic respiratory conditions characterized by dysregulated immune responses in the airways, which play a significant role in their pathogenesis [1,2]. Therefore, the restoration and modulation of immune functions have emerged as essential strategies, such as allergen immunotherapy (AIT) [1,3].

Rundong Qin, Yan Feng, Huanping Zhang, Beibei Zhao, Wei Lei, Hongying Sun, Lili Zhi, Zhongsheng Zheng, Siqin Wang, Yafeng Yu, Shengxue Jiang, Changshan Liu, Xingkai Ma, Hui Ma, Huiying Wang, Hang Lin, Qiaojie He, Lingying Wu, Yingying Zhai, Honglue Lu, Shi Chen, Yan Ma, Xiaohong Jin, Shan Deng, Nanshan Zhong, Ruchong Chen, Jing Li

JMIR Public Health Surveill 2024;10:e50846

Integrating Real-Time Air Quality Monitoring, Ecological Momentary Assessment, and Spirometry to Evaluate Asthma Symptoms: Usability Study

Integrating Real-Time Air Quality Monitoring, Ecological Momentary Assessment, and Spirometry to Evaluate Asthma Symptoms: Usability Study

While indoor residential exposure to VOCs and particulates has been associated with asthma symptoms, data on asthma exacerbations, lung function, indoor VOCs and fine particulates, and pulmonary or asthma symptoms are generally collected at different times, or researchers rely solely on electronic health records or survey data [5,8-11]. The collection of real-time data on environmental exposures, asthma symptoms, and lung function has rarely been explored.

Barbara Polivka, Kathryn Krueger, Olivia Bimbi, Luz Huntington-Moskos, Sharmilee Nyenhuis, Emily Cramer, Kamal Eldeirawi

JMIR Form Res 2024;8:e60147

Addressing Information Biases Within Electronic Health Record Data to Improve the Examination of Epidemiologic Associations With Diabetes Prevalence Among Young Adults: Cross-Sectional Study

Addressing Information Biases Within Electronic Health Record Data to Improve the Examination of Epidemiologic Associations With Diabetes Prevalence Among Young Adults: Cross-Sectional Study

Evidence of asthma was defined as at least 2 encounter diagnoses for asthma (ICD-10-CM: J45*–J46*) or at least 2 prescriptions for asthma-related medications [24]. To maintain consistency across chronic disease classification methods, evidence of obesity was defined as a most recent BMI ≥30 kg/m2, with no naïve corrections for those who were missing BMI, height, or weight measurements (19.1%, n=86,709).

Sarah Conderino, Rebecca Anthopolos, Sandra S Albrecht, Shannon M Farley, Jasmin Divers, Andrea R Titus, Lorna E Thorpe

JMIR Med Inform 2024;12:e58085