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Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales

Simon M. Barry, Julian Forton, Gareth R. Davies, Gwyneth Davies Orcid Logo, Katie Pink, Alison Whittaker, Jerome Donagh, Dan Menzies, Mark Andrews, Grace Moore, Chris Davies

npj Primary Care Respiratory Medicine, Volume: 35, Start page: 29

Swansea University Author: Gwyneth Davies Orcid Logo

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DOI (Published version): 10.1038/s41533-025-00433-x

Abstract

National applications (apps) for adults with asthma were implemented as part of a respiratory toolkit across Wales from 2020. Data were collected on patient recorded asthma control including the Royal College of Physicians three questions. All general practices in Wales had patients registered on th...

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Published in: npj Primary Care Respiratory Medicine
ISSN: 2055-1010
Published: Springer Nature 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69668
first_indexed 2025-06-10T09:58:10Z
last_indexed 2025-06-11T08:23:15Z
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spelling 2025-06-10T11:01:27.8483070 v2 69668 2025-06-10 Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales 92d69cf8519a334ced3f55142c811d95 0000-0003-1218-1008 Gwyneth Davies Gwyneth Davies true false 2025-06-10 MEDS National applications (apps) for adults with asthma were implemented as part of a respiratory toolkit across Wales from 2020. Data were collected on patient recorded asthma control including the Royal College of Physicians three questions. All general practices in Wales had patients registered on the asthma app and by September 2024, 12,567 (57.8%) of patients who downloaded the app went on to register. Analysis comparing baseline with four or more months of app use demonstrated improvements in the percent of those having a Royal College of Physicians asthma score of 0 (26.5% vs 40.7%, p = 0.0011), together with improvements in those not using a reliever inhaler at all (29.1% vs 39.2%, p = 0.0001). Where we had paired data one year apart, the improvements in asthma control were greater in those from most deprived areas. For those who used the app there were improvements across important metrics of asthma control consistent with better patient self-management. Journal Article npj Primary Care Respiratory Medicine 35 29 Springer Nature 2055-1010 9 6 2025 2025-06-09 10.1038/s41533-025-00433-x COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee 2025-06-10T11:01:27.8483070 2025-06-10T10:52:41.8476620 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Simon M. Barry 1 Julian Forton 2 Gareth R. Davies 3 Gwyneth Davies 0000-0003-1218-1008 4 Katie Pink 5 Alison Whittaker 6 Jerome Donagh 7 Dan Menzies 8 Mark Andrews 9 Grace Moore 10 Chris Davies 11 69668__34443__7dfb99567f304176aae90f183a9e39d0.pdf 41533_2025_Article_433.pdf 2025-06-10T10:52:41.8472271 Output 757551 application/pdf Version of Record true © The Author(s) 2025. This article is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). true eng http://creativecommons.org/licenses/by/4.0/
title Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales
spellingShingle Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales
Gwyneth Davies
title_short Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales
title_full Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales
title_fullStr Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales
title_full_unstemmed Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales
title_sort Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales
author_id_str_mv 92d69cf8519a334ced3f55142c811d95
author_id_fullname_str_mv 92d69cf8519a334ced3f55142c811d95_***_Gwyneth Davies
author Gwyneth Davies
author2 Simon M. Barry
Julian Forton
Gareth R. Davies
Gwyneth Davies
Katie Pink
Alison Whittaker
Jerome Donagh
Dan Menzies
Mark Andrews
Grace Moore
Chris Davies
format Journal article
container_title npj Primary Care Respiratory Medicine
container_volume 35
container_start_page 29
publishDate 2025
institution Swansea University
issn 2055-1010
doi_str_mv 10.1038/s41533-025-00433-x
publisher Springer Nature
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 1
active_str 0
description National applications (apps) for adults with asthma were implemented as part of a respiratory toolkit across Wales from 2020. Data were collected on patient recorded asthma control including the Royal College of Physicians three questions. All general practices in Wales had patients registered on the asthma app and by September 2024, 12,567 (57.8%) of patients who downloaded the app went on to register. Analysis comparing baseline with four or more months of app use demonstrated improvements in the percent of those having a Royal College of Physicians asthma score of 0 (26.5% vs 40.7%, p = 0.0011), together with improvements in those not using a reliever inhaler at all (29.1% vs 39.2%, p = 0.0001). Where we had paired data one year apart, the improvements in asthma control were greater in those from most deprived areas. For those who used the app there were improvements across important metrics of asthma control consistent with better patient self-management.
published_date 2025-06-09T05:28:48Z
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