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

Barry, Simon M., Forton, Julian ORCID: https://orcid.org/0000-0002-0580-0432, Davies, Gareth R., Davies, Gwyneth A., Pink, Katie, Whittaker, Alison, Donagh, Jerome, Menzies, Dan, Andrews, Mark, Moore, Grace and Davies, Chris 2025. Creating expert patients: outcomes from a national digital therapeutic approach for people with asthma in Wales. npj Primary Care Respiratory Medicine 35 (1) , 29. 10.1038/s41533-025-00433-x

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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 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.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Schools > Medicine
Additional Information:	License information from Publisher: LICENSE 1: URL: http://creativecommons.org/licenses/by/4.0/, Type: open-access
Publisher:	Nature Research
Date of First Compliant Deposit:	10 June 2025
Date of Acceptance:	12 May 2025
Last Modified:	10 Jun 2025 08:30
URI:	https://orca.cardiff.ac.uk/id/eprint/178945

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