Tools to improve the control and quality of life of pediatric and adolescent patients with asthma through telemedicine

ToolGeneral description/UseBenefits and limitationsLevel of evidence
Pulmonary function testsUseful at home to ensure proper follow-up [11].Performing spirometry or peak flow meters without the presence of a physician does not imply a decrease in the quality of the tests.II B weak.
Remote spirometry or peak flow meters emerge as a promising tool for long-term asthma management [12].
  • Variability in measurements: spirometry tests or peak flow meters performed at home may provide different values compared to those conducted in a hospital setting.

  • Perception of patients/parents: patients and families may perceive remote spirometry or peak flow meters as less accurate.

  • Technological and socioeconomic barriers: limited access to technology, communication difficulties, and socioeconomic disparities can hinder the effective implementation of remote spirometry. However, peak flow meters may be easier to implement at home.

II B moderate.
Smart inhalersSmart inhalers, devices are useful for asthma management [13, 14].

Reduced use of rescue medication; improved asthma control; reduced exacerbations; reduced hospital admissions.

  • Propeller® (Propeller Health, Madison, Wisconsin).

  • Hailie® (Adherium, Auckland, New Zealand).

III C moderate.
QuestionnairesCompleted via email, video call, or phone contact.
  • Asthma Control Test (ACT).

  • Asthma Control Questionnaire (ACQ).

  • Mini Asthma Quality of Life Questionnaire (Mini-AQLQ).

  • Pediatric Asthma Quality of Life Questionnaire (PAQLQ).

I B moderate.