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Compliance and reliability of electronic PEF monitoring in adolescents with asthma
  1. V van der Meer1,
  2. E R V M Rikkers-Mutsaerts2,
  3. P J Sterk3,
  4. H A Thiadens4,
  5. W J J Assendelft4,
  6. J K Sont5
  1. 1Departments of Medical Decision Making and Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
  2. 2Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands
  3. 3Department of Pulmonology, Leiden University Medical Center, Leiden, The Netherlands
  4. 4Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
  5. 5Department of Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands
  1. Correspondence to:
    MrV van der Meer
    Department of Medical Decision Making, J10-87, Leiden University Medical Center, P O Box 9600, NL-2300 RC Leiden, The Netherlands; V.van_der_Meer{at}lumc.nl

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Self-management education is the cornerstone of modern asthma care and consists of self-monitoring, transfer of information, a written action plan, and regular medical review.1 Current international guidelines recommend the use of home monitoring of peak expiratory flow (PEF) as a part of self-monitoring.2 PEF recordings potentially provide valuable information on risk prediction of asthma episodes and effectiveness of treatment.3 However, compliance and reliability of written PEF diaries is poor.4

Information and communication technologies (ICT) such as the internet and mobile phone short message service (SMS) are potentially powerful tools in the management of asthma. The use of these technologies enables adolescents to fit asthma management into their daily life activities. We therefore investigated the compliance and reliability of daily PEF measurements by adolescents with controlled and uncontrolled asthma symptoms using a handheld electronic spirometer and reporting the data via the internet or …

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