How developers can help save lives managing Asthma Digital Health & Care Alliance Thursday 6th October 2016 Joseph Clift, Senior Policy Officer at Asthma UK

 Challenges facing asthma  Tech enabled asthma management  What asthma tech is emerging?  What Asthma UK would like to see Outline

Asthma UK: what we do

Challenges in asthma Asthma is a long-term condition – long term self- management is key to stopping asthma attacks Asthma changes by day, by season and over the course of a lifetime New experiences can change people’s beliefs e.g new drug, new HCP, asthma attack Two-thirds of asthma deaths still occur that are preventable Motivational barriers remain major hurdles to self-management – including complacency Outcomes have plateaued

Use of medication variable

Prevalence rising globally

Asthma – well-placed for digital solutions Clearly identified failings in care from National Review of Asthma Deaths Strong research evidence on self- management But, self-management is tough – a complex, multistep process, where people need to be able to recognise triggers and worsening symptoms Paper-based action plans clearly need updating to 2016

Trends in consumer health tech

Investment in mHealth

Tech-enabled asthma management

Smart inhalers A number of innovators competing globally: CareTRx Propeller Health Adherium Cohero Health Great potential to improve adherence, improve inhaler technique, and provide a rich pool of data

Adherium In 220 children, adherence to preventative medication by 180% and reduced use of reliever medication by 45%. Smart inhalers Propeller On average, over 50% of patients with uncontrolled asthma achieve controlled status within 1 year. daily reliever use on average is reduced by 79% after 1 year.

Health apps Health apps could: Act as a living asthma action plan Help track a person’s asthma Provide personalised advice and support

Health apps Apple ResearchKit – Asthma Health app Tracks symptoms Reviews trends Personalised medication reminders Links data to patient records Plume Air Report app – air quality monitoring uses data on nitrogen dioxide, ozone and carbon monoxide at 11,000 stations in 30 countries. rates the risk to health using a colour-coded system.

Remote monitoring Automated Device for Asthma Monitoring and Management (ADAMM) wearable sensor in the form of a patch designed to count coughs and measure respiration & wheeze, using predetermined algorithms of symptom sounds Monitoring devices could: Help recognise worsening control Provide automated data to HCPs Enable preventative action to be taken by HCPs

Innovative systems and data Focus on pooling data to help stratify asthma population Dell Statistica working on linking health records, air quality, pollen counts, to identify people at risk of an asthma attack

What do people with asthma want to see? Asthma UK supporting EU-funded myAirCoach, which aims to develop a personalised asthma monitoring system We facilitated a number of panels that asked people with asthma about what they would value from new tech to help manage their asthma

User needs for mHealth system

Key recommendations 1.Plenty exists that could be deployed (e.g. digital asthma action plans, prescribing alerts) and these should quickly implemented 2.More investment is needed to design new user- centred tech, conducive to interoperability 3.Better systems to test and adopt innovations are needed (esp. smart inhalers)

How developers can help  Build on what’s already been done  Engage patients at an early stage, and tailor innovations accordingly  Work with us:

How Asthma UK aims to help

Questions Contact Joe at Engage with our Asthma Lab at