Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners · 2026
Spirometry Monitoring and Asthma Responsibility in Kids (SMARt-Kids): A Mixed-Methods Study.
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Steidl Aymee, McHale Jenna, Harmon Stephen, Sonney Jennifer
Аннотация
INTRODUCTION: Asthma affects 4.6 million U.S. children, and home spirometry offers a promising monitoring tool, yet research on its use in children is limited. This study explored feasibility, acceptability, usability, barriers, facilitators, and management responsibility of home spirometry in school-aged children with persistent asthma.
METHODS: A convergent mixed-methods design was used to assess home spirometry feasibility, acceptability, usability, and management responsibility in 11 parent-child dyads (children aged 7-11), sampled from a completed RCT (NCT04908384).
RESULTS: Both parents and children found home spirometry feasible and acceptable. Parents valued real-time lung function tracking but identified usability issues and technological challenges as barriers. Responsibility scores indicated shared management, though interviews revealed predominantly parent-driven use.
DISCUSSION: Home spirometry is feasible and acceptable for families with school-aged children with asthma; however, technological barriers complicate use. Family-centered education and integration of home spirometry into routine care may help clinicians detect early changes in asthma control.
METHODS: A convergent mixed-methods design was used to assess home spirometry feasibility, acceptability, usability, and management responsibility in 11 parent-child dyads (children aged 7-11), sampled from a completed RCT (NCT04908384).
RESULTS: Both parents and children found home spirometry feasible and acceptable. Parents valued real-time lung function tracking but identified usability issues and technological challenges as barriers. Responsibility scores indicated shared management, though interviews revealed predominantly parent-driven use.
DISCUSSION: Home spirometry is feasible and acceptable for families with school-aged children with asthma; however, technological barriers complicate use. Family-centered education and integration of home spirometry into routine care may help clinicians detect early changes in asthma control.