Electronic Monitoring of Medication Adherence in Moderate to Severe Asthma Patients

This study will assess the feasibility of using electronic sensors for asthma inhalers in a
population of urban minority adults and children with moderate-severe asthma in the Bronx.

Investigators will also assess differences in asthma outcomes (specifically asthma control as
a primary outcome measure) and treatment adherence in a group of participants with
moderate-severe asthma who use inhalers with electronic sensors and real-time remote outreach
worker monitoring/feedback compared to a group of participants who use inhalers with
electronic sensors but without real-time monitoring/feedback.

Inclusion Criteria:

- Adults (>18 years) and children (5-11 years old) with a clinical history (i.e.
physician-diagnosed) of asthma

- Moderate to severe asthmatics with ≥1 asthma-related ED visits or hospitalizations in
the past year

- Use of daily controller inhaler medications

- Adult non-smokers, or lifetime use <5 pack years with no smoking in last 1 yr

- Smartphone required

- English or Spanish speaking

Exclusion Criteria:

- No smartphone

- Use of oral corticosteroids in prior 4 weeks

- Pregnancy

- Psychiatric conditions