Digitally‐enabled, person‐centred care (PCC) in allergen immunotherapy: An ARIA‐EAACI Position Paper

Author:

Pfaar Oliver1ORCID,Sousa‐Pinto Bernardo23ORCID,Papadopoulos Nikolaos G.4ORCID,Larenas‐Linnemann Désirée E.5ORCID,Ordak Michal6ORCID,Torres Maria J.7ORCID,Mösges Ralph89ORCID,Klimek Ludger1011ORCID,Zuberbier Torsten1213ORCID,Matricardi Paolo M.121314ORCID,Berger Uwe E.1516ORCID,Berger Markus151617ORCID,Dramburg Stephanie14ORCID,Mahler Vera18ORCID,Toppila‐Salmi Sanna K.1920ORCID,Bergmann Karl‐Christian1213ORCID,Ollert Markus2122ORCID,Tripodi Salvatore23ORCID,Jutel Marek2425ORCID,Agache Ioana26ORCID,Eguiluz‐Gracia Ibon7ORCID,Canonica G. Walter2728ORCID,Akdis Cezmi A.29ORCID,Sokolowska Milena29ORCID,Sofiev Mikhail30ORCID,Shamji Mohamed H.3132ORCID,Czarlewski Wienczyslawa3334ORCID,Fonseca Joao A.23ORCID,Bedbrook Anna3435ORCID,Bousquet Jean12133435ORCID

Affiliation:

1. Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg Philipps‐Universität Marburg Marburg Germany

2. MEDCIDS – Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine University of Porto Porto Portugal

3. CINTESIS@RISE–Health Research Network, Faculty of Medicine University of Porto Porto Portugal

4. Allergy Department, 2nd Pediatric Clinic University of Athens Athens Greece

5. Center of Excellence in Asthma and Allergy Médica Sur Clinical Foundation and Hospital México City Mexico

6. Department of Pharmacotherapy and Pharmaceutical Care, Faculty of Pharmacy Medical University of Warsaw Warsaw Poland

7. Allergy Unit, Hospital Regional Universitario de Malaga, IBIMA‐Plataforma BIONAND Universidad de Malaga, RICORS de Enfermedades Inflamatorias Malaga Spain

8. Institute of Medical Statistics and Computational Biology University of Cologne Cologne Germany

9. ClinCompetence Cologne GmbH Cologne Germany

10. Department of Otolaryngology, Head and Neck Surgery Universitätsmedizin Mainz Mainz Germany

11. Center for Rhinology and Allergology Wiesbaden Germany

12. Institute of Allergology, Charité – Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin and Humboldt‐Universität zu Berlin Berlin Germany

13. Fraunhofer Institute for Translational Medicine and Pharmacology ITMP Immunology and Allergology Berlin Germany

14. Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine Charité‐Universitätsmedizin – Berlin Berlin Germany

15. Department of Botany University of Innsbruck Innsbruck Austria

16. European Aeroallergen Network (EAN) Vienna Austria

17. Department of Oto‐Rhino‐Laryngology, Klinik Hietzing Wiener Gesundheitsverbund Vienna Austria

18. Paul‐Ehrlich‐Institut Langen Germany

19. Department of Otorhinolaryngology Kuopio University Hospital and University of Eastern Finland Kuopio Finland

20. Department of Allergy, Inflammation Center Helsinki University Hospital and University of Helsinki Helsinki Finland

21. Department of Infection and Immunity Luxembourg Institute of Health Esch‐sur‐Alzette Luxembourg

22. Department of Dermatology and Allergy Center, Odense Research Center for Anaphylaxis (ORCA) Odense University Hospital Odense Denmark

23. Allergy Unit Policlinico Casilino Roma Italy

24. Department of Clinical Immunology Wrocław Medical University Wroclaw Poland

25. ALL‐MED Medical Research Institute Wroclaw Poland

26. Faculty of Medicine Transylvania University of Brasov Brasov Romania

27. Department of Biomedical Sciences Humanitas University Milan Italy

28. Asthma and Allergy Unit, IRCCS Humanitas Research Hospital Milan Italy

29. Swiss Institute of Allergy and Asthma Research (SIAF) University of Zurich Davos Switzerland

30. Finnish Meteorological Institute (FMI) Helsinki Finland

31. National Heart and Lung Institute Imperial College London UK

32. NIHR Imperial Biomedical Research Centre London UK

33. Medical Consulting Czarlewski Levallois France

34. MASK‐air Montpellier France

35. ARIA Montpellier France

Abstract

AbstractIn rhinitis and asthma, several mHealth apps have been developed but only a few have been validated. However, these apps have a high potential for improving person‐centred care (PCC), especially in allergen immunotherapy (AIT). They can provide support in AIT initiation by selecting the appropriate patient and allergen shared decision‐making. They can also help in (i) the evaluation of (early) efficacy, (ii) early and late stopping rules and (iii) the evaluation of (carried‐over) efficacy after cessation of the treatment course. Future perspectives have been formulated in the first report of a joint task force (TF)—Allergic Rhinitis and Its Impact on Asthma (ARIA) and the European Academy of Allergy and Clinical Immunology (EAACI)—on digital biomarkers. The TF on AIT now aims to (i) outline the potential of the clinical applications of mHealth solutions, (ii) express their current limitations, (iii) make proposals regarding further developments for both clinical practice and scientific purpose and (iv) suggest which of the tools might best comply with the purpose of digitally‐enabled PCC in AIT.

Funder

European Academy of Allergy and Clinical Immunology

Publisher

Wiley

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