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Validation of a Portable Game Controller to Assess Peak Expiratory Flow Against Conventional Spirometry in Children: Cross-sectional Study.

Author(s): Chelabi K, Balli F, Bransi M, Gervais Y, Marthe C, Tse SM

BACKGROUND: International asthma guidelines recommend the monitoring of peak expiratory flow (PEF) as part of asthma self-management in children and adolescents who poorly perceive airflow obstruction, those with a history of severe exacerbations, or those ...

Article GUID: 33512326
PM2.5 and hospital admissions among Medicare enrollees with chronic debilitating brain disorders.

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Statistical learning of multiple speech streams: A challenge for monolingual infants.

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Dev Sci. 2020 03;23(2):e12896 Authors: Benitez VL, Bulgarelli F, Byers-Heinlein K, Saffran JR, Weiss DJ

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Human Mesenchymal Stem Cells Impact Th17 and Th1 Responses Through a Prostaglandin E2 and Myeloid-Dependent Mechanism.

Author(s): Rozenberg A, Rezk A, Boivin MN, Darlington PJ, Nyirenda M, Li R, Jalili F, Winer R, Artsy EA, Uccelli A, Reese JS, Planchon SM, Cohen JA, Bar-Or A

Stem Cells Transl Med. 2016 Nov;5(11):1506-1514 Authors: Rozenberg A, Rezk A, Boivin MN, Darlington PJ, Nyirenda M, Li R, Jalili F, Winer R, Artsy EA, Uccelli A, Reese JS, Planchon SM, Cohen JA, Bar-Or A

Article GUID: 27400792
Four-week prehabilitation program is sufficient to modify exercise behaviors and improve preoperative functional walking capacity in patients with colorectal cancer.

Author(s): Chen BP, Awasthi R, Sweet SN, Minnella EM, Bergdahl A, Santa Mina D, Carli F, Scheede-Bergdahl C

Support Care Cancer. 2017 01;25(1):33-40 Authors: Chen BP, Awasthi R, Sweet SN, Minnella EM, Bergdahl A, Santa Mina D, Carli F, Scheede-Bergdahl C

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Pearls of optimizing nutrition and physical performance of older adults undergoing cancer therapy.

Author(s): Vigano A, Kasvis P, Di Tomasso J, Gillis C, Kilgour R, Carli F

J Geriatr Oncol. 2017 Nov;8(6):428-436 Authors: Vigano A, Kasvis P, Di Tomasso J, Gillis C, Kilgour R, Carli F

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Evaluation of supervised multimodal prehabilitation programme in cancer patients undergoing colorectal resection: a randomized control trial.

Author(s): Bousquet-Dion G, Awasthi R, Loiselle SÈ, Minnella EM, Agnihotram RV, Bergdahl A, Carli F, Scheede-Bergdahl C

Acta Oncol. 2018 Jun;57(6):849-859 Authors: Bousquet-Dion G, Awasthi R, Loiselle SÈ, Minnella EM, Agnihotram RV, Bergdahl A, Carli F, Scheede-Bergdahl C

Article GUID: 29327644
Maximizing patient adherence to prehabilitation: what do the patients say?

Author(s): Ferreira V, Agnihotram RV, Bergdahl A, van Rooijen SJ, Awasthi R, Carli F, Scheede-Bergdahl C

Support Care Cancer. 2018 Aug;26(8):2717-2723 Authors: Ferreira V, Agnihotram RV, Bergdahl A, van Rooijen SJ, Awasthi R, Carli F, Scheede-Bergdahl C

Article GUID: 29478189
Title:Validation of a Portable Game Controller to Assess Peak Expiratory Flow Against Conventional Spirometry in Children: Cross-sectional Study.
Authors:Chelabi K,  Balli F,  Bransi M,  Gervais Y,  Marthe C,  Tse SM
Link:https://www.ncbi.nlm.nih.gov/pubmed/33512326
DOI:10.2196/25052
Category:JMIR Serious Games
PMID:33512326
Dept Affiliation: CONCORDIA
1 Faculty of Medicine, McGill University, Montreal, QC, Canada.
2 Breathing Games Association, Geneva, Switzerland.
3 Milieux Institute, Concordia University, Montreal, QC, Canada.
4 Faculty of Medicine, Laval University, Quebec, QC, Canada.
5 Department of Pediatrics, Centre mère-enfant Soleil du CHU de Québec, Quebec, QC, Canada.
6 Division of Respiratory Medicine, Department of Pediatrics, Sainte-Justine University Hospital Center, Montreal, QC, Canada.
7 Faculty of Medicine, University of Montreal, Montreal, QC, Canada.

Description:

Validation of a Portable Game Controller to Assess Peak Expiratory Flow Against Conventional Spirometry in Children: Cross-sectional Study.

JMIR Serious Games. 2021 Jan 29; 9(1):e25052

Authors: Chelabi K, Balli F, Bransi M, Gervais Y, Marthe C, Tse SM

Abstract

BACKGROUND: International asthma guidelines recommend the monitoring of peak expiratory flow (PEF) as part of asthma self-management in children and adolescents who poorly perceive airflow obstruction, those with a history of severe exacerbations, or those who have difficulty controlling asthma. Measured with a peak flow meter, PEF represents a person's maximum speed of expiration and helps individuals to follow their disease evolution and, ultimately, to prevent asthma exacerbations. However, patient adherence to regular peak flow meter use is poor, particularly in pediatric populations. To address this, we developed an interactive tablet-based game with a portable game controller that can transduce a signal from the user's breath to generate a PEF value.

OBJECTIVE: The purpose of this study was to evaluate the concordance between PEF values obtained with the game controller and various measures derived from conventional pulmonary function tests (ie, spirometry) and to synthesize the participants' feedback.

METHODS: In this cross-sectional multicenter study, 158 children (aged 8-15 years old) with a diagnosis or suspicion of asthma performed spirometry and played the game in one of two hospital university centers. We evaluated the correlation between PEF measured by both the game controller and spirometry, forced expiratory volume at 1 second (FEV1), and forced expiratory flow at 25%-75% of pulmonary volume (FEF25-75), using Spearman correlation. A Bland-Altman plot was generated for comparison of PEF measured by the game controller against PEF measured by spirometry. A post-game user feedback questionnaire was administered and analyzed.

RESULTS: The participants had a mean age of 10.9 (SD 2.5) years, 44% (71/158) were female, and 88% (139/158) were White. On average, the pulmonary function of the participants was normal, including FEV1, PEF, and FEV1/forced vital capacity (FVC). The PEF measured by the game controller was reproducible in 96.2% (152/158) of participants according to standardized criteria. The PEF measured by the game controller presented a good correlation with PEF measured by spirometry (r=0.83, P<.001), with FEV1 (r=0.74, P<.001), and with FEF25-75 (r=0.65, P<.001). The PEF measured by the game controller presented an expected mean bias of -36.4 L/min as compared to PEF measured by spirometry. The participants' feedback was strongly positive, with 78.3% (123/157) reporting they would use the game if they had it at home.

CONCLUSIONS: The game controller we developed is an interactive tool appreciated by children with asthma, and the PEF values measured by the game controller are reproducible, with a good correlation to values measured by conventional spirometry. Future studies are necessary to evaluate the clinical impact this novel tool might have on asthma management and its potential use in an out-of-hospital setting.

PMID: 33512326 [PubMed - as supplied by publisher]