Johnston, FH and Wheeler, AJ and Williamson, GJ and Campbell, SL and Jones, PJ and Koolhof, IS and Lucani, C and Cooling, NB and Bowman, DMJS, Using smartphone technology to reduce health impacts from atmospheric environmental hazards, Environmental Research Letters, 13, (4) pp. 1-11. ISSN 1748-9326 (2018) [Refereed Article]
Copyright 2018 The Authors. Licensed under Creative Commons Attribution 3.0 Unported (CC BY 3.0) https://creativecommons.org/licenses/by/3.0/
Background: Global environmental change is exacerbating human vulnerability to adverse atmospheric conditions including air pollution, aeroallergens such as pollen, and extreme weather events. Public information and advisories are a central component of responses to mitigate the human impacts of environmental hazards. Digital technologies are emerging as a means of providing personalised, timely and accessible warnings.
Method: We describe AirRater, an integrated online platform that combines symptom surveillance, environmental monitoring, and notifications of changing environmental conditions via a free smartphone app. It was developed and launched in Tasmania, Australia (population 510,000), with the aim of reducing health impacts and improving quality of life in people with conditions such as asthma and allergic rhinitis. We present environmental data, user uptake and results from three online evaluation surveys conducted during the first 22 months of operation, from October 2015 through August 2017.
Results: There were 3,443 downloads of the app from all parts of Tasmania. Of the 1,959 individuals who registered, 79% reported having either asthma or allergic rhinitis. Downloads increased during adverse environmental conditions and following publicity. Symptom reports per active user were highest during spring (72%), lowest in autumn (37%) and spiked during periods of reduced air quality. In response to online surveys, most users reported that the app was useful and had improved their understanding of how environmental conditions affect their health, and in some cases had prompted action such as the timely use of medication.
Conclusion: Active engagement and consistent positive feedback from users demonstrates the potential for considerable individual clinical and wider public health benefits from integrated and personalised monitoring systems such as AirRater. The perceived health benefits require objective verification, and such systems need to address several challenges in providing timely, reliable and valid environmental data.
|Item Type:||Refereed Article|
|Keywords:||smoke, smartphone app, particulates, fire, air pollution, health, symptom surveillance|
|Research Division:||Commerce, Management, Tourism and Services|
|Research Group:||Human resources and industrial relations|
|Research Field:||Occupational and workplace health and safety|
|Objective Group:||Public health (excl. specific population health)|
|Objective Field:||Public health (excl. specific population health) not elsewhere classified|
|UTAS Author:||Johnston, FH (Professor Fay Johnston)|
|UTAS Author:||Wheeler, AJ (Dr Amanda Wheeler)|
|UTAS Author:||Williamson, GJ (Dr Grant Williamson)|
|UTAS Author:||Campbell, SL (Ms Sharon Campbell)|
|UTAS Author:||Jones, PJ (Dr Penelope Jones)|
|UTAS Author:||Koolhof, IS (Mr Iain Koolhof)|
|UTAS Author:||Lucani, C (Mr Christopher Lucani)|
|UTAS Author:||Cooling, NB (Dr Nick Cooling)|
|UTAS Author:||Bowman, DMJS (Professor David Bowman)|
|Web of Science® Times Cited:||19|
|Deposited By:||Plant Science|
|Downloads:||115 View Download Statistics|
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