Tobias Kowatsch 1, Filipe Barata 2, Peter Tinschert 1, Ullrich Dittler 3, Jean-Marie Egger 4,
Franca Meyer 4, Maja Schaub 4, Elgar Fleisch 1,2, Helmut Oswald 5& Alexander Möller 6
1 University of St.Gallen, 2 ETH Zurich, 3Hochschule Furtwangen University, 4Swiss Lung League, Bern,
2KSW Kantonsspital Winterthur & 6University Children's Hospital, Zurich
Digital Health Literacy Intervention
for Children with Asthma
Health literacy is a crucial ingredient of successful
asthma self-management. Studies have shown that
a paucity of asthma health literacy leads to lower
levels of asthma control and thus more severe
asthma symptoms, which, in turn, results in a
suboptimal course of disease.
2. Research Questions
1. To which degree does an interactive health
literacy coaching with parental support improve
the health literacy in children with asthma?
2. How must the intervention be implemented in
the healthcare system to increase its efficacy?
3. Research Frameworks 4. Method
Justificatory knowledge from evidence-based
medical knowledge (Sch14) and our related work
on childhood obesity (KOW2017a,b) is applied.
5. Expected Result
Henao-Martínez, A. F., Colborn, K., & Parra-Henao, G. (2017). Overcoming research barriers in
Chagas disease—designing effective implementation science. Parasitology research, 1-10.
Kowatsch et al. (2017). Text-based Healthcare Chatbots Supporting Patient and Health
Professional Teams: Preliminary Results of a Randomized Controlled Trial on Childhood
Obesity, Persuasive Embodied Agents for Behavior Change (PEACH2017) Workshop.
Kowatsch et al. (2017). Design and Evaluation of a Mobile Chat App for the Open Source
Behavioral Health Intervention Platform MobileCoach. DESRIST 2017.
Paasche-Orlow, M. K., & Wolf, M. S. (2007). The causal pathways linking health literacy to health
outcomes. American journal of health behavior, 31(1), S19-S26.
Schnyder, M.-A. (2014). Begleitbericht zur Entwicklung eines Lernmittels für Asthmakinder im
Alter von 7 bis 12 Jahren. Inaugural-Dissertation Universität Bern.
Lucerne | December 4 | 2017CSS Meets & Greets CDHI
Access and utilization
of health care
adapted from PAA07
Process for implementation
adapted from HEN17
with intervention logic,
media und data storage
Smartphone of the
Smartphone app (Android
and iOS) for with digital
coaching and sensor
Mobile phone of the
(e.g. parent or sibling) via
SMS to support a patient in
(e.g. patient organization,
Access to intervention via a
monitoring via website
Secure communication Secure communication