2023
Yes
https://www.sciencedirect.com/science/article/pii/S0048969722076203?via%3Dihub
Kouis, Panayiotis
Europe
Experimental
Students
Elementary (K-5)
Particulate Matter (PM)
Dust
Respiratory symptoms
Other
Desert dust storms
Asthmatic children
Outdoor exposure
Wearable sensors
Physical activity
Global positioning system
The change in the time spent outside classrooms and homes, between non-DDS and DDS days, was 37.2 min (pvalue = 0.098) in the control group and -62.4 min (pvalue < 0.001) in the intervention group. The difference in the effects between the two groups was statistically significant (interaction pvalue < 0.001). The change in daily steps performed outside classrooms and homes, was -495.1 steps (pvalue = 0.350) in the control group and -1039.5 (pvalue = 0.003) in the intervention group (interaction pvalue = 0.575). The effects on both the time and steps performed outside were more profound during after-school hours. To summarize, among children with asthma, we demonstrated that timely personal DDS alerts and detailed recommendations lead to significant behavioral changes in contrast to the usual public health recommendations.