TitelEffective German and English Language mHealth Apps for Self-management of Bronchial Asthma in Children and Adolescents: Comparison Study
TopicPneumologie und Allergologie

The use of mobile health apps plays an increasingly important role in patients’ lives and in the medical field, making mHealth a staple in the future of asthma (self-)treatment plans. Data on apps intended for children are insufficient, especially in non–English-speaking countries.
This study aims to identify functional asthma apps for children, both in German and English. The Google Play and Apple App Store are systematically searched to preselect the most efficient apps, which are then compared according to a criteria catalog.

Patient/en und Methoden

Both app stores were screened for the term asthma. Following a standardized preselection process (PRISMA), the apps that met the inclusion criteria (available free of charge, German or English language, suitable for children) were rated by 3 independent persons following a criteria catalog consisting of 9 categories, some conceived for this purpose (availability, child-friendly, learning factor, and range of functions), and some adopted from existing validated catalogs (functionality and design, ease of use, potential for improving asthma self-management, fun factor and incentives, and information management and medical accuracy). The highest rated apps in German and English were compared.


A total of 403 apps were identified. Finally, 24 apps that met the inclusion criteria were analyzed. The top German language apps were compared with the highest rated English language apps. The English language apps scored significantly higher in the following categories: potential for improving self-management, child-friendly, fun factor, learning factor, and range of function. English language apps (mean total points 34.164, SD 1.09) performed significantly better than German language asthma apps (mean total points 22.91, SD 2.898; P=.003). The best rated English language app was Kiss my asthma (36/42 points), whereas the best rated German language app Kata achieved only 27.33 points.


Although validated recommendations on rating mHealth apps have been published, it remains a challenging task for physicians and patients to choose a suitable app for each case. The recommended English language apps are Kiss my asthma, AsthmaXcel, AsthmaAustralia, and Ask Me, AsthMe!, whereas the only recommended German language app is Kata.

Erstautor*in ist unter 35 Jahre alt
Autor*in 1Julian J M Voitl First Vienna Pediatric Medical Center
Autor*in 2Susanne C Diesner-Treiber First Vienna Pediatric Medical Center
Autor*in 3Julian Franzmair First Vienna Pediatric Medical Center
Autor*in 4Peter Voitl First Vienna Pediatric Medical Center, Sigmund Freud University