Nurse Perspectives Regarding Implementation of an Asthma Monitoring Mobile Health Application in the School Setting.

School-based telehealth (SBTH) plays a valuable role in child asthma management, although nurses have concerns with caregiver engagement. Mobile technology (m-health) has potential to improve this engagement. We identified barriers and key desired features of an asthma m-health application as a supplement to an existing SBTH asthma program in rural settings. Multimethod design using school nurse surveys and interviews with school and SBTH personnel to describe processes related to implementation of an m-health application. Nurses reported SBTH programs were an ideal setting to identify potential families for m-health. Benefits of caregiver education and engagement and barriers related to technology, smart phone data availability, and family buy-in were described. Desired application features included education on inhaler technique, asthma symptom, and medication adherence reports. The feedback identified from nurses can be incorporated into an asthma m-health program within an SBTH program to facilitate implementation.