@article{3000475, title = "Allergic Rhinitis and its Impact on Asthma (ARIA) Phase 4 (2018): Change management in allergic rhinitis and asthma multimorbidity using mobile technology", author = "Bousquet, J. and Hellings, P.W. and Agache, I. and Amat, F. and Annesi-Maesano, I. and Ansotegui, I.J. and Anto, J.M. and Bachert, C. and Bateman, E.D. and Bedbrook, A. and Bennoor, K. and Bewick, M. and Bindslev-Jensen, C. and Bosnic-Anticevich, S. and Bosse, I. and Brozek, J. and Brussino, L. and Canonica, G.W. and Cardona, V. and Casale, T. and Cepeda Sarabia, A.M. and Chavannes, N.H. and Cecchi, L. and Correia de Sousa, J. and Costa, E. and Cruz, A.A. and Czarlewski, W. and De Carlo, G. and De Feo, G. and Demoly, P. and Devillier, P. and Dykewicz, M.S. and El-Gamal, Y. and Eller, E.E. and Fonseca, J.A. and Fontaine, J.-F. and Fokkens, W.J. and Guzmán, M.-A. and Haahtela, T. and Illario, M. and Ivancevich, J.-C. and Just, J. and Kaidashev, I. and Khaitov, M. and Kalayci, O. and Keil, T. and Klimek, L. and Kowalski, M.L. and Kuna, P. and Kvedariene, V. and Larenas-Linnemann, D. and Laune, D. and Le, L.T.T. and Carlsen, K.L. and Lourenço, O. and Mahboub, B. and Mair, A. and Menditto, E. and Milenkovic, B. and Morais-Almeida, M. and Mösges, R. and Mullol, J. and Murray, R. and Naclerio, R. and Namazova-Baranova, L. and Novellino, E. and O'Hehir, R.E. and Ohta, K. and Okamoto, Y. and Okubo, K. and Onorato, G.L. and Palkonen, S. and Panzner, P. and Papadopoulos, N.G. and Park, H.-S. and Paulino, E. and Pawankar, R. and Pfaar, O. and Plavec, D. and Popov, T.A. and Potter, P. and Prokopakis, E.P. and Rottem, M. and Ryan, D. and Salimäki, J. and Samolinski, B. and Sanchez-Borges, M. and Schunemann, H.J. and Sheikh, A. and Sisul, J.-C. and Rajabian-Söderlund, R. and Sooronbaev, T. and Stellato, C. and To, T. and Todo-Bom, A.-M. and Tomazic, P.-V. and Toppila-Salmi, S. and Valero, A. and Valiulis, A. and Valovirta, E. and Ventura, M.-T. and Wagenmann, M. and Wang, D.Y. and Wallace, D. and Waserman, S. and Wickman, M. and Yorgancioglu, A. and Zhang, L. and Zhong, N. and Zidarn, M. and Zuberbier, T. and Aberer, W. and Akdis, C.A. and Akdis, M. and Alberti, M.R. and Almeida, R. and Angles, R. and Arnavielle, S. and Asayag, E. and Asarnoj, A. and Arshad, H. and Avolio, F. and Bacci, E. and Baiardini, I. and Barbara, C. and Barbagallo, M. and Baroni, I. and Barreto, B.A. and Basagana, X. and Bedolla-Barajas, M. and Beghé, B. and Bel, E.H. and Bergmann, K.C. and Benson, M. and Bertorello, L. and Białoszewski, A.Z. and Bieber, T. and Bialek, S. and Bjermer, L. and Blain, H. and Blasi, F. and Blua, A. and Bochenska Marciniak, M. and Bogus-Buczynska, I. and Boner, A.L. and Bonini, M. and Bonini, S. and Bouchard, J. and Boulet, L.P. and Bourret, R. and Braido, F. and Briedis, V. and Brightling, C.E. and Bucca, C. and Buhl, R. and Buonaiuto, R. and Panaitescu, C. and Burguete Cabañas, M.T. and Burte, E. and Bush, A. and Caballero-Fonseca, F. and Caillot, D. and Caimmi, D. and Calderon, M.A. and Camargos, P.A.M. and Camuzat, T. and Canfora, G. and Carreiro-Martins, P. and Carriazo, A.M. and Carr, W. and Cartier, C. and Castellano, G. and Chen, Y. and Chiron, R. and Chivato, T. and Chkhartishvili, E. and Chuchalin, A.G. and Chung, K.F. and Ciaravolo, M.M. and Ciceran, A. and Cingi, C. and Ciprandi, G. and Carvalho Coehlo, A.C. and Colas, L. and Colgan, E. and Coll, J. and Conforti, D. and Cortés-Grimaldo, R.M. and Corti, F. and Costa-Dominguez, M.C. and Courbis, A.L. and Cox, L. and Crescenzo, M. and Custovic, A. and Dahlen, S.E. and Dario, C. and da Silva, J. and Dauvilliers, Y. and Darsow, U. and De Blay, F. and Dedeu, T. and de Fátima Emerson, M. and De Vries, G. and De Martino, B. and de Paula Motta Rubini, N. and Deleanu, D. and Denburg, J.A. and Di Capua Ercolano, S. and Di Carluccio, N. and Didier, A. and Dokic, D. and Dominguez-Silva, M.G. and Douagui, H. and Dray, G. and Dubakiene, R. and Durham, S.R. and Du Toit, G. and Eklund, P. and Emuzyte, R. and Farrell, J. and Farsi, A. and Ferreira de Mello, J. and Ferrero, J. and Fink-Wagner, A. and Fiocchi, A. and Forti, S. and Fuentes-Perez, J.M. and Gálvez-Romero, J.L. and Gamkrelidze, A. and Garcia-Aymerich, J. and García-Cobas, C.Y. and Garcia-Cruz, M.H. and Gemicioğlu, B. and Genova, S. and George, C. and Gereda, J.E. and Gerth van Wijk, R. and Gomez, R.M. and Gómez-Vera, J. and González Diaz, S. and Gotua, M. and Grisle, I. and Guidacci, M. and Guldemond, N.A. and Gutter, Z. and Hajjam, J. and Hernández, L. and Hourihane, J.O. and Huerta-Villalobos, Y.R. and Humbert, M. and Iaccarino, G. and Jares, E.J. and Jassem, E. and Johnston, S.L. and Joos, G. and Jung, K.S. and Jutel, M. and Kalyoncu, A.F. and Karjalainen, J. and Kardas, P. and Keith, P.K. and Khaltaev, N. and Kleine-Tebbe, J. and Kuitunen, M. and Kull, I. and Kupczyk, M. and Krzych-Fałta, E. and Lacwik, P. and Lauri, D. and Lavrut, J. and Lessa, M. and Levato, G. and Li, J. and Lieberman, P. and Lipiec, A. and Lipworth, B. and Lodrup Carlsen, K.C. and Louis, R. and Luna-Pech, J.A. and Maciej, K. and Magnan, A. and Maier, D. and Majer, I. and Malva, J. and Mandajieva, E. and Manning, P. and De Manuel Keenoy, E. and Marshall, G.D. and Masjedi, M.R. and Maspero, J.F. and Mathieu-Dupas, E. and Matta Campos, J.J. and Matos, A.L. and Maurer, M. and Mavale-Manuel, S. and Mayora, O. and Medina-Avalos, M.A. and Melén, E. and Melo-Gomes, E. and Meltzer, E.O. and Mercier, J. and Miculinic, N. and Mihaltan, F. and Moda, G. and Mogica-Martinez, M.D. and Mohammad, Y. and Momas, I. and Montefort, S. and Monti, R. and Mora Bogado, D. and Morato-Castro, F.F. and Mota-Pinto, A. and Moura Santo, P. and Münter, L. and Muraro, A. and Nadif, R. and Nalin, M. and Napoli, L. and Neffen, H. and Niedeberger, V. and Nekam, K. and Neou, A. and Nieto, A. and Nogueira-Silva, L. and Nogues, M. and Nyembue, T.D. and Odzhakova, C. and Ortega Cisneros, M. and Ouedraogo, S. and Pali-Schöll, I. and Papi, A. and Passalacqua, G. and Pedersen, S. and Pépin, J.L. and Pereira, A.M. and Persico, M. and Phillips, J. and Picard, R. and Pigearias, B. and Pin, I. and Pitsios, C. and Pohl, W. and Portejoie, F. and Pozzi, A.C. and Price, D. and Puy, R. and Pugin, B. and Pulido Ross, R.E. and Przemecka, M. and Rabe, K.F. and Raciborski, F. and Reitsma, S. and Ribeirinho, I. and Rimmer, J. and Rivero-Yeverino, D. and Rizzo, J.A. and Rizzo, M.C. and Robalo-Cordeiro, C. and Rodenas, F. and Rodo, X. and Rodriguez Gonzalez, M. and Rodriguez-Mañas, L. and Rolland, C. and Rodrigues Valle, S. and Roman Rodriguez, M. and Romano, A. and Rodriguez-Zagal, E. and Rolla, G. and Roller-Wirnsberger, R.E. and Romano, M. and Rosado-Pinto, J. and Rosario, N. and Sagara, H. and Sastre-Dominguez, J. and Scadding, G.K. and Scichilone, N. and Schmid-Grendelmeier, P. and Serpa, F.S. and Shamai, S. and Sierra, M. and Simons, F.E.R. and Siroux, V. and Skrindo, I. and Solé, D. and Somekh, D. and Sondermann, M. and Sova, M. and Sorensen, M. and Sorlini, M. and Spranger, O. and Stelmach, R. and Stukas, R. and Sunyer, J. and Strozek, J. and Szylling, A. and Tebyriçá, J.N. and Thibaudon, M. and Trama, U. and Triggiani, M. and Suppli Ulrik, C. and Urrutia-Pereira, M. and Valenta, R. and van Eerd, M. and van Ganse, E. and van Hague, M. and Vandenplas, O. and Vezzani, G. and Vasankari, T. and Vatrella, A. and Verissimo, M.T. and Viart, F. and Viegi, M. and Vicheva, D. and Vontetsianos, T. and Walker, S. and Werfel, T. and Westman, M. and Williams, D.M. and Williams, S. and Wilson, N. and Wright, J. and Wroczynski, P. and Yakovliev, P. and Yawn, B.P. and Yiallouros, P.K. and Yusuf, O.M. and Zar, H.J. and Zernotti, M.E. and Zubrinich, C. and Zurkuhlen, A.", journal = "Allergy: European Journal of Allergy and Clinical Immunology", year = "2018", volume = "143", number = "3", pages = "864-879", publisher = "Mosby Year Book Inc", doi = "10.1016/j.jaci.2018.08.049", keywords = "air pollution; allergic rhinitis; Article; asthma; change management; clinical decision support system; evidence based medicine; multiple chronic conditions; practice guideline; priority journal; self medication; shared decision making; allergic rhinitis; asthma; change management; human; medical record; telemedicine, Asthma; Change Management; Humans; Medical Records; Multimorbidity; Rhinitis, Allergic; Telemedicine", abstract = "Allergic Rhinitis and its Impact on Asthma (ARIA) has evolved from a guideline by using the best approach to integrated care pathways using mobile technology in patients with allergic rhinitis (AR) and asthma multimorbidity. The proposed next phase of ARIA is change management, with the aim of providing an active and healthy life to patients with rhinitis and to those with asthma multimorbidity across the lifecycle irrespective of their sex or socioeconomic status to reduce health and social inequities incurred by the disease. ARIA has followed the 8-step model of Kotter to assess and implement the effect of rhinitis on asthma multimorbidity and to propose multimorbid guidelines. A second change management strategy is proposed by ARIA Phase 4 to increase self-medication and shared decision making in rhinitis and asthma multimorbidity. An innovation of ARIA has been the development and validation of information technology evidence-based tools (Mobile Airways Sentinel Network [MASK]) that can inform patient decisions on the basis of a self-care plan proposed by the health care professional. © 2018 American Academy of Allergy, Asthma & Immunology" }