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.

Allergist in private practice La Rochelle France

Allergist in private practice Reims France

Allergology Department Centre de l'Asthme et des Allergies Hôpital d'Enfants Armand Trousseau and Sorbonne Université UPMC Univ Paris 06 UMR_S 1136 Institut Pierre Louis d'Epidémiologie et de Santé Publique Equipe EPAR Paris France

Allergy and Clinical Immunology Department Centro Médico Docente la Trinidad and Clínica El Avila Caracas Venezuela

Allergy and Immunology Laboratory Metropolitan University Simon Bolivar University Barranquilla and SLaai Sociedad Latinoamericana de Allergia Asma e Immunologia Barranquilla Colombia

Allergy and Respiratory Research Group University of Edinburgh Edinburgh United Kingdom

Allergy Center CUF Descobertas Hospital Lisbon Portugal

Allergy Diagnostic and Clinical Research Unit University of Cape Town Lung Institute Cape Town South Africa

Allergy Section Department of Internal Medicine Hospital Vall d'Hebron Barcelona and ARADyAL Spanish Research Network Barcelona Spain

Association of Finnish Pharmacies Helsinki Finland

Center for Pediatrics and Child Health Institute of Human Development Royal Manchester Children's Hospital University of Manchester Manchester and the Allergy Department 2nd Pediatric Clinic Athens General Children's Hospital P and A Kyriakou University of Athens Athens Greece

Center for Rhinology and Allergology Wiesbaden Germany

Center for Rhinology and Allergology Wiesbaden Germany; Department of Otorhinolaryngology Head and Neck Surgery Universitätsmedizin Mannheim Medical Faculty Mannheim Heidelberg University Mannheim Germany

Center of Excellence in Asthma and Allergy Médica Sur Clinical Foundation and Hospital México City Mexico

Centre for Clinical Research Sörmland Uppsala University Eskilstuna Sweden

Children's Hospital Srebrnjak Zagreb School of Medicine University J J Strossmayer Osijek Croatia

CINTESIS Center for research in health technologies and information systems Faculdade de Medicina da Universidade do Porto and MEDIDA Lda Porto Portugal

CIRFF Federico 2 University Naples Italy

Clinic for Pulmonary Diseases Clinical Center of Serbia Faculty of Medicine University of Belgrade Serbian Association for Asthma and COPD Belgrade Serbia

Comprehensive Allergy Center Charité Department of Dermatology and Allergy Charité Universitätsmedizin Berlin and Global Allergy and Asthma European Network Berlin Germany

Department of Allergy and Clinical Immunology Ajou University School of Medicine Suwon South Korea

Department of Allergy and Immunology Hospital Quirón Bizkaia Erandio Spain

Department of Dermatology and Allergy Centre Odense University Hospital Odense Research Center for Anaphylaxis Odense Denmark

Department of ENT Medical University of Graz Graz Austria

Department of Health Research Methods Evidence and Impact Division of Immunology and Allergy Department of Medicine McMaster University Hamilton Ontario Canada

Department of Immunology and Allergology Faculty of Medicine in Pilsen Charles University Prague Prague Czech Republic

Department of Immunology and Allergy Healthy Ageing Research Center Medical University of Lodz Lodz Poland

Department of Lung Diseases and Clinical Immunology Allergology University of Turku and Terveystalo Allergy Clinic Turku Finland

Department of Medical Sciences Allergy and Clinical Immunology Unit University of Torino and Mauriziano Hospital Torino Italy

Department of Medicine Clinical Immunology and Allergy McMaster University Hamilton Ontario Canada

Department of Medicine Surgery and Dentistry Scuola Medica Salernitana University of Salerno Salerno Italy

Department of Medicine University of Cape Town Cape Town South Africa

Department of Nephrology and Endocrinology Karolinska University Hospital Stockholm Sweden

Department of Otolaryngology Head and Neck Surgery Beijing TongRen Hospital and Beijing Institute of Otolaryngology Beijing China

Department of Otolaryngology Nippon Medical School Tokyo Japan

Department of Otolaryngology Yong Loo Lin School of Medicine National University of Singapore Singapore

Department of Otorhinolaryngology Academic Medical Centres AMC Amsterdam The Netherlands

Department of Otorhinolaryngology Chiba University Hospital Chiba Japan

Department of Otorhinolaryngology Universitätsklinikum Düsseldorf Dusseldorf Germany

Department of Otorhinolaryngology University of Crete School of Medicine Heraklion Greece

Department of Pediatrics Nippon Medical School Tokyo Japan

Department of Pharmacy of University of Naples Federico 2 Naples Italy

Department of Prevention of Environmental Hazards and Allergology Medical University of Warsaw Warsaw Poland

Department of Public Health and Primary Care Leiden University Medical Center

Department of Pulmonary Medicine Rashid Hospital Dubai United Arab Emirates

Department of Pulmonology Celal Bayar University Manisa Turkey

Department of Respiratory Medicine National Institute of Diseases of the Chest and Hospital Dhaka Bangladesh

DG for Health and Social Care Scottish Government Edinburgh United Kingdom

Division for Health Innovation Campania Region and Federico 2 University and Hospital Naples Naples Naples Italy

Division of Allergy Asthma and Clinical Immunology Emek Medical Center Afula Israel

Division of Allergy Immunology University of South Florida Tampa Fla

Division of Internal Medicine Asthma and Allergy Barlicki University Hospital Medical University of Lodz Lodz Poland

Epidemiology of Allergic and Respiratory Diseases Department Institute Pierre Louis of Epidemiology and Public Health INSERM and UPMC Sorbonne Université Medical School Saint Antoine Paris France

Epidemiology of Allergic and Respiratory Diseases Department Institute Pierre Louis of Epidemiology and Public Health INSERM and UPMC Sorbonne Université Medical School Saint Antoine Paris France; Department of Respiratory Diseases Montpellier University Hospital Montpellier France

European Federation of Allergy and Airways Diseases Patients' Associations Brussels Belgium

Faculty of Health Sciences and CICS UBI Health Sciences Research Centre University of Beira Interior Covilhã Portugal

Faculty of Medicine Vilnius University Vilnius Lithuania

Farmacias Holon Lisbon Portugal

Immunology and Allergy Division Clinical Hospital University of Chile Santiago Chile

Imunoalergologia Centro Hospitalar Universitário de Coimbra and Faculty of Medicine University of Coimbra Coimbra Portugal

Institute of Medical Statistics and Computational Biology Medical Faculty University of Cologne and CRI Clinical Research International Hamburg Germany

Institute of Social Medicine Epidemiology and Health Economics Charité Universitätsmedizin Berlin and the Institute for Clinical Epidemiology and Biometry University of Wuerzburg Wuerzburg Germany

iQ4U Consultants London United Kingdom

ISGlobal Centre for Research in Environmental Epidemiology Barcelona Spain

Johns Hopkins School of Medicine Baltimore Md

Kyomed Montpellier France

Kyrgyzstan National Centre of Cardiology and Internal medicine Euro Asian respiratory Society Bishkek Kyrgyzstan

Laboratoire de Pharmacologie Respiratoire UPRES EA220 Hôpital Foch Suresnes Université Versailles Saint Quentin Université Paris Saclay Paris France

Laboratory of Clinical Immunology Department of Microbiology and Immunology KU Leuven Leuven Belgium

Life and Health Sciences Research Institute School of Medicine University of Minho Braga and ICVS 3B's PT Government Associate Laboratory Braga Guimarães Portugal

MACVIA France Fondation partenariale FMC VIA LR Montpellier France

Medical Consulting Czarlewski Levallois France

MedScript Dundalk Ireland

National Hospital Organization Tokyo National Hospital Tokyo Japan

National Research Center Institute of Immunology Federal Medicobiological Agency Laboratory of Molecular immunology Moscow Russian Federation

Nova Southeastern University Fort Lauderdale Fla

OHEHIR Department of Allergy Immunology and Respiratory Medicine Alfred Hospital and Central Clinical School Monash University Melbourne and the Department of Immunology Monash University Melbourne Australia

Oslo University Hospital Department of Paediatrics Oslo and the University of Oslo Faculty of Medicine Institute of Clinical Medicine Oslo Norway

Pediatric Allergy and Asthma Unit Hacettepe University School of Medicine Ankara Turkey

Pediatric Allergy and Immunology Unit Children's hospital Ain Shams University Cairo Egypt

Personalized Medicine Clinic Asthma and Allergy Humanitas University Humanitas Research Hospital Rozzano Milan Italy

Pneumology and Allergy Department CIBERES and Clinical and Experimental Respiratory Immunoallergy IDIBAPS University of Barcelona Barcelona Spain

ProAR Nucleo de Excelencia em Asma Federal University of Bahia Brasil and WHO GARD Planning Group Salvador Brazil

Rhinology Unit and Smell Clinic ENT Department Hospital Clínic; Clinical and Experimental Respiratory Immunoallergy IDIBAPS CIBERES University of Barcelona Barcelona Spain

Scientific Centre of Children's Health under the MoH Moscow Russian Federation

Section of Allergy and Immunology Saint Louis University School of Medicine St Louis Mo

Servicio de Alergia e Immunologia Clinica Santa Isabel Buenos Aires Argentina

Sidkkids hospitala and Institute of Health Policy Management and Evaluation Toronto Ontario Canada

Skin and Allergy Hospital Helsinki University Hospital and University of Helsinki Helsinki Finland

Sociedad Paraguaya de Alergia Asma e Inmunologı'a Asuncion

SOS Allergology and Clinical Immunology USL Toscana Centro Prato Italy

State Key Laboratory of Respiratory Diseases Guangzhou Institute of Respiratory Disease 1st Affiliated Hospital of Guangzhou Medical University Guangzhou China

Transylvania University Brasov Brasov Romania

UCIBIO REQUINTE Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto Porto Portugal

Ukrainina Medical Stomatological Academy Poltava Ukraine

University Clinic of Respiratory and Allergic Diseases Golnik Slovenia

University Hospital Montpellier France; MACVIA France Fondation partenariale FMC VIA LR Montpellier France; VIMA INSERM U 1168 VIMA Ageing and Chronic Diseases Epidemiological and Public Health Approaches Villejuif Université Versailles St Quentin en Yvelines UMR S 1168 Montigny le Bretonneux and Euforea Brussels Belgium

University Hospital Sv Ivan Rilski Sofia Bulgaria

University of Bari Medical School Unit of Geriatric Immunoallergology Bari Italy

University of Medicine and Pharmacy Hochiminh City Vietnam

Upper Airways Research Laboratory ENT Department Ghent University Hospital Ghent Belgium

Usher Institute of Population Health Sciences and Informatics University of Edinburgh Edinburgh United Kingdom

Vilnius University Institute of Clinical Medicine Clinic of Children's Diseases and Institute of Health Sciences Department of Public Health Vilnius Lithuania and the European Academy of Paediatrics Brussels Belgium

Woolcock Institute of Medical Research University of Sydney and Woolcock Emphysema Centre and Local Health District Glebe Australia

Erratum v

J Allergy Clin Immunol. 2019 Nov;144(5):1456. doi: 10.1016/j.jaci.2019.08.025. PubMed

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