Pediatric and adult asthma patients have similar nonadherence rates of between 30-70%, leading emocha and LifeBridge Health to try and combat this issue in Baltimore City. The findings are promising: Baltimore has some of the highest pediatric asthma rates in the country, and ER visits resulting from this diagnosis are almost double that of the nationwide average. The Abell Foundation’s most recent report surrounding asthma rates in Baltimore identifies that when patients have access to support — such as nurses in school, or via Directly Observed Therapy (DOT) — their prognosis improves. emocha and LifeBridge decided to validate this with emocha’s asynchronous video DOT, and the results indicate that the study participants had fewer ER visits, an improvement in inhaler technique, and an overall improvement in medication adherence.