Compliance and Utility of a Smartphone App for the Detection of Exacerbations in Patients With Chronic Obstructive Pulmonary Disease: Cohort Study
| Autor: | Juan Luis Rodríguez Hermosa, Carlos Antonio Amado Diago, Luis Puente Maestu, Francisco Javier Callejas González, Rosa Malo De Molina Ruiz, Myriam Calle Rubio, Manuel Fuentes Ferrer, Antonia Fuster Gomila, Jose Luis Álvarez Sala-Walther |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Chronic condition cumplimiento del paciente Exacerbation humanos Health Informatics Disease Information technology compliance chronic obstructive pulmonary disease 03 medical and health sciences Pulmonary Disease Chronic Obstructive 0302 clinical medicine estudios prospectivos Medicine Humans 030212 general & internal medicine Prospective Studies mHealth Depression (differential diagnoses) COPD Original Paper mobile phone business.industry medicine.disease T58.5-58.64 Comorbidity Mobile Applications 030228 respiratory system Emergency medicine Patient Compliance Female aplicaciones en aparatos electrónicos portátiles Smartphone Public aspects of medicine RA1-1270 business Cohort study |
| Zdroj: | JMIR mHealth and uHealth JMIR mHealth and uHealth, Vol 8, Iss 3, p e15699 (2020) |
| ISSN: | 2291-5222 |
| Popis: | Background: In recent years, mobile health (mHealth)-related apps have been developed to help manage chronic diseases. Apps may allow patients with a chronic disease characterized by exacerbations, such as chronic obstructive pulmonary disease (COPD), to track and even suspect disease exacerbations, thereby facilitating self-management and prompt intervention. Nevertheless, there is insufficient evidence regarding patient compliance in the daily use of mHealth apps for chronic disease monitoring. Objective: This study aimed to provide further evidence in support of prospectively recording daily symptoms as a useful strategy to detect COPD exacerbations through the smartphone app, Prevexair. It also aimed to analyze daily compliance and the frequency and characteristics of acute exacerbations of COPD recorded using Prevexair. Methods: This is a multicenter cohort study with prospective case recruitment including 116 patients with COPD who had a documented history of frequent exacerbations and were monitored over the course of 6 months. At recruitment, the Prevexair app was installed on their smartphones, and patients were instructed on how to use the app. The information recorded in the app included symptom changes, use of medication, and use of health care resources. The patients received messages on healthy lifestyle behaviors and a record of their cumulative symptoms in the app. There was no regular contact with the research team and no mentoring process. An exacerbation was considered reported if medical attention was sought and considered unreported if it was not reported to a health care professional. Results: Overall, compliance with daily records in the app was 66.6% (120/180), with a duration compliance of 78.8%, which was similar across disease severity, age, and comorbidity variables. However, patients who were active smokers, with greater dyspnea and a diagnosis of depression and obesity had lower compliance (P The authors thank the investigators, Francisco Javier Agustin Martinez, Pulmonology Department, Complejo Hospitalario U de Albacete, and Walther Ivan Giron Matute, Pulmonology Department, Hospital U Gregorio Maranon Madrid, Spain, who participated in the Prevexair study. The authors also thank Astra Zeneca for its financial support to carry out the study. This study has been promoted and sponsored by the Spanish Society of Pneumology and Thoracic Surgery. The financers had no role in study design, data collection, analysis, and decision to publish or in the preparation of this manuscript. This does not alter our adherence to the policies of the Journal of Medical Internet Research on sharing data and materials. |
| Databáze: | OpenAIRE |
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