Use of mobile health to improve patient adherence to the management of chronic obstructive pulmonary disease Hang DING, , Ian YANG, Derek IRELAND, Lisa MCCARTHY, Rekha HAKIM, Philip MASEL, Kirsten PHILLIPS, and Mohan KARUNANITHI Presenter: Hang Ding | hang.ding@csiro.au | HIC 2016 27 July 2016 HEALTH AND BIOSECURITY
Objectives To develop an innovative mobile health based program to improve the management of COPD To evaluate the innovative program through a randomized controlled trial. Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 2 |
Burdens of COPD The fourth leading cause 750,000 of death Debilitating symptoms 30-day readmission rates Australians of 10% - 20% $900 million direct cost, $90 billion the total economic impacts Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 3 |
Issues of the patient compliance 40% - 60% of the patients adhered with their medications 50% conducted physical activities as recommended Only 35% of the patients quitted cigarettes as required Inactive to engage with collaborative care Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 4 |
Care model Patient at Home
Care model MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Patient at Home
Care model MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Patient at Home
Care model MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Patient at Home
Care model MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Patient at Home
Care model MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Patient at Home
Care model MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Patient at Home
Care model MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Communications and clinical interventions COPD nurses Patient at Home
Care model MH-COPD Server (Secured Internet applications) Self-management summary Educational videos Specialists for COPD care Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Communications and clinical interventions COPD nurses Patient at Home
Randomized Controlled Trial Project nurses recruit Trial Sites: participants The Prince Charles Hospital, QLD Inclusion criteria: Baseline assessment Diagnosis with COPD (Post-bronchodilator FEV1/FVC<70% and FEV1<80% predicted ) Randomization Current or former smokers with >10 pack-years smoking history No significant cognitive impairments. MH-COPD Group Control Group (n=50) (n=50) Exclusion criteria: Comorbid lung diseases that would potentially 6-month assessments 6-month assessments interfere with study outcomes Limitations to the use of mobile technology. Trial Completion and Trial Analysis 14 | Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016
Primary and Secondary Outcomes Primary Outcome Instrument/variables to compare MH-COPD and UC-COPD COPD symptoms CAT and MMRC score at the baseline Secondary Outcomes COPD knowledge Questionnaire on the COPD knowledge Use of COPD action plan Questionnaire and data recorded in the app Cigarette cessation Questionnaire. Number of cigarettes recorded in the app. Inhaler technique Questionnaire at baseline and six-month time points. Physical activity 6-minute walking test, and questionnaire on daily physical activities Questionnaire and records from the electronic healthcare system in Queensland Exacerbation rate Health (6-month period prior to trial, 6-month period during, and 6-month period post) Socioeconomic outcomes Hospital readmissions and visits of emergency department. 15 |
Potential Contributions Evaluate the compliance of guidelines and associated benefits Provide clinical evidence to use innovative mobile health strategies in the community Improve COPD care. 16 | Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016
THE PRINCE CHARLES HOSPITAL FOUNDATION • Kirsten PHILLIPS • Research Grant • Hang DING, • Ian YANG • Lisa MCCARTHY • Mohan KARUNANITHI • Derek IRELAND • Rekha HAKIM • Philip MASEL Thank you Contact Us Phone: 1300 363 400 or +61 3 9545 2176 Email: enquiries@csiro.au Web: www.csiro.au
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