Evaluating a Mobile Self-management Application for Patients With COPD Chronic Obstructive Pulmonary Disease

Rijnstate Hospital

Status: Completed

Conditions: Chronic Obstructive Pulmonary Disease

Treatments: Other: COPD app

Study type: Interventional

Funder types: Other

Identifiers

NCT04540562

2018-1257

Details and patient eligibility

About

The objective of the study is to evaluate the effects of a mobile self-management app in clinical practice for recently discharged COPD patients on application use, self-management, anxiety and depression, expectations and experiences, patients' and health care professionals' satisfaction and hospital readmissions.

Full description

Usability testing techniques were used to receive feedback on a prototype of the app, before starting the feasibility study. Patients were recruited from a large teaching hospital. The COPD app provided patients with an 8 week self-management program. The application had three views: timeline, information page, and contact page. The start date was each patients' date of discharge. The timeline was classified in 8 weeks, and each week included the lung exacerbation plan, daily and extra medication, information and education and questionnaires. The first week also included a video of a pulmonologist explaining the purpose of the app and additional information about the functionalities of the COPD app. The timeline consisted of the lung exacerbation action plan, medication overview, weekly questionnaires and monitoring, and consultations (video consultation after 4 weeks and face-to-face consultation after 8 weeks).

Enrollment: 39 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age > 18 Years
• Diagnosed with COPD
• Admissions to the hospital for exacerbation
• Having (access to) a tablet or smartphone
• Working internet connection
• Proficiency in using a tablet or smartphone
• Ability to read and understand the Dutch language
• Signed informed consent
• At least one hospitalization for COPD exacerbation in the year preceding the study (outcome was...)

Exclusion criteria

• No exacerbation of COPD
• Comorbidities: cancer, severe cognitive or psychiatric comorbidities
• No access to a tablet or smartpone

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

39 participants in 1 patient group

Intervention

Experimental group

Description:

The COPD app consisted of an 8 week self-management program. The app had three views: timeline, information page, and contact page. The timeline was classified in 8 weeks, and each week included the lung exacerbation plan, daily and extra medication, information and education and questionnaires. The first week also included a video of a pulmonologist explaining the purpose of the app and additional information about the functionalities of the COPD app. A video consultation was planned after after 4 weeks and a face-to-face consultation after 8 weeks.

Treatment:

Other: COPD app