Evaluating the Feasibility of a Mobile Self-management Application for Patients With Chronic Obstructive Pulmonary Disease (COPD)
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Chronic Obstructive Pulmonary Disease
- Sponsor
- Rijnstate Hospital
- Enrollment
- 39
- Locations
- 1
- Primary Endpoint
- Use (feasibility)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
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.
Detailed 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).
Investigators
Eligibility Criteria
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
Outcomes
Primary Outcomes
Use (feasibility)
Time Frame: Week 1 through week 20
Use based on log data: number of times the app was used per week.
Satisfaction (feasibility)
Time Frame: Week 8
Questionnaires were used to assess satisfaction, information and user-friendliness of the app. The items were rated on a 7 point scale, varying from 1 (totally disagree) to 7 (totally agree). Overall satisfaction was rated on a scale from 1 (very unsatisfied) to 10 (very satisfied). Multiple response questions were used to assess if patients missed information in the app. Suggestions for improvement were asked using an open question. Yes/no questions were used to assess satisfaction with video consultation(s) (additional requested video consultations, problems and time saving).
Overall satisfaction (feasibility)
Time Frame: Week 20
Overall satisfaction was rated on a scale varying from 1 (not satisfied) to 10 (very satisfied). Suggestion for improvement were assessed with an open question.
Secondary Outcomes
- Experiences with technology(Week 20)
- Depression - change over time(Week 1 and Week 8)
- Hospital readmissions(20 weeks)
- Self-management - change over time(Baseline, week 8 and week 20)
- Expectations(Baseline)
- Anxiety - change over time(Week 1 until week 8)
- Use(Week 20)
- Satisfaction nurses(After intervention completion, up to 15 months.)