Mobile device usability to support chronic obstructive pulmonary disease management

2011 
COPD generates a serious burden on healthcare system. Telemedicine contribute to an efficient use of healthcare resources reducing number of non-scheduled visits. Are lacking studies assessing patients and healthcare provider9s satisfaction on those new approaches. The aim of the study was determine the usability & satisfaction of COPD patients and professionals with a mobile device to support COPD management. A mobile system was offered during two weeks to 17COPD patients (FEV1 47±19% pred; age 65±8). Patients answered the EuroQoL questionnaire every day and used pulse oximetry during any exercise session at home setting. Data was collected & checked in a technological platform. Patients and professionals accomplished a usability & satisfaction questionnaire at the end of the study. 18% of patients refused and 65% finished the program. 83% felt safer during exercise and more controlled by professionals. 61% indicated that the device makes them do more physical activity. Lack of acceptance to undergo the study and drop-outs were associated with personality disorders (p Transfer of data between a mobile device and a digital platform is feasible for COPD patients. Remote monitoring of physical activity can enhance motivation to perform sustainable exercise and seems to show high grade of adherence. Long-term follow-up of a large number of patients will be needed to define effective home-based services to enhance management of COPD patients. Supported by Nexes UE - FP7 (CIP-ICT) 225025; FIS-Pites.
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