A telehealth programme for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial

Monique Tabak, Marjolein Brusse-Keizer, Paul van der Valk, Hermanus J. Hermens, Miriam Marie Rosé Vollenbroek-Hutten

    Research output: Contribution to journalArticleAcademicpeer-review

    73 Citations (Scopus)
    45 Downloads (Pure)

    Abstract

    The objective of this pilot study was to investigate the use of and satisfaction with a chronic obstructive pulmonary disease (COPD) telehealth program applied in both primary and secondary care. The program consisted of four modules: 1) activity coach for ambulant activity monitoring and real-time coaching of daily activity behavior, 2) web-based exercise program for home exercising, 3) self-management of COPD exacerbations via a triage diary on the web portal, including self-treatment of exacerbations, and 4) teleconsultation. Twenty-nine COPD patients were randomly assigned to either the intervention group (telehealth program for 9 months) or the control group (usual care). Page hits on the web portal showed the use of the program, and the Client Satisfaction Questionnaire showed satisfaction with received care. The telehealth program with decision support showed good satisfaction (mean 26.4, maximum score 32). The program was accessed on 86% of the treatment days, especially the diary. Patient adherence with the exercise scheme was low (21%). Health care providers seem to play an important role in patients’ adherence to telehealth in usual care. Future research should focus on full-scale implementation in daily care and investigating technological advances, like gaming, to increase adherence.
    Original languageEnglish
    Pages (from-to)935-944
    Number of pages10
    JournalInternational journal of chronic obstructive pulmonary disease
    Volume9
    DOIs
    Publication statusPublished - 9 Sep 2014

    Keywords

    • METIS-305852
    • IR-91827
    • COPD
    • Self management
    • exacerbations
    • Physical Activity
    • Telehealth
    • EWI-24264

    Fingerprint Dive into the research topics of 'A telehealth programme for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial'. Together they form a unique fingerprint.

    Cite this