Adherence in patients with COPD and heart failure using an eHealth self-management intervention

Mirthe Bakker*, Joanne Sloots, Clara van Ommeren, Alexandra Kleberger, Monique Tabak, Tanja Effing, Gerard Linssen, Martijn Grinovero, Job van der Palen, Anke Lenferink

*Corresponding author for this work

Research output: Contribution to journalMeeting AbstractAcademic

Abstract

Background: eHealth applications may be advocated as a feasible tool to implement self-management interventions for COPD patients. Poor adherence to inhaled medication and incorrect inhalation technique are however well-known phenomena.
Objectives: To monitor self-reporting of symptoms and inhalation adherence with an eHealth self-management intervention in patients with COPD and heart failure.
Methods: A total of 11 patients, recruited from two Dutch hospitals, participated in this prospective pilot study with a mean age of 67.3 ± 9.2. The majority of the patients had a diagnosis of severe COPD (54.5%) and had a reasonable left ventricle function (45.5%) (Ejection Fraction 41%-51%). Patients used an eHealth self-management intervention on which they completed a daily symptom diary that was linked to patient-tailored actions for symptom deterioration of COPD and heart failure. Sensorised inhalers were used to monitor adherence to inhaled medication and inhalation technique of seven patients.
Results: Patients completed the daily symptom diary >80% up to 64 days of follow-up. Patients maintained average inhalation adherence rates of 97,4% (range 96,6 -100) during 15 weeks of follow-up. The total average of suboptimal, fair, and optimal inhalations was 31,3 % (range 0 – 85,7), 54,5% (range 14,2 – 71,4), and 11,6% (range 0 – 23,5), respectively. The majority showed little to no improvement in inhalation technique over time.
Conclusion: Symptom reporting and inhaler adherence rates were high for the majority of patients. This suggests that the eHealth self-management intervention is a promising tool to routinely assess health outcomes in patients with COPD and heart failure.
Original languageEnglish
Article numberPA744
JournalEuropean respiratory journal
Volume54
DOIs
Publication statusPublished - 21 Nov 2019
EventERS International Congress 2019 - Madrid, Spain
Duration: 28 Sep 20192 Oct 2019

Keywords

  • Telemedicine
  • COPD - management
  • Personalised medicine

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