Akzeptanz einer telemedizinischen Intervention bei Patienten mit chronisch-obstruktiver Lungenerkrankung
Abstract
OBJECTIVE: The aim of this trial was to assess the acceptance of a telemonitoring device (Health Buddy®) by patients with chronic obstructive pulmonary disease (COPD). The device makes it possible to monitor vital parameters and to ask questions about symptoms, behavior and disease-specific knowledge. METHOD: A single-arm non-randomized clinical study was performed for three months in 43 patients with severe/very severe COPD. The primary intent was to determine the patients' compliance with the device. In addition the patients were questioned about their general acceptance of the telemonitoring intervention, their quality of life and the overall use of resources. RESULTS: 36 patients (25 men, 11 women, mean age 67,9 ± 6,9; range 54 - 81 years) completed the protocol. All 43 patients were using the device (Health Buddy®) on two thirds of all possible working days (this had been predefined as full compliance). Especially the questions on technical functioning of the device, trust in the technique and data security, as well as the confidentiality of communication with the physician via telemedicine were very positively answered. Health-related quality of life did not change and no rise of autonomy was noted. However, the objective of early detecting of acute exacerbations by daily measurements of vital parameters and assessment of symptoms was difficult to achieve because of inadequate definition of the parameters. CONCLUSION: This cohort of patients with advanced COPD was highly compliant in the use of the telemonitoring device. But clinical efficacy and economic effectiveness remain to be investigated.
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Of the 12 studies, 7 (58%) demonstrated a benefit of telemonitoring on patient adherence when compared with a comparator.
“Of the 12 studies, 7 (58%) [13,36,42,48,58,59,92] demonstrated a benefit of telemonitoring on patient adherence when compared with a comparator”
From Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis (2022) · cites this paper as [59]
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Leo, D. G., Buckley, B. J. R., Chowdhury, M., Harrison, S. L., Isanejad, M., Lip, G. Y. H., Wright, D. J., Lane, D. A., & the TAILOR investigators (2022) · Journal of Medical Internet Research · doi:10.2196/35508 · Cited by 62 · see citing works
Lang, C., Voigt, K., Neumann, R., Bergmann, A., & Holthoff‐Detto, V. (2020) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x20901400 · Cited by 31 · see citing works
Dockweiler, C. (2016) · Springer eBooks · doi:10.1007/978-3-662-49504-9_13 · Cited by 32 · see citing works
Lang, C., Scheibe, M., Voigt, K., Hübsch, G., Mocke, L., Schmitt, J. M., Bergmann, A., & Holthoff‐Detto, V. (2019) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2019.02.009 · Cited by 24 · see citing works
Use of an embedded, micro-randomised trial to investigate non-compliance in telehealth interventions
Law, L. M., Edirisinghe, N., & Wason, J. M. S. (2016) · Clinical Trials · doi:10.1177/1740774516637075 · Cited by 9 · see citing works
Reese, C., Nechwatal, R., & Farin‐Glattacker, E. (2019) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2019.04.003 · Cited by 4 · see citing works
Greffin, K., Muehlan, H., van den Berg, N., Hoffmann, W. U., Ritter, O., Oeff, M., Schomerus, G., & Schmidt, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910454 · Cited by 3 · see citing works
Telemedizin in der pneumologischen Praxis
von Baer, R., & Barczok, M. (2014) · Der Pneumologe · doi:10.1007/s10405-013-0740-1 · Cited by 2 · see citing works
Greffin, K., Muehlan, H., van den Berg, N., Hoffmann, W. U., Ritter, O., Oeff, M., Speerforck, S., Schomerus, G., & Schmidt, S. (2023) · Quality of Life Research · doi:10.1007/s11136-023-03469-z · Cited by 1 · see citing works
Telemedizin steigert die Qualität…
zu Putlitz, J., Gilberg, K., von Baer, R., & Pigozzo, A.-M. (2013) · Springer eBooks · doi:10.1007/978-3-8349-7113-5_12 · Cited by 1 · see citing works
Innovation in der Versorgungspraxis – Was erwarten die Nutzer von neuen Versorgungstechnologien?
Dockweiler, C., & Kupitz, A. (2018) · Springer eBooks · doi:10.1007/978-3-658-18413-1_12 · Cited by 1 · see citing works
Patrick, J. R. (n.d.) · ProQuest Demo Repository
Telemedizin in der pneumologischen Praxis Welche Systeme sind erforderlich
Bosch, R. C. M. (2014)
Wohofsky, L., Krainer, D., Scharf, P., Lattacher, S. L., & Oberzaucher, J. (2022) · Forschung und Praxis an der FHWien der WKW · doi:10.1007/978-3-658-36861-6_16
- Authors
- Karg, O., Weber, M., Bubulj, C., Esche, B., Weber, N., Geiseler, J., Bachl, C., & Schellhorn, H.
- Affiliations
- Asklepios Fachkliniken München-Gauting (DE)
- Starnberg Hospital (DE)
- Pneumologisches Netzwerk Südbayern e.V.
- Robert Bosch (Germany) (DE)
- Corresponding author
- Karg, O.
- Venue
- DMW - Deutsche Medizinische Wochenschrift
- Publisher
- Georg Thieme Verlag KG
- Published
- 2012-03
- Volume
- 137
- Issue
- 12
- Pages
- 574-579
- ISSN
- 0012-0472 (ISSN-L)
- 1439-4413
- OpenAlex
- W134370078
- Cited by
- 13
- References
- 0
- Citations by year
- 2023: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 2 · 2014: 2 · 2013: 1
- FWCI
- 0.93
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- DMW - Deutsche Medizinische Wochenschrift (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- chronic obstructive pulmonary disease, remote patient monitoring, patient acceptance, device compliance, health-related quality of life, vital signs monitoring, patient autonomy, data security
- MeSH terms
- Aged, Aged, 80 and over, Female, Germany, Humans, Male, Middle Aged, Oximetry, Patient Compliance, Pilot Projects, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Pulmonary Disease, Chronic Obstructive, Remote Sensing Technology
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