Using a mobile health application to support self-management in chronic obstructive pulmonary disease: a six-month cohort study
Open accessAbstract
BACKGROUND: Self-management strategies have the potential to support patients with chronic obstructive pulmonary disease (COPD). Telehealth interventions may have a role in delivering this support along with the opportunity to monitor symptoms and physiological variables. This paper reports findings from a six-month, clinical, cohort study of COPD patients' use of a mobile telehealth based (mHealth) application and how individually determined alerts in oxygen saturation levels, pulse rate and symptoms scores related to patient self-initiated treatment for exacerbations. METHODS: The development of the mHealth intervention involved a patient focus group and multidisciplinary team of researchers, engineers and clinicians. Individual data thresholds to set alerts were determined, and the relationship to exacerbations, defined by the initiation of stand-by medications, was measured. The sample comprised 18 patients (age range of 50-85 years) with varied levels of computer skills. RESULTS: Patients identified no difficulties in using the mHealth application and used all functions available. 40% of exacerbations had an alert signal during the three days prior to a patient starting medication. Patients were able to use the mHealth application to support self- management, including monitoring of clinical data. Within three months, 95% of symptom reporting sessions were completed in less than 100 s. CONCLUSIONS: Home based, unassisted, daily use of the mHealth platform is feasible and acceptable to people with COPD for reporting daily symptoms and medicine use, and to measure physiological variables such as pulse rate and oxygen saturation. These findings provide evidence for integrating telehealth interventions with clinical care pathways to support self-management in COPD.
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Researchers evaluated a range of measures that aligned with their target chronic condition, such as blood glucose, weight, symptoms, patient-reported outcomes, diary entries, and steps.
“Researchers evaluated a range of measures that aligned with their target chronic condition, such as blood glucose [56,60,61,64,73], weight [56,73,74], symptoms [66,68,69], patient-reported outcomes [38,46,52,65,71], diary entries [47,66], and steps [51].”
From A Library of Analytic Indicators to Evaluate Effective Engagement with Consumer mHealth Apps for Chronic Conditions: Scoping Review (2019) · cites this paper as [66]
Reviewed researchers measured time spent on unique sections, unique pages, length of a unique session, length between unique sessions, and total time spent on an app.
“Researchers measured the time spent on unique sections of an app [66], the time spent on unique pages [56], the length of a unique session [38,42,43,71], the length between unique sessions [72], and the total time spent on an app [62,68,73].”
From A Library of Analytic Indicators to Evaluate Effective Engagement with Consumer mHealth Apps for Chronic Conditions: Scoping Review (2019) · cites this paper as [66]
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- Authors
- Hardinge, M., Rutter, H., Velardo, C., Shah, S. A., Williams, V., Tarassenko, L., & Farmer, A.
- Affiliations
- Oxford University Hospitals NHS Trust (GB)
- Oxford Health NHS Foundation Trust (GB)
- University of Oxford (GB)
- Corresponding author
- Velardo, Carmelo
- ORCID
- Venue
- BMC Medical Informatics and Decision Making
- Published
- 2015-06-18
- Volume
- 15
- Issue
- 1
- Pages
- 46-46
- ISSN
- 1472-6947 (ISSN-L)
- PMC
- PMC4472616
- OpenAlex
- W2108349752
- Cited by
- 98
- References
- 16
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 6 · 2023: 7 · 2022: 10 · 2021: 6 · 2020: 8 · 2019: 11 · 2018: 15 · 2017: 14 · 2016: 8 · 2015: 1
- FWCI
- 23.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust
- National Institute for Health and Care Research (HICF-1010-032)
- NIHR Oxford Biomedical Research Centre
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- chronic obstructive pulmonary disease, self-management, mobile health, telemedicine, COPD exacerbations, pulse rate monitoring, symptom monitoring, patient acceptability, feasibility, home monitoring
- MeSH terms
- Aged, Aged, 80 and over, Humans, Middle Aged, Self Care, Cohort Studies, Telemedicine, Pulmonary Disease, Chronic Obstructive, Mobile Applications
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