A telehealth program for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial
Open accessAbstract
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.
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Professionals have been reluctant to use such sensors in the past.
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- Authors
- Tabak, M., VanderValk, P., Hermens, H., Vollenbroek-Hutten, M., & Brusse-Keizer, M.
- Affiliations
- Roessingh Research and Development (NL)
- Medisch Spectrum Twente (NL)
- Corresponding author
- Tabak, Monique
- ORCID
- Venue
- International Journal of Chronic Obstructive Pulmonary Disease
- Publisher
- Informa UK Limited
- Published
- 2014-09
- Volume
- 9
- Pages
- 935
- ISSN
- 1176-9106 (ISSN-L)
- 1178-2005
- PMC
- PMC4166347
- OpenAlex
- W2168501207
- Cited by
- 196
- References
- 38
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 12 · 2023: 17 · 2022: 22 · 2021: 28 · 2020: 12 · 2019: 20 · 2018: 18 · 2017: 22 · 2016: 18 · 2015: 7 · 2014: 1 · 2013: 1
- FWCI
- 15.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of COPD (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- University of Twente Research Information (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Funders
- Agentschap NL
- 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, telemedicine, COPD exacerbations, self-management, physical activity, exercise adherence, activity monitoring, teleconsultation, patient satisfaction, primary and secondary care
- MeSH terms
- Aged, Counseling, Female, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Lung, Male, Middle Aged, Motor Activity, Netherlands, Patient Compliance, Patient Education as Topic, Pilot Projects, Primary Health Care, Self Care, Therapy, Computer-Assisted, Time Factors, Treatment Outcome, Patient Satisfaction, Exercise Tolerance, Telemedicine, Disease Progression, Internet, Pulmonary Disease, Chronic Obstructive, Risk Reduction Behavior, Secondary Health Care
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