A novel multimodal tool for telemonitoring patients with COPD
Abstract
Introduction: Among factors that underlie high rates of non-participation reported in telehealth interventions are the low older users' acceptance of information technologies and the low levels of non-compliance with therapy of chronic patients. Therefore, inclusion of potential users into design stages of assistive technologies is challenging. In this paper, the design, implementation and evaluation of a multimodal mobile application for telemonitoring chronic obstructive pulmonary disease (COPD) is presented. The goal of the study was to assess the usability and feasibility of the designed tool. Methods: An iterative user-centered design methodology was applied to implement a prototype that satisfied users' requirements. Feasibility (compliance, COPD knowledge and satisfaction) of the application was assessed in a 6-month field trial with COPD patients. Results: A usable, effective and efficient prototype was released after the development process. A high compliance (86.1%) and an increasing in COPD knowledge were achieved in the field trial. Conclusions: The findings reveal the importance of integrating usability in the design development processes to improve adherence to routine tasks and to reduce the high rates of non-participation reported in recent evaluation studies of telehealth interventions. The presented tool can help to recognize early symptoms of deterioration and to support patients in COPD self-management.
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Due to absent or insufficient motivation strategies such as interactivity, proper incentives and rewards, and experiential value, the effects of digital interventions in asthma are prone to be negatively affected by the temporal decline in patients' engagement and motivation.
“Additionally, due to absent or insufficient motivation strategies such as interactivity, proper incentives and rewards [48], and experiential value [49-51], the effects of the previously reported digital interventions in asthma, such as the health condition of the young patients, are prone to be negatively affected by the temporal decline in the patients’ engagement and motivation [10,52-54].”
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Sanchez-Morillo, D., Fernandez-Granero, M. A., & Leon-Jimenez, A. (2016) · Chronic Respiratory Disease · doi:10.1177/1479972316642365 · Cited by 110 · see citing works
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- Authors
- Sánchez-Morillo, D., Crespo, M., León, A., & Crespo Foix, L. F.
- Affiliations
- Hospital Universitario Puerta del Mar (ES)
- Venue
- Informatics for Health and Social Care
- Publisher
- Informa UK Limited
- Published
- 2013-12-31
- Volume
- 40
- Issue
- 1
- Pages
- 1-22
- ISSN
- 1753-8157 (ISSN-L)
- 1753-8165
- OpenAlex
- W2024003003
- Cited by
- 25
- References
- 52
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2021: 4 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 6 · 2014: 1
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Informatics for Health and Social Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- chronic obstructive pulmonary disease, remote patient monitoring, COPD self-management, usability, user-centered design, assistive technology, older adults, medication adherence, COPD knowledge, early symptom detection
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