Use of a Smartphone for Improved Self-Management of Pulmonary Rehabilitation

Patients suffering from chronic respiratory disease need to follow a rehabilitative exercise programme, in order to self-manage their illness and improve quality of life. Adherence to the programme is highly dependent on professional support from a physiotherapist and hence declines when patients seek to self-manage in the home. A number of requirements were identified for a Smartphone-based application in which patients are supported remotely and given automatic feedback during exercise. An application is described which will improve adherence during pulmonary rehabilitation.

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Pulmonary rehabilitation

Reviews in Clinical Gerontology ◽

10.1017/s0959259803001011 ◽

2003 ◽

Vol 13 (3) ◽

pp. 175-182 ◽

Cited By ~ 1

Author(s):

Dipankar Dutta ◽

Richard JA Butland ◽

Ruma R Dutta ◽

Miriam C Casey

Keyword(s):

Quality Of Life ◽

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Rehabilitation ◽

Exercise Programme ◽

Chronic Respiratory Disease ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Multidisciplinary Education ◽

Programme Of Care

Pulmonary rehabilitation is a multidisciplinary education and exercise programme of care for patients with chronic respiratory disease, particularly Chronic Obstructive Pulmonary Disease (COPD). It aims to reduce symptoms, decrease disability, increase participation in physical and social activities and improve overall quality of life in patients who may still be very disabled despite optimal pharmacological treatment. Pulmonary rehabilitation first began more than 30 years ago and is now established as an important part of the management of COPD.

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The impact of e-Health interventions on promoting Self-Care in Chronic Patients: an Umbrella Review

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1104 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

E Renzi ◽

G Gasperini ◽

V Baccolini ◽

C Marzuillo ◽

C De Vito ◽

...

Keyword(s):

Public Health ◽

Quality Of Life ◽

Chronic Conditions ◽

Self Care ◽

Health Interventions ◽

Self Management ◽

Improve Quality ◽

Umbrella Review ◽

Copd Patients

Abstract Background Promoting self-care is one of the most promising strategies to manage people with chronic conditions and to improve the Public Health System resilience. In this context, the use of e-Health could facilitate self-care promotion, assure continuity of care and save time. Methods We performed an umbrella review on Cochrane, Scopus, Medline, PsychInfo, CINAHL to analyse e-Health self-care promoting intervention in patients with Type- 2 Diabetes Mellitus (T2DM), Cardiovascular Diseases (CVD) and Chronic Obstructive Pulmonary Disease (COPD) compared to traditional intervention. AMSTAR-2 was used for quality appraisal. Results 10 systematic reviews were included for an amount of 376 RCTs and 3 quasi-experimental studies. All the e-Health interventions retrieved were categorized in 4 subgroups: Phone Reminder, Telemonitoring, Psychoeducational intervention supported by PCs/Apps and Combined Intervention. Nurses (271/379 studies) and physicians (149/379 studies) were the healthcare workers mostly involved in the administration of e-Health interventions. T2DM (5 reviews; 175 studies) and CVD (7 reviews; 164 studies) patients gained more progresses in self-management than COPD patients (3 reviews; 8 studies). E-Health appeared effective both in promoting self-management and disease awareness. Globally, all the e-Health interventions seemed to improve Quality of Life and clinical outcomes. Phone reminders were most effective to increase Medication Adherence. All Causes Mortality registered a positive effect through Telemonitoring. Hospital Admission and Cost-Efficacy were explored only by telemonitoring and it did not show differences with traditional intervention. Conclusions E-Health is an effective strategy to promote self-care in patients with chronic conditions and to improve quality of life and clinical outcomes. Further research is required to test e-Health intervention in COPD patients and to examine if there is different efficacy among e-Health subgroups. Key messages E-Health should be integrated in Primary Care strategies to improve Public Health systems resilience. Nurses, as frontline Primary Health Care workers, should be advised for e-Health administration.

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Does self-management of oral anticoagulation therapy improve quality of life and anxiety?

Family Practice ◽

10.1093/fampra/cmq089 ◽

2010 ◽

Vol 28 (2) ◽

pp. 134-140 ◽

Cited By ~ 22

Author(s):

D. McCahon ◽

E. T. Murray ◽

K. Murray ◽

R. L. Holder ◽

D. A. Fitzmaurice

Keyword(s):

Quality Of Life ◽

Oral Anticoagulation ◽

Anticoagulation Therapy ◽

Self Management ◽

Improve Quality ◽

Oral Anticoagulation Therapy

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Intervention to Improve Quality of life for African-AmericaN lupus patients (IQAN): study protocol for a randomized controlled trial of a unique a la carte intervention approach to self-management of lupus in African Americans

BMC Health Services Research ◽

10.1186/s12913-016-1580-6 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 11

Author(s):

Edith M. Williams ◽

Kate Lorig ◽

Saundra Glover ◽

Diane Kamen ◽

Sudie Back ◽

...

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

African American ◽

African Americans ◽

Study Protocol ◽

Controlled Trial ◽

Self Management ◽

Improve Quality ◽

Randomized Controlled

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Multidisciplinary self-management telecare system may improve quality of life in patients with interstitial cystitis/bladder pain syndrome (IC/BPS) – a randomized controlled study

European Urology Supplements ◽

10.1016/s1569-9056(17)30492-x ◽

2017 ◽

Vol 16 (3) ◽

pp. e755-e756 ◽

Cited By ~ 1

Author(s):

M.-H. Lee ◽

H.-C. Wu ◽

W.-C. Chen

Keyword(s):

Quality Of Life ◽

Interstitial Cystitis ◽

Pain Syndrome ◽

Bladder Pain Syndrome ◽

Self Management ◽

Controlled Study ◽

Improve Quality ◽

Bladder Pain ◽

Randomized Controlled

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Integrative Treatments

10.1093/med/9780199392742.003.0038 ◽

2017 ◽

Author(s):

Cheryl Gore-Felton ◽

Lawrence McGlynn ◽

Andrei Kreutzberg ◽

David Spiegel

Keyword(s):

Quality Of Life ◽

Clinical Practice ◽

Side Effects ◽

Integrative Medicine ◽

Symptom Management ◽

Self Management ◽

Improve Quality ◽

Somatic Disorders ◽

Anxiety Depression

Many individuals seek relief from symptoms associated with HIV infection through the use of integrative medicine. Symptoms include neuropsychiatric problems such as anxiety, depression, cognitive dysfunction, and headaches, as well as somatic disorders related to viral infection and immunodysregulation, such as fatigue, diarrhea, and cardiovascular problems. As antiretroviral treatments have become increasingly effective, symptom management with minimal side effects has become more important. A variety of integrative treatments, including botanicals, vitamins, minerals, probiotics, and herbs, have been utilized, and mind–body approaches such as mindfulness, hypnosis, and movement therapy have been found to reduce symptoms and improve quality of life. This chapter examines widely used integrative medicine approaches to alleviating distressing HIV-related symptoms. Implications for clinical practice are discussed. Integrative approaches emphasize self-management of symptoms and are widely sought after and accepted, even by patients who resist other forms of medical treatment.

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