Helping COPD patients change health behavior in order to improve their quality of life

Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of the impact of eHealth on quality of life (QoL) in different settings. Aim: The primary aim of the e-Vita-COPD-study was to investigate the effect of use of eHealth patient platforms on disease specific QoL of COPD patients. Methods: We evaluated the impact of an eHealth platform on disease specific QoL measured with the clinical COPD questionnaire (CCQ), including subscales of symptoms, functional state and mental state. Interrupted time series (ITS) design was used to collect CCQ data at multiple time points. Multilevel linear regression modelling was used to compare trends in CCQ before and after the eHealth intervention. Results: Of 742 invited COPD patients, 244 signed informed consent. For the analyses, we only included patients who actually used the eHealth platform (n = 123). The decrease of CCQ-symptoms was 0,20% before the intervention and 0,27% after the intervention; this difference was statistically significant (P=0.027). The decrease of CCQ-mental was 0,97% before the intervention and after the intervention there was an increase of 0,017%; this difference was statistically significant (P=0,01). No significant difference was found in the slopes of CCQ (P=0,12) and CCQ-function (P=0,11) before and after the intervention. Conclusion: The e-Vita eHealth platform had a potential beneficial impact on the CCQ-symptoms of COPD patients, but not on functional state. The CCQ-mental state remained stable after the intervention, but this was a deterioration compared to the improving situation before the start of the eHealth platform. In conclusion, this study shows that after the introduction of the COPD platform, patients experienced fewer symptoms, but their mental state deteriorated slightly at the same time. Therefore, health care providers should be aware that, although symptoms improve, there might be a slight increase in anxiety and depression after introducing an eHealth intervention to support self-management.

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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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COPD Patients With Nighttime and/or Early Morning Symptoms: Quality of Life and Dyspnea

CHEST Journal ◽

10.1378/chest.1703187 ◽

2013 ◽

Vol 144 (4) ◽

pp. 694A

Author(s):

Sean Sullivan ◽

Michelle Mocarski ◽

Qian Cai ◽

Judith Stephenson ◽

Hiangkiat Tan ◽

...

Keyword(s):

Quality Of Life ◽

Early Morning ◽

Copd Patients ◽

Morning Symptoms

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The Effect of Telerehabilitation on Quality of Life, Exercise Capacity, and Spirometry Indexes in Patients with Chronic Obstructive Pulmonary Disease in Masih Daneshvari Hospital

Journal of Iranian Medical Council ◽

10.18502/jimc.v4i3.7218 ◽

2021 ◽

Author(s):

Somayeh Ghadimi ◽

Atefeh Fakharian ◽

Mohsen Abedi ◽

Reyhaneh Zahiri ◽

Mahsan Norouz Afjeh ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Control Group ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Copd Patients ◽

And Control

Background: Chronic Obstructive Pulmonary Disease (COPD) leads to limited activity and reduced quality of life. Treatment of this disease is a long-term process that requires the cooperation of patients in monitoring and treatment. Methods: In the present study which was conducted from April 2019 to March 2021 in Masih Daneshvari Hospital, Tehran, Iran, 75 patients were randomly divided into telerehabilitation and control groups. Patients in the control group received pulmonary rehabilitation including respiratory, isometric, and aerobic exercises for 8 weeks, three times per week. In the second group, patients were given a lung rehabilitation booklet and asked to repeat the exercises three times a week for four weeks according to a specific schedule. In addition, patients installed Behzee care application on the mobile phone that recorded various indicators such as heart rate, SpO2, dyspnea, fatigue, and daily activities. This application reminded the patient of the program every day and at a specific time. Finally, the patients’ conditions were compared in the two groups after 8 weeks using CAT and mMRC questionnaires and 6-Minute Walk (6MW) exercise indices as well as spirometry tests. Results: In all four indicators (6MW, CAT, and mMRC questionnaires as well as spirometry), patients showed improvement after rehabilitation (p<0.001). This improvement was significantly higher in the telemedicine group compared to the other group (p<0.01). Conclusion: The use of telerehabilitation in COPD patients is effective in improving spirometry indices, quality of life, as well as activity and sports indices.

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Health Behavior and Quality of Life Outcome in Breast Cancer Survivors: Prevalence Rates and Predictors

Clinical Breast Cancer ◽

10.1016/j.clbc.2017.09.008 ◽

2018 ◽

Vol 18 (1) ◽

pp. 38-44 ◽

Cited By ~ 6

Author(s):

Anne Oberguggenberger ◽

Verena Meraner ◽

Monika Sztankay ◽

Anja Hilbert ◽

Michael Hubalek ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Health Behavior ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Prevalence Rates

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Health Care Access and Health Behavior Quality of Life among Hispanic/Latino-American Cancer Survivors

Applied Research in Quality of Life ◽

10.1007/s11482-018-9677-1 ◽

2018 ◽

Vol 15 (3) ◽

pp. 637-650

Author(s):

Endia J. Santee ◽

Keith A. King ◽

Rebecca A. Vidourek ◽

Ashley L. Merianos

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Behavior ◽

Cancer Survivors ◽

Health Care Access ◽

Care Access ◽

Latino American

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Efek program manajemen diri pada pasien penyakit paru obstruktif kronik : Systematis review

Jurnal Keperawatan Muhammadiyah ◽

10.30651/jkm.v4i2.2878 ◽

2019 ◽

Vol 4 (2) ◽

Author(s):

Harni Harniati ◽

Syahrul Syahrul ◽

Takdir Tahir

Keyword(s):

Quality Of Life ◽

Exercise Capacity ◽

Self Management ◽

Walk Test ◽

Health Related Quality ◽

Lung Capacity ◽

Copd Patients ◽

Related Quality ◽

Health Related

ABSTRACTBackground: Self-management programs are very important in the care of patients with COPD as an independent intervention in an effort to improve health status. Aim: Of this systematic review is to find out the form of self-management intervention in COPD patients, an instrument to measure the outcomes of self-management and the effects of self-management programs in COPD patients. Methods: Used are electronic data bases from journals published through ProQuest, PubMed., And ScienceDirect. Results: Of a review of 9 selected journals stated that self-management programs had an influence on increasing lung capacity, exercise capacity and health-related quality of life compared to patients who experienced standard care. The research instrument was used to measure lung capacity using spirometry, Exercise capacity used a six-minute walking distance (6MWD), Incremental Shuttle Walk Test (ISWT) and the Endurance Shuttle Walk Test (ESWT), and health-related quality of life measured by St George Respiratory Questionnaire (SGRQ). The results showed that the effects of self-management programs benefited in the quality of care, reduced the number of days of hospital care and did not increase the number of deaths. Conclusion: Self-management programs in COPD patients provide the ability to manage disease so that it can increase lung capacity, exercise capacity and quality of life related to health. Keywords: Chronic obstructive pulmonary disease, exercise capasity, lung capacity self management program, quality of life

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