Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application?
BackgroundExacerbations affect the disease trajectory of patients with COPD and result in an acute drop of functional status and physical activity. Timely detection of exacerbations by non-medical healthcare professionals is needed to counteract this decline. The use of digital health applications i...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-01-01
|
| Series: | Frontiers in Rehabilitation Sciences |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2021.814704/full |
| _version_ | 1797969810385010688 |
|---|---|
| author | Astrid Blondeel Heleen Demeyer Heleen Demeyer Sofie Breuls Marieke Wuyts Lies Glorie Nikolaas De Maeyer Wim Janssens Wim Janssens Thierry Troosters |
| author_facet | Astrid Blondeel Heleen Demeyer Heleen Demeyer Sofie Breuls Marieke Wuyts Lies Glorie Nikolaas De Maeyer Wim Janssens Wim Janssens Thierry Troosters |
| author_sort | Astrid Blondeel |
| collection | DOAJ |
| description | BackgroundExacerbations affect the disease trajectory of patients with COPD and result in an acute drop of functional status and physical activity. Timely detection of exacerbations by non-medical healthcare professionals is needed to counteract this decline. The use of digital health applications in patient interaction allows embedded detection of exacerbations. However, it is unknown if this is an effective way to pick up exacerbations.MethodWe investigated the detection of exacerbations in patients with COPD enrolled in a physical activity coaching program, by prompting a weekly question on changes in medication via the smartphone application. Data on response rate and occurrence of exacerbations were collected.ResultsResponse rate to the medication question, evaluated in 42 patients, was 72% (n = 497). A change in medication was reported through the smartphone application in 38 (7.6%) of the answered questions. The response rate was significantly lower at 6 months follow-up compared to the first month (p =0.03). When evaluating the occurrence of adverse events in a subset of patients who completed 6 months of follow-up (n = 27), 18 exacerbations were registered in eight patients, of which 10 of these exacerbations (56%) were picked up by the medication question in the coaching application.ConclusionElectronic interaction through a weekly medication question, embedded in a smartphone application, is feasible to support the detection of the occurrence of COPD exacerbations and can be used complementary to regular forms of detecting exacerbations. Compliance and smartphone literacy should be optimized when further using this method to report on COPD exacerbations. |
| first_indexed | 2024-04-11T03:07:14Z |
| format | Article |
| id | doaj.art-5e2e5eb54e474e89a67f479d02cbe6d0 |
| institution | Directory Open Access Journal |
| issn | 2673-6861 |
| language | English |
| last_indexed | 2024-04-11T03:07:14Z |
| publishDate | 2022-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj.art-5e2e5eb54e474e89a67f479d02cbe6d02023-01-02T12:41:43ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612022-01-01210.3389/fresc.2021.814704814704Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application?Astrid Blondeel0Heleen Demeyer1Heleen Demeyer2Sofie Breuls3Marieke Wuyts4Lies Glorie5Nikolaas De Maeyer6Wim Janssens7Wim Janssens8Thierry Troosters9Department of Rehabilitation Sciences, University of Leuven, Leuven, BelgiumDepartment of Rehabilitation Sciences, University of Leuven, Leuven, BelgiumDepartment of Rehabilitation Sciences, Ghent University, Ghent, BelgiumDepartment of Rehabilitation Sciences, University of Leuven, Leuven, BelgiumDepartment of Rehabilitation Sciences, University of Leuven, Leuven, BelgiumDepartment of Rehabilitation Sciences, University of Leuven, Leuven, BelgiumClinical Department of Respiratory Diseases, Regional Hospital Heilig Hart Leuven, Leuven, BelgiumLaboratory of Respiratory Diseases and Thoracic Surgery, Department of Chronic Diseases, Metabolism, and Aging, University of Leuven, Leuven, BelgiumClinical Department of Respiratory Diseases, University Hospitals Leuven, Leuven, BelgiumDepartment of Rehabilitation Sciences, University of Leuven, Leuven, BelgiumBackgroundExacerbations affect the disease trajectory of patients with COPD and result in an acute drop of functional status and physical activity. Timely detection of exacerbations by non-medical healthcare professionals is needed to counteract this decline. The use of digital health applications in patient interaction allows embedded detection of exacerbations. However, it is unknown if this is an effective way to pick up exacerbations.MethodWe investigated the detection of exacerbations in patients with COPD enrolled in a physical activity coaching program, by prompting a weekly question on changes in medication via the smartphone application. Data on response rate and occurrence of exacerbations were collected.ResultsResponse rate to the medication question, evaluated in 42 patients, was 72% (n = 497). A change in medication was reported through the smartphone application in 38 (7.6%) of the answered questions. The response rate was significantly lower at 6 months follow-up compared to the first month (p =0.03). When evaluating the occurrence of adverse events in a subset of patients who completed 6 months of follow-up (n = 27), 18 exacerbations were registered in eight patients, of which 10 of these exacerbations (56%) were picked up by the medication question in the coaching application.ConclusionElectronic interaction through a weekly medication question, embedded in a smartphone application, is feasible to support the detection of the occurrence of COPD exacerbations and can be used complementary to regular forms of detecting exacerbations. Compliance and smartphone literacy should be optimized when further using this method to report on COPD exacerbations.https://www.frontiersin.org/articles/10.3389/fresc.2021.814704/fullCOPDexacerbationdetectionsmartphone applicationhealth status |
| spellingShingle | Astrid Blondeel Heleen Demeyer Heleen Demeyer Sofie Breuls Marieke Wuyts Lies Glorie Nikolaas De Maeyer Wim Janssens Wim Janssens Thierry Troosters Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application? Frontiers in Rehabilitation Sciences COPD exacerbation detection smartphone application health status |
| title | Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application? |
| title_full | Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application? |
| title_fullStr | Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application? |
| title_full_unstemmed | Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application? |
| title_short | Can COPD Exacerbations Be Picked Up Early via a Weekly Medication Question Through a Smartphone Application? |
| title_sort | can copd exacerbations be picked up early via a weekly medication question through a smartphone application |
| topic | COPD exacerbation detection smartphone application health status |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2021.814704/full |
| work_keys_str_mv | AT astridblondeel cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT heleendemeyer cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT heleendemeyer cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT sofiebreuls cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT mariekewuyts cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT liesglorie cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT nikolaasdemaeyer cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT wimjanssens cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT wimjanssens cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication AT thierrytroosters cancopdexacerbationsbepickedupearlyviaaweeklymedicationquestionthroughasmartphoneapplication |