Evaluating a Mobile Self-management Application for Patients With COPD Chronic Obstructive Pulmonary Disease

Evaluating the Feasibility of a Mobile Self-management Application for Patients With Chronic Obstructive Pulmonary Disease (COPD)

Sponsors

Lead Sponsor: Rijnstate Hospital

Source Rijnstate Hospital
Brief Summary

The objective of the study is to evaluate the effects of a mobile self-management app in clinical practice for recently discharged COPD patients on application use, self-management, anxiety and depression, expectations and experiences, patients' and health care professionals' satisfaction and hospital readmissions.

Detailed Description

Usability testing techniques were used to receive feedback on a prototype of the app, before starting the feasibility study. Patients were recruited from a large teaching hospital. The COPD app provided patients with an 8 week self-management program. The application had three views: timeline, information page, and contact page. The start date was each patients' date of discharge. The timeline was classified in 8 weeks, and each week included the lung exacerbation plan, daily and extra medication, information and education and questionnaires. The first week also included a video of a pulmonologist explaining the purpose of the app and additional information about the functionalities of the COPD app. The timeline consisted of the lung exacerbation action plan, medication overview, weekly questionnaires and monitoring, and consultations (video consultation after 4 weeks and face-to-face consultation after 8 weeks).

Overall Status Completed
Start Date November 22, 2018
Completion Date April 25, 2020
Primary Completion Date April 15, 2019
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Use (feasibility) Week 1 through week 20
Satisfaction (feasibility) Week 8
Overall satisfaction (feasibility) Week 20
Secondary Outcome
Measure Time Frame
Self-management - change over time Baseline, week 8 and week 20
Expectations Baseline
Experiences with technology Week 8
Experiences with technology Week 20
Anxiety - change over time Week 1 until week 8
Depression - change over time Week 1 and Week 8
Satisfaction nurses After intervention completion, up to 15 months.
Hospital readmissions 30 days
Hospital readmissions 8 weeks
Hospital readmissions 20 weeks
Use Week 8
Use Week 20
Enrollment 39
Condition
Intervention

Intervention Type: Other

Intervention Name: COPD app

Description: The COPD app consisted of an 8 week self-management program. The app had three views: timeline, information page, and contact page. The timeline was classified in 8 weeks, and each week included the lung exacerbation plan, daily and extra medication, information and education and questionnaires. The first week also included a video of a pulmonologist explaining the purpose of the app and additional information about the functionalities of the COPD app. A video consultation was planned after after 4 weeks and a face-to-face consultation after 8 weeks.

Arm Group Label: Intervention

Eligibility

Criteria:

Inclusion Criteria: - Age > 18 Years - Diagnosed with COPD - Admissions to the hospital for exacerbation - Having (access to) a tablet or smartphone - Working internet connection - Proficiency in using a tablet or smartphone - Ability to read and understand the Dutch language - Signed informed consent - At least one hospitalization for COPD exacerbation in the year preceding the study (outcome was...) Exclusion Criteria: - No exacerbation of COPD - Comorbidities: cancer, severe cognitive or psychiatric comorbidities - No access to a tablet or smartpone

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

Overall Official
Last Name Role Affiliation
Wim van Harten, MD, PhD Principal Investigator Rijnstate Hospital
Location
Facility: Rijnstate
Location Countries

Netherlands

Verification Date

August 2020

Responsible Party

Type: Sponsor

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 1
Arm Group

Label: Intervention

Type: Experimental

Description: The COPD app consisted of an 8 week self-management program. The app had three views: timeline, information page, and contact page. The timeline was classified in 8 weeks, and each week included the lung exacerbation plan, daily and extra medication, information and education and questionnaires. The first week also included a video of a pulmonologist explaining the purpose of the app and additional information about the functionalities of the COPD app. A video consultation was planned after after 4 weeks and a face-to-face consultation after 8 weeks.

Patient Data No
Study Design Info

Allocation: N/A

Intervention Model: Single Group Assignment

Primary Purpose: Other

Masking: None (Open Label)

Source: ClinicalTrials.gov