Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Oct 30, 2018
Open Peer Review Period: Nov 1, 2018 - Nov 9, 2018
Date Accepted: May 5, 2019
(closed for review but you can still tweet)
An mHealth Management Platform for Pulmonary Rehabilitation for Non-small Cell Lung Cancer
ABSTRACT
Background:
Lung cancer patients experience various symptoms during treatment. Although pulmonary rehabilitation is an effective way to improve these symptoms, limited medical environment makes it difficult to provide seamless adequate rehabilitation for lung cancer patients.
Objective:
This study aims to investigate the effects of pulmonary rehabilitation for patients with non-small cell lung cancer by means of a personalized pulmonary rehabilitation program that uses real-time mobile patient health data.
Methods:
A prospective clinical trial was conducted with 64 non-small cell lung cancer patients aged between 20 and 80 years, diagnosed with lung cancer at Asan Medical Center. A 12-week personalized pulmonary rehabilitation program was administered to investigate the efficacy of the rehabilitation app developed. The participants were randomized into the fixed exercise or fixed-interactive exercise group. At 6 weeks, changes in walking distances during 6 minutes (6MWD) and grade of dyspnea (mMRC), and at 12weeks those in QoL and service satisfaction, were observed. Paired T-test were used for analysis of the variables.
Results:
An mHealth pulmonary rehabilitation app and real-time patient monitoring website were developed. Significant changes were observed in the intervention group at 12 weeks for 6MWT from 433.43±65.60m to 471.25±75.69m (p=0.001), and 0.94±0.66 to 0.61±0.82 (p=0.017) for mMRC. The intervention showed a significant improvement in the quality of life (EQ-VAS) in compared to the baseline (p=0.002)
Conclusions:
A personalized mHealth-based pulmonary rehabilitation app for recording and monitoring real-time health data of patients with non-small cell lung cancer can plays a supplementary role in traditional center-based rehabilitation programs. Our clinical trial results support the use of this technology to encourage changes in 6MWT and to improve mMRC.
Citation
Per the author's request the PDF is not available.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.