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Jiménez-Reguera B, Maroto López E, Fitch S, Juarros-Monteagudo L, Sánchez-Cortés M, Rodríguez-Hermosa JL, Calle-Rubio M, Hernández-Criado MT, López-Martín M, Angulo-Díaz Parreño S, Martín-Pintado-Zugasti A, Vilaró J
Development and Preliminary Evaluation of the Effects of an mHealth Web-Based Platform (HappyAir) on Adherence to a Maintenance Program After Pulmonary Rehabilitation in Patients With Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Effect Of An M-health Platform (Happyair™) On Adherence To a Integrated Care Plan After Pulmonary Rehabilitation In COPD Patients: Randomized Controlled Trial
Begoña Jiménez-Reguera;
Eva Maroto López;
Shane Fitch;
Lourdes Juarros-Monteagudo;
Marta Sánchez-Cortés;
Juan Luis Rodríguez-Hermosa;
Miriam Calle-Rubio;
María Teresa Hernández-Criado;
Marta López-Martín;
Santiago Angulo-Díaz Parreño;
Aitor Martín-Pintado-Zugasti;
Jordi Vilaró
ABSTRACT
Background:
Pulmonary rehabilitation is the most successful intervention to reduce the use of health resources and it promotes a reduction in COPD costs. m-Health systems in COPD aim to improve adherence to maintenance programs after PR by promoting the change in attitude and behaviour necessary for patient involvement in the management of the disease.
Objective:
This study aimed to assess the effectivity to promote adherence of an m-health system designed specifically for COPD patients and their needs.
Methods:
COPD patients from three different hospitals were randomized to a control group (CG) or an intervention group (Happyair group: HG). They developed an 8-week program of rehabilitation and educational sessions about their illness. After completion of the process, only HG performed a comprehensive maintenance program for 10 months, supervised by an m-health system and therapeutic educator. The control group only underwent the scheduled check-ups. Adherence to the program was rated using CAP FISIO questionnaire. Other variables as adherence to physical activity, quality of life or exercise capacity were analysed by Morisky-Green questionnaire, CAT questionnaire and 6MWT, respectively.
Results:
In total, 44 patients were recruited and randomized in CG(n=20) and HG(n=24). 8 patients dropped out for different reasons. CAP FISIO questionnaire results showed an improvement in adherence during follow up period, for HG, observed at 6 and 12 months after pulmonary rehabilitation: 6 months (53.6±5.4; P<0.05) and 12 months (56.1±4; P<0.04)
Conclusions:
m-health systems designed for COPD patients improve adherence to maintenance programs, as long as they are accompanied by disease awareness and patient involvement in management.
Citation
Please cite as:
Jiménez-Reguera B, Maroto López E, Fitch S, Juarros-Monteagudo L, Sánchez-Cortés M, Rodríguez-Hermosa JL, Calle-Rubio M, Hernández-Criado MT, López-Martín M, Angulo-Díaz Parreño S, Martín-Pintado-Zugasti A, Vilaró J
Development and Preliminary Evaluation of the Effects of an mHealth Web-Based Platform (HappyAir) on Adherence to a Maintenance Program After Pulmonary Rehabilitation in Patients With Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial