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Development And Preliminary Evaluation Of The Effects Of An mHealth Web-based Platform (HappyAir™) on Adherence To a Maintenance Program After Pulmonary Rehabilitation In COPD Patients: Randomized Controlled Trial (Preprint)

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
2020 JMIR mHealth and uHealth  

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Pulmonary rehabilitation (PR) is one of the main interventions to reduce the use of health resources, and it promotes a reduction in chronic obstructive pulmonary disease (COPD) costs. mHealth systems in COPD aim to improve adherence to maintenance programs after PR by promoting the change in attitude and behavior necessary for patient involvement in the management of the disease. This study aimed to assess the effects of an integrated care plan based on an mHealth web-based platform
more » ... on adherence to a 1-year maintenance program applied after PR in COPD patients. COPD patients from three hospitals were randomized to a control group (CG) or an intervention group (HappyAir™ group [HG]). Patients from both groups received an 8-week program of PR and educational sessions about their illness. After completion of the process, only the HG performed an integrated care plan for 10 months, supervised by an mHealth system and therapeutic educator. The CG only underwent the scheduled check-ups. Adherence to the program was rated using the CAP FISIO questionnaire. Other variables analyzed were adherence to physical activity (Morisky-Green Test), quality of life (CAT, SGRQ and EuroQOL-5D), exercise capacity (6MWT) and lung function. In total, 44 patients were recruited and randomized in the CG (n=24) and HG (n=20). Eight patients dropped out for different reasons. The CAP FISIO questionnaire results showed an improvement in adherence during follow-up period for the HG, which was statistically different compared to the CG at 12 months (56.1±4 vs 44±13.6; P=.004) after PR. mHealth systems designed for COPD patients improve adherence to maintenance programs, as long as they are accompanied by disease awareness and patient involvement in management.
doi:10.2196/18465 pmid:32513646 fatcat:eknxkapfljhwzczkoqltcta3uy
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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. "Development And Preliminary Evaluation Of The Effects Of An mHealth Web-based Platform (HappyAir™) on Adherence To a Maintenance Program After Pulmonary Rehabilitation In COPD Patients: Randomized Controlled Trial (Preprint)." JMIR mHealth and uHealth 8.7 (2020)