None listed
Conditions
Brief summary
This research study aims to determine users experience of using mobile health technology to deliver a pulmonary rehabilitation program in people with chronic obstructive pulmonary disease (COPD). Pulmonary rehabilitation is traditionally offered as a program of exercise training and education in a hospital or community-based setting. However, mobile health technology has become a novel way to expand rehabilitation services into the homes of people with chronic disease. A mobile pulmonary rehabilitation platform called m-PR has been developed for people with COPD and this study will use surveys and interviews to assess the usability of the m-PR platform for both patients and clinicians.
Interventions
The m-PR platform is the first Australian specific mobile health platform for people with chronic respiratory disease which allows patients to complete a home-based pulmonary rehabilitation program supported by technology. The m-PR platform contains both a patient app and a clinician web portal. The patient app contains daily symptom monitoring for up to 5 mins, a rehabilitation program of individualised exercises and education supported by videos which is undertaken three times per week for up
The m-PR platform is the first Australian specific mobile health platform for people with chronic respiratory disease which allows patients to complete a home-based pulmonary rehabilitation program supported by technology. The m-PR platform contains both a patient app and a clinician web portal. The patient app contains daily symptom monitoring for up to 5 mins, a rehabilitation program of individualised exercises and education supported by videos which is undertaken three times per week for up to 1.5 hours, and health coaching through a bank of predictive text messages and a clinician portal which allows tracking of each patients progress. The primary objective of this study is to determine the experience of using the mobile pulmonary rehabilitation (m-PR) platform to deliver home-based pulmonary rehabilitation in participants with Chronic Obstructive Pulmonary Disease (COPD). The experience of clinicians using the m-PR platform will also be examined. Participants will receive a one-hour face-to-face education session on use of the m-PR app with the clinician. Participants will be asked to engage with the the m-PR app whist completing a home-based pulmonary rehab program. Participant tasks include daily symptom diary, recording of home exercise program adherence on the m-PR app and watching educational videos (such as about respiratory diseases, nutrition, smoking cessation, coping with breathlessness, airway clearance, respiratory medications, coping with anxiety and depression, physical activity). An individualised electronic COPD action plan (if prescribed by a doctor) will also be visible on the m-PR app and participants will be asked to complete the COPD Assessment Test (CAT) once a week via the m-PR app. A weekly telehealth session with clinicians will be provided for support and review of the home based pulmonary rehab program. Participants can use the m-PR app for up to 8 weeks. Individual Elements in the app include the exercise training of aerobic and functional exercises which will be prescribed weekly through the clinician portal to the patient app after the weekly patient consultation. The exercises will include aerobic exercises of walking, treadmill or cycling plus a variety of functional exercises for the upper and lower limbs (e.g. sit to stand, stepping, squats, bicep curls). The goal setting will also be prescribed weekly for each person where as the action plan is uploaded at the beginning of the program reflecting the information prescribed by the doctor. An individualized program as described is necessary for the safety and delivery of the 8 week home-based pulmonary rehabilitation program. Adherence to the app will be monitored through accessing app analytics (but this is not the primary objective of the project where the focus is on the opinions of the participants following app use).
Sponsors
The University of Sydney
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Healthy volunteers
Yes
Inclusion criteria
1. a) Adults aged over 40 years + b) Stable COPD + c) Referred to one of eight pulmonary rehabilitation programs at Royal North Shore Hospital, Ryde Hospital, Hornsby hospital, Brookvale Community Health Centre, Mona Vale Community Health Centre, Prince of Wales Hospital or Liverpool Hospital during the study period + d) Access to, and capable of using, a smartphone + e) Sufficient English: spoken and reading + f) Willing to take part in the m-PR program at home 2) Clinicians coordinating the delivery of the m-PR program at the sites
Exclusion criteria
For the COPD participants: 1. had an acute exacerbation of COPD in the last month; 2. have musculoskeletal, cardiovascular or neurological conditions that means they are not able to perform exercise assessments or complete exercise training which might include (but are not limited to) severe mobility issues due to arthritis or a stroke or unstable cardiac disease (N.B. these are standard exclusion criteria as part of a pulmonary rehabilitation program which will be adhered to for this study); 3. supplemental oxygen requirements during testing or training procedures. 4. participated in any supervised exercise training within the last 12 months; 5. limited English language skills which might hinder their understanding of the m-PR platform or ability to read to the text; 6. limitations in access or the use of mobile technology (not interested in using mobile technology; non-correctable vision, hearing, cognitive or dexterity impairment; psychological conditions impairing use of mobile technology).
Outcome results
None listed