Chronic Obstructive Pulmonary Disease
Conditions
Keywords
COPD, Telehealth, health related quality of life
Brief summary
The the aim of this study is to determine the benefits of Telehealth monitoring in the management of patients with chronic obstructive pulmonary disease.
Detailed description
Chronic obstructive pulmonary disease (COPD) is a major burden on healthcare systems worldwide. The current management of patients with COPD includes well established interventions such as pulmonary rehabilitation and inhaled therapies which have demonstrated variable impact on reducing rates of exacerbation and improving health related quality of life. Telehealth is a home monitoring system used to record clinical observations and carry out question and answer sessions. It has been proposed that Telehealth medicine may offer an alternative strategy to the overall management of these patients.
Interventions
DEVICETelehealth monitoring system (Honni Med)
The system is uploaded with personal information including: monitoring start time; clinical observations (blood pressure, heart rate, oxygen saturations); and questions relating to symptoms. The patient is instructed on use and observed monitoring. The patient is monitored daily for a period of six months. The monitoring session lasts approximately 10 minutes during which the patient attaches a finger probe and blood pressure cuff and responds 'yes' or 'no' to the set questions. Daily data is transmitted via a phone line to a secure server to be downloaded and reviewed by a Telehealth nurse.If one or more of the clinical observations is outside normal limits the appropriate healthcare intervention is utilised.
Sponsors
South Eastern Health and Social Care Trust
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* clinical diagnosis of moderate to severe chronic obstructive pulmonary disease (COPD) * a minimum of two: Emergency Department admissions; hospital admissions or emergency GP contacts in the 12 months previous to the study
Exclusion criteria
* any respiratory disorder other than COPD * patients cognitively unable to learn the process of monitoring
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in St Georges's Respiratory Questionnaire at six months | Baseline and six months | Self completed questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Hospital Anxiety and Depression Scale at six months | Baseline and six months | self administered questionnaire |
| healthcare utilisation | six months | data collected retrospectively from healthcare notes and hospital coding |
| Change from baseline in EuroQol at six months | Baseline and six months | self completed questionnaire |
| satisfaction | six months | interview administered questionnaire |
| cost effectiveness | six months | QALY analysis |
| number of exacerbations | six months | data collected retrospectively from healthcare notes |
Countries
United Kingdom
Outcome results
None listed