Chronic Obstructive Pulmonary Disease
Conditions
Keywords
Remote Clinical Monitoring, COPD, Wearables, Digital Health, Self-management
Brief summary
The investigators' goal for this project is to evaluate the feasibility, acceptability, and actual usage of a program of care for patients with COPD recently discharged after an acute exacerbation. The program of care includes virtual pulmonary rehabilitation, integrated care, and remote clinical monitoring.
Detailed description
The investigators' goal for this project is to evaluate the feasibility, acceptability, and actual usage of a multimodal, individualized program of care for patients with COPD recently discharged from hospital with an acute exacerbation. The program will combine elements of existing standards of care at two institutions, Toronto Grace Health Centre and University Health Network, with emerging technologies. The investigators want to determine whether the program is considered appropriate and useful to both patients and health care providers, and whether it is feasible to implement. The investigators also want to determine whether it is feasible to conduct a large-scale randomized control trial of the program. The investigators will also explore whether each intervention reduces re-admissions to hospital.
Interventions
DEVICEHyfe Smartwatch
Passive recording of audio with detection of explosive sounds. When explosive sounds are detected, a 0.5-1 seconds audio clip is recorded, and run through an algorithm to determine whether or not it is a cough.
DEVICEFitBit Versa 2
Commercial watch with the capability to monitor vital signs including oxygen saturation, respiratory rate and heart rate. Patients will be able to view their data in the FitBit app.
DEVICEHome Spirometer
Patients will be able to perform spirometry testing at home. They will be able to view their data, and it will be uploaded to a dashboard for clinicians.
BEHAVIORALAudio recording
Patients will be asked to record several sentences which will be analyzed to detect speech patterns that may indicate changes in respiratory conditions.
Sponsors
University Health Network, Toronto
The Salvation Army Toronto Grace Health Centre
University of Toronto
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Referred to either Virtual Pulmonary Rehabilitation or Remote Clinical Monitoring at Toronto Grace Health Centre after discharge from UHN hospital with an AECOPD as defined by the clinical team
Exclusion criteria
* Pulmonary condition other than COPD as the main respiratory disease such as bronchiectasis or asthma * Projected life expectancy ≤ 2 months , as determined by the clinical team * Significant cognitive impairment and absence/inability of a family caregiver to consent and to follow study processes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of the program and research study | 90 days | Feasibility of the study and the program of care as determined by study participation and completion. The primary endpoints will be enrollments per month (at least 3 per study site) and data and follow up completeness (at least 75%). |
| Acceptability by patients and clinicians | 90 days | Acceptability of the program as determined by patient questionnaire as well as patient and health care provider interview |
| Actual usage over 90 days | 90 days | Actual usage of all program components determined objectively through logs |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Readmissions within 30 days | 30 days | Readmissions to hospital within 30 days of discharge compared to control groups in past studies |
Countries
Canada
Contacts
CONTACTAlice Tu, MA
CONTACTRobert Wu, MD
PRINCIPAL_INVESTIGATORRobert Wu, MD
University Health Network, Toronto
Outcome results
None listed