COPD Heart Failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) a clinical diagnosis of COPD defined according to the GOLD criteria; 2) a clinical diagnosis of CHF defined according to the current (2016) ESC guidelines; 3) =2 COPD and/or CHF exacerbations, defined as deterioration of symptoms for which treatment with oral corticosteroids and/or antibiotics (for COPD) or diuretics (for CHF) were necessary in the two years preceding study entry, and/or =1 hospitalization for COPD and/or CHF in the two years preceding study entry; 4) age = 40 years; 5) = 1 week after exacerbation of COPD and/or CHF; 6) = 1 week after hospitalization; 7) = 4 weeks post-rehabilitation; 8) able to understand and read the Dutch language; and 9) able to use a tablet.
Exclusion criteria
Exclusion criteria: 1) End stage of a disease; 2) other serious lung disease (eg alfa1-antitrypsin deficiency; interstitial lung diseases); 3) expected cardiovascular intervention within three months; 4) currently enrolled in randomized controlled trials or trials with study medication; 5) waiting for a heart or lung transplantation; 6) renal dialysis; 7) diabetes mellitus type I; 8) Hospital Anxiety and Depression Scale (HADS)-score of =11 for anxiety and/or depression domain symptom scores.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Adherence to different components of the eHealth self-management intervention: completing digital daily symptom diaries, following-up of advised actions, and using inhaled medication - Satisfaction with received care (questionnaire) - The perceived added value by patients of the different components of the telemedicine self-management intervention (questionnaire) - Montly motivation of patients to use the telemedicine self-management intervention (questionnaire) - Interviews with patients and case managers to identify positive aspects, negative aspects and points for improvement from users’ experiences of the eHealth self-management intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| - Inhaler technique measured by using sensorised inhalers - Quality of life (questionnaires) | — |
Contacts
Medisch Spectrum Twente, Enschede