A Mobile Diary App to Support Rehabilitation at Home for Elderly with COPD: A Preliminary Feasibility Study

Colombo, Vera; Mondellini, Marta; Gandolfo, A; Fumagalli, Alessia; Sacco, Marco

doi:10.1007/978-3-030-58805-2_27

Cited by 5 publications

(8 citation statements)

References 4 publications

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“…From selected studies 16 articles related to patients with COPD, 5 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 three articles related to asthmatic patients, 18 , 38 , 39 six articles about cancer patients, 3 , 40 , 41 and lung transplantation 42 , 43 , 44 and one related to cystic fibrosis (CF) 45 and the last to patients with acute respiratory diseases. 46 The frequency of studies according to respiratory disorders is shown in Figure 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies used pulse oximeter sensors to measure blood oxygen saturation levels. 24 , 25 , 27 , 28 , 29 , 35 , 37 , 47 In just one study, the m‐Health app was integrated with the EHR through TELUS Health Space, the local version of Microsoft HealthVault (a web‐based personal health record created by Microsoft). 18 …”

Section: Resultsmentioning

confidence: 99%

“…Some of these apps also had an alert (if not using the apps for a long time), a motivational message, or a reminder to improve physical activity. The results showed that m‐Health apps can improve health and physical activity 5,23–25,30,32–34,37,40,44,47 …”

Section: Resultsmentioning

confidence: 99%

“…According to our review, 16 studies of 27 research for the rehabilitation of patients with COPD reported the positive efficacy of the m‐Health apps. 5 , 23 , 24 , 25 , 28 , 29 , 30 , 32 , 33 , 34 , 35 , 36 , 37 COPD requires integrated care and management. The management of this chronic disease has shifted from acute treatment of symptoms to a prevention strategy.…”

Section: Discussionmentioning

confidence: 99%

“…The results showed that m-Health apps can improve health and physical activity. 5,[23][24][25]30,[32][33][34]37,40,44,47…”

Section: Improvement Of Physical Activitymentioning

confidence: 99%

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Evaluation of m‐Health‐rehabilitation for respiratory disorders: A systematic review

Kiani

Abasi

Yazdani

2022

Health Science Reports

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Background and Aims Chronic respiratory diseases are prominent causes of morbidity worldwide that impose significant social and economic burdens on individuals and communities. Pulmonary rehabilitation is one of the main aspects of medical rehabilitation. Nowadays, mobile health apps deliver pulmonary rehabilitation support via smartphones. This article presents a systematic review of the literature on m‐Health apps used in respiration disorders rehabilitation. Methods A systematic search was performed on MEDLINE (through PubMed), Web of Science, and Scopus in May 2021 without any date limitation. This study was using a combination of keywords and MeSH terms associated with pulmonary rehabilitation. Relevant studies were selected by two independents and were categorized studies results. The inclusion criterion was m‐Health apps for pulmonary rehabilitation and exclusion criteria mobile‐based interventions, by voice call or short message service and cardiopulmonary articles. Results Searching scientific databases yielded 161 relevant articles. Then, 27 articles were included in the study with a complete evaluation of the articles. Sixty percent of them were related to patients with chronic obstructive pulmonary disease (COPD). Rehabilitation aiming to improve the quality of life, promote self‐management, encourage physical activity, and reduce the symptoms as the most common goals of pulmonary rehabilitation using m‐Health apps; 89% of these studies showed that m‐Health apps can be effective in improving pulmonary rehabilitation. In addition, 37% of studies reported high usability and acceptance. However, the results of some studies show that adherence to apps decreases in the long run. Conclusion Our study shows that m‐Health pulmonary rehabilitation apps are effective in improving the quality of life, self‐management, and physical activity. According to the results, it seems that using the m‐Health apps for pulmonary rehabilitation can be useful in the COVID‐19 pandemic and help reduce respiratory disorders in patients with COVID‐19 disease.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The results showed that m-Health apps can improve health and physical activity. 5,[23][24][25]30,[32][33][34]37,40,44,47…”

Section: Improvement Of Physical Activitymentioning

confidence: 99%

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Evaluation of m‐Health‐rehabilitation for respiratory disorders: A systematic review

Kiani

Abasi

Yazdani

2022

Health Science Reports

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Digital Applications in Pulmonary Rehabilitation: Preliminary Evaluation of a Hybrid Program for the Continuity of Care

Colombo,

Mondellini,

Fumagalli

et al. 2023

IFIP Advances in Information and Communication Technology

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An Ontology-Based Decision Support System for Tailored Clinical Nutrition Recommendations for Patients With Chronic Obstructive Pulmonary Disease: Development and Acceptability Study

Spoladore,

Colombo,

Fumagalli

et al. 2024

JMIR Med Inform

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Background Chronic obstructive pulmonary disease (COPD) is a chronic condition among the main causes of morbidity and mortality worldwide, representing a burden on health care systems. Scientific literature highlights that nutrition is pivotal in respiratory inflammatory processes connected to COPD, including exacerbations. Patients with COPD have an increased risk of developing nutrition-related comorbidities, such as diabetes, cardiovascular diseases, and malnutrition. Moreover, these patients often manifest sarcopenia and cachexia. Therefore, an adequate nutritional assessment and therapy are essential to help individuals with COPD in managing the progress of the disease. However, the role of nutrition in pulmonary rehabilitation (PR) programs is often underestimated due to a lack of resources and dedicated services, mostly because pneumologists may lack the specialized training for such a discipline. Objective This work proposes a novel knowledge-based decision support system to support pneumologists in considering nutritional aspects in PR. The system provides clinicians with patient-tailored dietary recommendations leveraging expert knowledge. Methods The expert knowledge—acquired from experts and clinical literature—was formalized in domain ontologies and rules, which were developed leveraging the support of Italian clinicians with expertise in the rehabilitation of patients with COPD. Thus, by following an agile ontology engineering methodology, the relevant formal ontologies were developed to act as a backbone for an application targeted at pneumologists. The recommendations provided by the decision support system were validated by a group of nutrition experts, whereas the acceptability of such an application in the context of PR was evaluated by pneumologists. Results A total of 7 dieticians (mean age 46.60, SD 13.35 years) were interviewed to assess their level of agreement with the decision support system’s recommendations by evaluating 5 patients’ health conditions. The preliminary results indicate that the system performed more than adequately (with an overall average score of 4.23, SD 0.52 out of 5 points), providing meaningful and safe recommendations in compliance with clinical practice. With regard to the acceptability of the system by lung specialists (mean age 44.71, SD 11.94 years), the usefulness and relevance of the proposed solution were extremely positive—the scores on each of the perceived usefulness subscales of the technology acceptance model 3 were 4.86 (SD 0.38) out of 5 points, whereas the score on the intention to use subscale was 4.14 (SD 0.38) out of 5 points. Conclusions Although designed for the Italian clinical context, the proposed system can be adapted for any other national clinical context by modifying the domain ontologies, thus providing a multidisciplinary approach to the management of patients with COPD.

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A Mobile Diary App to Support Rehabilitation at Home for Elderly with COPD: A Preliminary Feasibility Study

Cited by 5 publications

References 4 publications

Evaluation of m‐Health‐rehabilitation for respiratory disorders: A systematic review

Evaluation of m‐Health‐rehabilitation for respiratory disorders: A systematic review

Digital Applications in Pulmonary Rehabilitation: Preliminary Evaluation of a Hybrid Program for the Continuity of Care

An Ontology-Based Decision Support System for Tailored Clinical Nutrition Recommendations for Patients With Chronic Obstructive Pulmonary Disease: Development and Acceptability Study

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