A <scp>RCT</scp> of telehealth for <scp>COPD</scp> patient's quality of life: the whole system demonstrator evaluation

Rixon, Lorna; Hirani, Shashivadan P.; Cartwright, Martin; Beynon, Michelle; Doll, Helen; Steventon, Adam; Henderson, Catherine; Newman, Stanton

doi:10.1111/crj.12359

Cited by 37 publications

(28 citation statements)

References 25 publications

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“… 24 In a recent randomised controlled trial (RCT), a more extensive assessment of QoL and psychological outcomes was performed on the COPD cohort of the WSD. 25 The findings from the RCT 25 are consistent with the above conclusion made by Cartwright and colleagues. 24 However, the RCT found no reductions in patients’ QoL in the longer term.…”

Section: Introductionsupporting

confidence: 88%

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Telehealthcare for patients suffering from chronic obstructive pulmonary disease: effects on health-related quality of life: results from the Danish ‘TeleCare North’ cluster-randomised trial

et al. 2017

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ObjectiveTo assess the effect of telehealthcare compared with usual practice in patients with chronic obstructive pulmonary disease (COPD).DesignA cluster-randomised trial with 26 municipal districts that were randomly assigned either to an intervention group whose members received telehealthcare in addition to usual practice or to a control group whose members received usual practice only (13 districts in each arm).SettingTwenty-six municipal districts in the North Denmark Region of Denmark.ParticipantsPatients who fulfilled the Global Initiative for COPD guidelines and one of the following criteria: COPD Assessment Test score ≥10; or Medical Research Dyspnoea Council Scale ≥3; or Modified Medical Research Dyspnoea Council Scale ≥2; or ≥2 exacerbations during the past 12 months.Main outcome measuresHealth-related quality of life (HRQoL) assessed by the physical component summary (PCS) and mental component summary (MCS) scores of the Short Form 36-Item Health Survey, Version 2. Data were collected at baseline and at 12 month follow-up and analysed according to the intention-to-treat principle with complete cases, n=574 (258 interventions; 316 controls) and imputed data, n=1225 (578 interventions, 647 controls) using multilevel modelling.ResultsIn the intention-to-treat analysis (n=1225), the raw mean difference in PCS from baseline to 12 month follow-up was −2.6 (SD 12.4) in the telehealthcare group and −2.8 (SD 11.9) in the usual practice group. The raw mean difference in MCS scores in the same period was −4.7 (SD 16.5) and −5.3 (SD 15.5) for telehealthcare and usual practice, respectively. The adjusted mean difference in PCS and MCS between groups at 12 months was 0.1 (95% CI −1.4 to 1.7) and 0.4 (95% CI −1.7 to 2.4), respectively.ConclusionsThe overall sample and all subgroups demonstrated no statistically significant differences in HRQoL between telehealthcare and usual practice.Trial registration numberNCT01984840; Results.

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Section: Introductionsupporting

confidence: 88%

“…In contrast, there was a trend towards improved QoL and mood in the telehealth group at longer-term follow-up, but not at the short-term follow-up, as observed through disease-specific measures. 25 …”

Section: Introductionmentioning

confidence: 99%

Telehealthcare for patients suffering from chronic obstructive pulmonary disease: effects on health-related quality of life: results from the Danish ‘TeleCare North’ cluster-randomised trial

et al. 2017

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“…15 Moreover, an RCT by Rixon et al found no reductions in COPD patients' HRQoL in the longer term by a telehealth intervention, observed through diseasespecific measures. 36 In a recent paper by Tupper et al, a 6-month telehealth intervention significantly improved HRQoL, assessed by a health-related QoL questionnaire (15D©) and the COPD Assessment Test (CAT), compared to the control group. 37 Notably, subjects included presented with advanced COPD; indeed, 86% of the subjects were stage 3 or 4 and the subjects were considered at high risk of exacerbations.…”

Section: Discussionmentioning

confidence: 98%

<p>The Health Diary Telemonitoring and Hospital-Based Home Care Improve Quality of Life Among Elderly Multimorbid COPD and Chronic Heart Failure Subjects</p>

Persson

Lyth

Lind

2020

COPD

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Background: Elderly, multimorbid patients with advanced chronic obstructive pulmonary disease (COPD) and/or chronic heart failure (CHF) exhibit poor health-related quality of life (HRQoL). Telemonitoring, based on digital pen technology, supported by hospital-based home care (HBHC) significantly reduces the number of hospitalizations. We hypothesized that the same intervention would prevent the deterioration of HRQoL that follows upon disease progression. Methods: Elderly computer-illiterate subjects with ≥2 hospitalizations the previous year were included. HRQoL was assessed at inclusion (baseline) and at 1, 6 and 12 months employing EuroQol-5 Dimensions (EQ-5D) and RAND-36 for general HRQoL, and Minnesota Living with Heart Failure Questionnaire (MLHFQ) and St. Georges Respiratory Questionnaire (SGRQ) for disease-specific HRQoL. Healthcare contacts, hospitalizations, asneeded medications, prescription changes and healthcare costs were registered. Results: Ninety-four patients were enrolled of which 53 subjects completed the 12-month study period. Compared to baseline, most domains of RAND-36 were improved significantly at 1 time-point or more. Only among COPD subjects, the disease-specific HRQoL was worsened at the 12 month evaluation. Measures of healthcare dependency were associated with poor HRQoL. Conclusion: The Health Diary system and HBHC together improve general HRQoL, and measures of healthcare dependency are associated with HRQoL variables.

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“…A common feature of these studies is that as patients spend more time using telemedicine devices, their disease management ability, quality of life and emotional improvement also increase. Rixon et al [45] also demonstrated the viewpoint.…”

Section: The Application Of Telemedicinementioning

confidence: 92%

Current Status of the Application of the Empowerment Theory in Patients with Chronic Obstructive Pulmonary Disease

Wu¹,

Zhang²,

Peng³

2019

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Chronic obstructive pulmonary disease (COPD) has become a public health problem, and it can't be cured. In addition, patients with COPD are often passive in coping with health education. Empowerment theory emphasizes authorization for the patients, and gets them involved so as to improve the level of disease participation and disease management of them, just make up the current shortage. There are many foreign studies on the theory of empowerment about COPD, and the empowerment measurement tools are diversified. But there are fewer related researches in China. Therefore, this paper reviews the application of empowerment theory in COPD patients in terms of its definition, measuring tools, application in patients with COPD and influential factors affecting empowerment in patients with COPD in order to provide a new perspective for COPD research in China.

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A RCT of telehealth for COPD patient's quality of life: the whole system demonstrator evaluation

Cited by 37 publications

References 25 publications

Telehealthcare for patients suffering from chronic obstructive pulmonary disease: effects on health-related quality of life: results from the Danish ‘TeleCare North’ cluster-randomised trial

Telehealthcare for patients suffering from chronic obstructive pulmonary disease: effects on health-related quality of life: results from the Danish ‘TeleCare North’ cluster-randomised trial

<p>The Health Diary Telemonitoring and Hospital-Based Home Care Improve Quality of Life Among Elderly Multimorbid COPD and Chronic Heart Failure Subjects</p>

Current Status of the Application of the Empowerment Theory in Patients with Chronic Obstructive Pulmonary Disease

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