Digital interventions for the management of chronic obstructive pulmonary disease

Janjua, Sadia; Threapleton, Christopher Jd; Prigmore, Samantha; Disler, Rebecca

doi:10.1002/14651858.cd013246

Cited by 11 publications

(16 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our systematic review is the first one specifically exploring the effects of web-based supportive interventions in quality of life in COPD patients, with nine RCTs [ 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 ] included in the qualitative analysis. Our results are consistent with those of previous systematic reviews performed in COPD patients and other telehealth systems [ 23 , 34 , 65 , 66 , 67 , 68 ].…”

Section: Discussionsupporting

confidence: 93%

“…Our results are consistent with the increasing evidence in the literature on the efficacy of telehealth supportive interventions [ 23 , 34 , 65 , 66 , 67 ]. The use of web-based supportive interventions for COPD patients is not recommended if based solely on quality of life data, but there is also no argument against the use of these interventions.…”

Section: Discussionsupporting

confidence: 92%

“…This meta-analysis supports the promising role and the feasibility of web-based supportive interventions in COPD patients to improve quality of life when added to the usual care, reaching the currently minimum significant established difference for SGRQ results in a mean COPD sample population of −4 points [ 79 ], but not when compared to an autonomous pedometer walking intervention or face-to-face treatment. These results are in line with the increasing evidence in literature on the success of telehealth interventions [ 64 , 65 , 66 , 67 ].…”

Section: Discussionsupporting

confidence: 89%

See 2 more Smart Citations

Efficacy of Web-Based Supportive Interventions in Quality of Life in COPD Patients, a Systematic Review and Meta-Analysis

Calvache‐Mateo

López‐López

Heredia‐Ciuró

et al. 2021

IJERPH

View full text Add to dashboard Cite

Background: Adults living with Chronic Obstructive Pulmonary Disease (COPD) often have difficulties when trying to access health care services. Interactive communication technologies are a valuable tool to enable patients to access supportive interventions to cope with their disease. The aim of this revision and meta-analysis is to analyze the content and efficacy of web-based supportive interventions in quality of life in COPD. Methods: Medline (via PubMed), Web of Science, and Scopus were the databases used to select the studies for this systematic review. A screening, analysis, and assessment of the methodological quality was carried out by two independent researchers. A meta-analysis of the extracted data was performed. Results: A total of 9 of the 3089 studies reviewed met the inclusion criteria. Most repeated web content elements were educational and involved communication with healthcare professional content. Finally, seven of the nine studies were included in a quantitative analysis. Web-based supportive interventions significantly improved quality of life when added to usual care (SMD = −1.26, 95% CI = −1.65, −0.86; p < 0.001) but no significant differences were found when compared with an autonomous pedometer walking intervention (p = 0.64) or a face-to-face treatment (p = 0.82). Conclusion: This systematic review and meta-analysis suggests that web-based supportive interventions may complement or accompany treatments in COPD patients due to the advantages of online interventions. The results obtained should be treated with caution due to the limited number of studies in this area and methodological weaknesses.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Efficacy of Web-Based Supportive Interventions in Quality of Life in COPD Patients, a Systematic Review and Meta-Analysis

Calvache‐Mateo

López‐López

Heredia‐Ciuró

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…There have been big promises made for the use of eHealth, with the rapid development of information and communication technologies for the management of chronic diseases. Specifically, in the field of respirology, COPD has been the most studied chronic respiratory disease at a distance [ 11 , 12 , 30 , 31 ]. Considering the tracking of COPD patients for earlier detection of exacerbations as well as early interventions to minimize the deterioration that so frequently results in the need for hospitalizations, have the promises been delivered?…”

Section: Self-management Over Time and At A Distancementioning

confidence: 99%

“…Management at a distance seems to be a promising way for healthcare professionals to interact and support patients and their families [ 9 ]. After more than two years of navigating the changes to health care brought on by the pandemic crisis, we have built and leveraged on our learnings and clinical experience of doing self-management at a distance, supported by growing literature on the subject [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

eHealth in Self-Managing at a Distance Patients with COPD

Kermelly

Bourbeau

2022

Life

View full text Add to dashboard Cite

Worldwide, healthcare delivery for chronic diseases has been challenging due to the current SARS-COV-2 pandemic. The growing use of information and communication technologies via telehealth has gained popularity in all fields of medicine. In chronic respiratory diseases, self-management, defined as a structured but personalized multi-component intervention with the main goal of achieving healthy behavioral change, is an essential element of long-term care. Iterative interventions delivered by a well-trained health coach in order to empower and provide the patient with the tools and skills needed to adopt sustained healthy behaviors have proven to be effective in chronic obstructive pulmonary disease (COPD). Benefits have been shown to both improve patient quality of life and reduce acute exacerbation events and acute healthcare utilization. In COPD, the evidence so far has shown us that remote technologies such as telemonitoring or remote management may improve patient-reported outcomes and healthcare utilization. However, clear limitations are still present and questions remain unanswered. More and better designed studies are therefore necessary to define the place of eHealth in self-managing at a distance in patients with COPD.

show abstract