Pub Date : 2021-09-05DOI: 10.1183/13993003.congress-2021.oa3942
L. Kaye, Jared Nagano, V. Vuong, M. Barrett
{"title":"Initial observed improvement in medication adherence maintained during the COVID-19 pandemic in asthma and COPD","authors":"L. Kaye, Jared Nagano, V. Vuong, M. Barrett","doi":"10.1183/13993003.congress-2021.oa3942","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.oa3942","url":null,"abstract":"","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"228 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115105578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-05DOI: 10.1183/13993003.congress-2021.pa3876
N. Moraveji, M. Polsky, M. Holt
{"title":"Late Breaking Abstract - Impact of increasing notification thresholds for remote respiratory monitoring in patients with chronic lung disease","authors":"N. Moraveji, M. Polsky, M. Holt","doi":"10.1183/13993003.congress-2021.pa3876","DOIUrl":"https://doi.org/10.1183/13993003.congress-2021.pa3876","url":null,"abstract":"","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121628738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-07DOI: 10.1183/13993003.CONGRESS-2020.1363
Joanne M Sloots, J. Palen, Mirthe Bakker, M. Eijsvogel, G. Linssen, P. Valk, C. Ommeren, M. Tabak, T. Effing, A. Lenferink
{"title":"Real-time monitored patient adherence to an eHealth self-management intervention in patients with COPD and heart failure","authors":"Joanne M Sloots, J. Palen, Mirthe Bakker, M. Eijsvogel, G. Linssen, P. Valk, C. Ommeren, M. Tabak, T. Effing, A. Lenferink","doi":"10.1183/13993003.CONGRESS-2020.1363","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2020.1363","url":null,"abstract":"","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116506718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-21DOI: 10.1183/13993003.congress-2019.pa744
Mirthe Bakker, Joanne M Sloots, C. Ommeren, Alexandra Kleberger, M. Tabak, T. Effing, G. Linssen, M. Grinovero, J. Palen, A. Lenferink
{"title":"Adherence in patients with COPD and heart failure using an eHealth self-management intervention","authors":"Mirthe Bakker, Joanne M Sloots, C. Ommeren, Alexandra Kleberger, M. Tabak, T. Effing, G. Linssen, M. Grinovero, J. Palen, A. Lenferink","doi":"10.1183/13993003.congress-2019.pa744","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa744","url":null,"abstract":"","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121056791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-28DOI: 10.1183/13993003.congress-2019.pa2228
D. Mannée, F. Jongh, H. V. Helvoort
Background: Wearables are of increasing relevance in the pulmonary field. The validity and reproducibility of tidal volumes (TV) measured during daily tasks is investigated, comparing a smart shirt to mobile spirometry. Methods: Fifteen healthy subjects (age 34.1±13.7) were included. TV measured with QDC-calibrated respiratory inductance plethysmography (RIP) sensors in a smart shirt (Hexoskin) with a custom developed app (Medwear) was compared to Oxycon Mobile (OM) (Vyaire Medical) in seven tasks of daily living. All tasks were performed twice in two sessions (s1 and s2), in between the shirt was removed. Calibration was determined per task in s1, and was applied to the repeated task in s2. TV from RIP and OM were compared within a task within a subject with a Bland-Altman analysis. The mean of these subject-task biases and limits of agreement (loa) were calculated to determine the overall validity of RIP. Results: TV ranges between 0.64±0.13 L (bend sitting) and 1.63±0.49 L (stair climbing). Conclusion: The smart shirt is valid to measure TV in healthy subjects, and calibration determined in a task can be applied to the same repeated task with reproducible results. In the near future the same method will be used to investigate the ability of the shirt to measure lung volumes in patients with chronic obstructive pulmonary disease.
背景:可穿戴设备在肺部领域的相关性越来越大。研究了在日常工作中测量的潮气量(TV)的有效性和可重复性，比较了智能衬衫和移动肺活量测定法。方法:健康受试者15例，年龄34.1±13.7岁。在七项日常生活任务中，用智能衬衫(Hexoskin)和定制开发的应用程序(Medwear)中的qdc校准呼吸电感体积描记仪(RIP)传感器测量的电视与Oxycon Mobile (OM) (Vyaire Medical)进行比较。所有任务在两个阶段(s1和s2)中执行两次，在此期间脱掉衬衫。在s1中每个任务确定校准，并应用于s2中的重复任务。用Bland-Altman分析方法比较了RIP和OM的电视节目。计算这些主体-任务偏差的平均值和一致限度(loa)，以确定RIP的总体效度。结果:俯身坐姿时的TV值为0.64±0.13 L，爬楼梯时的TV值为1.63±0.49 L。结论:智能衬衫对健康受试者的电视测量是有效的，在一个任务中确定的校准可应用于相同的重复任务，结果可重复性好。在不久的将来，同样的方法将被用于研究衬衫测量慢性阻塞性肺病患者肺容量的能力。
{"title":"Tidal volumes during tasks of daily living measured with a smart shirt","authors":"D. Mannée, F. Jongh, H. V. Helvoort","doi":"10.1183/13993003.congress-2019.pa2228","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa2228","url":null,"abstract":"Background: Wearables are of increasing relevance in the pulmonary field. The validity and reproducibility of tidal volumes (TV) measured during daily tasks is investigated, comparing a smart shirt to mobile spirometry. Methods: Fifteen healthy subjects (age 34.1±13.7) were included. TV measured with QDC-calibrated respiratory inductance plethysmography (RIP) sensors in a smart shirt (Hexoskin) with a custom developed app (Medwear) was compared to Oxycon Mobile (OM) (Vyaire Medical) in seven tasks of daily living. All tasks were performed twice in two sessions (s1 and s2), in between the shirt was removed. Calibration was determined per task in s1, and was applied to the repeated task in s2. TV from RIP and OM were compared within a task within a subject with a Bland-Altman analysis. The mean of these subject-task biases and limits of agreement (loa) were calculated to determine the overall validity of RIP. Results: TV ranges between 0.64±0.13 L (bend sitting) and 1.63±0.49 L (stair climbing). Conclusion: The smart shirt is valid to measure TV in healthy subjects, and calibration determined in a task can be applied to the same repeated task with reproducible results. In the near future the same method will be used to investigate the ability of the shirt to measure lung volumes in patients with chronic obstructive pulmonary disease.","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132592283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-28DOI: 10.1183/13993003.congress-2019.pa2234
Rui Vilarinho, T. Magalhães, Marta Silva, Cátia Esteves, C. Caneiras
Introduction: Telemonitoring in Home Respiratory Therapies, namely in home mechanical ventilation, is an important tool that could enhances adherence. Healthcare professional could access to patients data using a virtual platform and detect early problems and readily create optimal strategies. Aims and Objectives: 1) Analyse the number and the type of detected problems in therapy for the non-adherence patients with mechanical ventilation at home with telemonitorization. 2) Identify and characterize the intervention made for the resolution of the problems. Methods: A prospective cohort pilot study was performed during 3 months (November 2018 to January 2019) using the telemonitorization platform data available, especially the level of leak and Apnea–Hypopnea Index. The number of detected problems, the type of contact and specific intervention made by healthcare professional to solve the problem was registered. Results: In a sample of 3,400 telemonitored patients, was identified a relevant clinical situation to act in 270 (8%) patients. High level of leak (47%) and high AHI (35%) were the most detected problems. According to the level of severity, the actuation was performed by a control phone call (87%), or a home visit (13%) in the most relevant incidences. Readjustments in mask and reinforcement of adherence (education) were the most common strategies to increase the adherence to the therapy, when additional home visits were performed. Conclusions: The early activation of troubleshooting by the use of Telemonitoring technology could enhance the compliance of long-term therapy acceptance in Home Respiratory Therapies.
{"title":"Promotion of adherence to home-mechanical ventilation by Telemonitoring technology: a pilot study","authors":"Rui Vilarinho, T. Magalhães, Marta Silva, Cátia Esteves, C. Caneiras","doi":"10.1183/13993003.congress-2019.pa2234","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa2234","url":null,"abstract":"Introduction: Telemonitoring in Home Respiratory Therapies, namely in home mechanical ventilation, is an important tool that could enhances adherence. Healthcare professional could access to patients data using a virtual platform and detect early problems and readily create optimal strategies. Aims and Objectives: 1) Analyse the number and the type of detected problems in therapy for the non-adherence patients with mechanical ventilation at home with telemonitorization. 2) Identify and characterize the intervention made for the resolution of the problems. Methods: A prospective cohort pilot study was performed during 3 months (November 2018 to January 2019) using the telemonitorization platform data available, especially the level of leak and Apnea–Hypopnea Index. The number of detected problems, the type of contact and specific intervention made by healthcare professional to solve the problem was registered. Results: In a sample of 3,400 telemonitored patients, was identified a relevant clinical situation to act in 270 (8%) patients. High level of leak (47%) and high AHI (35%) were the most detected problems. According to the level of severity, the actuation was performed by a control phone call (87%), or a home visit (13%) in the most relevant incidences. Readjustments in mask and reinforcement of adherence (education) were the most common strategies to increase the adherence to the therapy, when additional home visits were performed. Conclusions: The early activation of troubleshooting by the use of Telemonitoring technology could enhance the compliance of long-term therapy acceptance in Home Respiratory Therapies.","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115304458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-28DOI: 10.1183/13993003.congress-2019.pa740
K. Górska, P. Korczyński, Łukasz Kołtowski, R. Krenke, M. Soliński
{"title":"Obstructive airway disease case finding in primary care using mobile spirometry system (National COPD Screening Program)","authors":"K. Górska, P. Korczyński, Łukasz Kołtowski, R. Krenke, M. Soliński","doi":"10.1183/13993003.congress-2019.pa740","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa740","url":null,"abstract":"","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114668600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-28DOI: 10.1183/13993003.congress-2019.pa2239
E. Metting, Lara Verhallen, C. Jong
Introduction: Implementing eHealth in health care organizations can be complicated. Reasons for this are: lack of interoperability between systems, software issues, costs, lack of policies and privacy issues. Good knowledge about the potential barriers and facilitators of the implementation of eHealth is necessary for proper implementation of eHealth. Aim: Investigate barriers and facilitators of developing and implementing eHealth applications in a health care setting. Method: 4 Dutch eHealth experts were interviewed about barriers and facilitators of implementation. Based on these results and on findings in scientific literature an online questionnaire was developed. The survey contained three main topics: 1)The development of eHealth, 2)the implementation of eHealth and 3)the maintenance of eHealth. the survey consisted of 36 questions of which 30 multiple choice and six open-ended questions. Results: 55 professionals from Dutch health care organizations completed the survey (32% male, mean age 41±13 years, 70% projects leaders, 26% healthcare professionals, 16% managers, 5% software developers). Good cooperation between managers/healthcare professionals and software developers and a clear project plan were associated with higher satisfaction about the development process and the final eHealth product. Meetings between involved parties were most effective during the implementation phase. Insufficient involvement of the target population (e.g. patients) lead to low satisfaction of eHealth projects. Conclusion: The results of this study are relevant for al professionals dealing with the challenging implementation of eHealth in health care organizations.
{"title":"Barriers and facilitators of developing and implementing eHealth applications: a questionnaire study with eHealth professionals","authors":"E. Metting, Lara Verhallen, C. Jong","doi":"10.1183/13993003.congress-2019.pa2239","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa2239","url":null,"abstract":"Introduction: Implementing eHealth in health care organizations can be complicated. Reasons for this are: lack of interoperability between systems, software issues, costs, lack of policies and privacy issues. Good knowledge about the potential barriers and facilitators of the implementation of eHealth is necessary for proper implementation of eHealth. Aim: Investigate barriers and facilitators of developing and implementing eHealth applications in a health care setting. Method: 4 Dutch eHealth experts were interviewed about barriers and facilitators of implementation. Based on these results and on findings in scientific literature an online questionnaire was developed. The survey contained three main topics: 1)The development of eHealth, 2)the implementation of eHealth and 3)the maintenance of eHealth. the survey consisted of 36 questions of which 30 multiple choice and six open-ended questions. Results: 55 professionals from Dutch health care organizations completed the survey (32% male, mean age 41±13 years, 70% projects leaders, 26% healthcare professionals, 16% managers, 5% software developers). Good cooperation between managers/healthcare professionals and software developers and a clear project plan were associated with higher satisfaction about the development process and the final eHealth product. Meetings between involved parties were most effective during the implementation phase. Insufficient involvement of the target population (e.g. patients) lead to low satisfaction of eHealth projects. Conclusion: The results of this study are relevant for al professionals dealing with the challenging implementation of eHealth in health care organizations.","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115703044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-28DOI: 10.1183/13993003.congress-2019.pa738
Brigitte West, Kay Boycott, E. Kennington, Amira Al Madami
{"title":"Asthma innovation landscape: The Asthma Lab pilot programme","authors":"Brigitte West, Kay Boycott, E. Kennington, Amira Al Madami","doi":"10.1183/13993003.congress-2019.pa738","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa738","url":null,"abstract":"","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123808439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-28DOI: 10.1183/13993003.congress-2019.pa2237
Francisco Sanchez, L. C. Hernández, Francisco Núñez Benjumea, Belén Gómez Rodríguez, Marco Mesa González, Francisco Sanchez, P. Bamidis, A. Civit, C. P. Calderón, E. M. Martín, F. Ruiz
Introduction and Objectives: The main objective is to analyze the impact of incorporating a mobile application to the process of smoking cessation in terms of efficacy after one-year follow-up. Methods: The trial takes place within the SmokeFreenBrain European project, financed by the H2020 program under GA No 681120 and registered in Clinicaltrials.govNCT03553173, performed from October 2017 to October 2018. 240 patients from the Smoking Cessation Office were recruited. Randomized open trial with 4 parallel groups (2 control groups - bupropion or varenicline - and 2 intervention groups - bupropion + app or varenicline + app). Data were collected regarding epidemiology, clinical features, Fagerstrom test, Richmond test, EuroQoL-5D-5L quality of life test, co-oximetry and cotinine test. Results: 97 out of 240 patients recruited completed the 12-month follow-up. The sample was made up of 49 men and 46 women, with a mean (±SD) age of 50.3 ± 9.08. Out of 97 patients, 46.5% were assigned to the control group and 53.7% to the intervention group. Fagerstrom test showed a nicotine dependence of 5.2 ± 2.1 and 5.1 ± 1.8 in the control group and the intervention group, respectively. Richmond test assessed the motivation to quit smoking, measuring 9.4 ± 0.8 in the control group and 9.4 ± 0.8 in the intervention group. Efficacy (abstinence after a 12-month follow-up) was of 64.7% in the intervention group and of 40.9% in the control group (p=0.002), leaving aside the pharmacological treatment prescribed. Conclusions: Using a motivational mobile phone App together with pharmacological treatment is significantly more effective in achieving smoking cessation after a 12-month follow-up, compared to pharmacological treatment alone.
{"title":"Use of a mobile App to give up smoking. Results from a clinical trial","authors":"Francisco Sanchez, L. C. Hernández, Francisco Núñez Benjumea, Belén Gómez Rodríguez, Marco Mesa González, Francisco Sanchez, P. Bamidis, A. Civit, C. P. Calderón, E. M. Martín, F. Ruiz","doi":"10.1183/13993003.congress-2019.pa2237","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa2237","url":null,"abstract":"Introduction and Objectives: The main objective is to analyze the impact of incorporating a mobile application to the process of smoking cessation in terms of efficacy after one-year follow-up. Methods: The trial takes place within the SmokeFreenBrain European project, financed by the H2020 program under GA No 681120 and registered in Clinicaltrials.govNCT03553173, performed from October 2017 to October 2018. 240 patients from the Smoking Cessation Office were recruited. Randomized open trial with 4 parallel groups (2 control groups - bupropion or varenicline - and 2 intervention groups - bupropion + app or varenicline + app). Data were collected regarding epidemiology, clinical features, Fagerstrom test, Richmond test, EuroQoL-5D-5L quality of life test, co-oximetry and cotinine test. Results: 97 out of 240 patients recruited completed the 12-month follow-up. The sample was made up of 49 men and 46 women, with a mean (±SD) age of 50.3 ± 9.08. Out of 97 patients, 46.5% were assigned to the control group and 53.7% to the intervention group. Fagerstrom test showed a nicotine dependence of 5.2 ± 2.1 and 5.1 ± 1.8 in the control group and the intervention group, respectively. Richmond test assessed the motivation to quit smoking, measuring 9.4 ± 0.8 in the control group and 9.4 ± 0.8 in the intervention group. Efficacy (abstinence after a 12-month follow-up) was of 64.7% in the intervention group and of 40.9% in the control group (p=0.002), leaving aside the pharmacological treatment prescribed. Conclusions: Using a motivational mobile phone App together with pharmacological treatment is significantly more effective in achieving smoking cessation after a 12-month follow-up, compared to pharmacological treatment alone.","PeriodicalId":129661,"journal":{"name":"M-health/e-health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130570307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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