adherence to the management of chronic obstructive pulmonary disease - - PowerPoint PPT Presentation

Use of mobile health to improve patient adherence to the management of chronic obstructive pulmonary disease

Hang DING, , Ian YANG, Derek IRELAND, Lisa MCCARTHY, Rekha HAKIM, Philip MASEL, Kirsten PHILLIPS, and Mohan KARUNANITHI

HEALTH AND BIOSECURITY

Presenter: Hang Ding | hang.ding@csiro.au | HIC 2016 27 July 2016

Objectives

Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 2 |

• To develop an innovative mobile

health based program to improve the management of COPD

• To evaluate the innovative program

through a randomized controlled trial.

Burdens of COPD

Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 3 |

750,000 Australians

• The fourth leading cause
• f death
• Debilitating symptoms
• 30-day readmission rates
• f 10% - 20%
• $900 million direct cost,

$90 billion the total economic impacts

Issues of the patient compliance

Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 4 |

• 40% - 60% of the patients adhered with

their medications

• 50% conducted physical activities as

recommended

• Only 35% of the patients quitted

cigarettes as required

• Inactive to engage with collaborative

care

Patient at Home

Care model

Patient at Home MH-COPD Server (Secured Internet applications)

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Patient at Home MH-COPD Server (Secured Internet applications)

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Patient at Home MH-COPD Server (Secured Internet applications)

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Patient at Home MH-COPD Server (Secured Internet applications)

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Patient at Home MH-COPD Server (Secured Internet applications)

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Patient at Home MH-COPD Server (Secured Internet applications)

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Patient at Home COPD nurses MH-COPD Server (Secured Internet applications)

Communications and clinical interventions

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Patient at Home COPD nurses Specialists for COPD care MH-COPD Server (Secured Internet applications)

Communications and clinical interventions Self-management summary

Care model

Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan

Collaborative care

Randomized Controlled Trial

Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 14 |

Project nurses recruit participants Trial Sites: The Prince Charles Hospital, QLD Inclusion criteria: Diagnosis with COPD (Post-bronchodilator FEV1/FVC<70% and FEV1<80% predicted ) Current or former smokers with >10 pack-years smoking history No significant cognitive impairments. Exclusion criteria: Comorbid lung diseases that would potentially interfere with study outcomes Limitations to the use of mobile technology. Baseline assessment Randomization MH-COPD Group (n=50) 6-month assessments 6-month assessments Trial Completion and Trial Analysis Control Group (n=50)

Primary and Secondary Outcomes

15 |

Primary Outcome

Instrument/variables to compare MH-COPD and UC-COPD COPD symptoms CAT and MMRC score at the baseline

Secondary Outcomes

COPD knowledge Questionnaire on the COPD knowledge Use of COPD action plan Questionnaire and data recorded in the app Cigarette cessation

• Questionnaire. Number of cigarettes recorded in the app.

Inhaler technique Questionnaire at baseline and six-month time points. Physical activity 6-minute walking test, and questionnaire on daily physical activities Exacerbation rate Questionnaire and records from the electronic healthcare system in Queensland Health (6-month period prior to trial, 6-month period during, and 6-month period post) Socioeconomic outcomes Hospital readmissions and visits of emergency department.

Potential Contributions

Validation of an innovative tele-monitoring enhanced care model for chronic heart failure | Hang Ding, 27 July 2016 16 |

• Evaluate the compliance of guidelines

and associated benefits

• Provide clinical evidence to use

innovative mobile health strategies in the community

• Improve COPD care.

Contact Us Phone: 1300 363 400 or +61 3 9545 2176 Email: enquiries@csiro.au Web: www.csiro.au

Thank you

• Hang DING,
• Mohan KARUNANITHI
• Derek IRELAND
• Ian YANG
• Lisa MCCARTHY
• Rekha HAKIM
• Philip MASEL
• Kirsten PHILLIPS

THE PRINCE CHARLES HOSPITAL FOUNDATION

• Research Grant