Abstract
BackgroundEhealth platforms, since the outbreak of COVID-19 more important than ever, can support self-management in patients with Chronic Obstructive Pulmonary Disease (COPD). The aim of this observational study is to explore the impact of healthcare professional involvement on the adherence of patients to an eHealth platform. We evaluated the usage of an eHealth platform by patients who used the platform individually compared with patients in a blended setting, where healthcare professionals were involved.MethodsIn this observational cohort study, log data from September 2011 until January 2018 were extracted from the eHealth platform Curavista. Patients with COPD who completed at least one Clinical COPD Questionnaire (CCQ) were included for analyses (n = 299). In 57% (n = 171) of the patients, the eHealth platform was used in a blended setting, either in hospital (n = 128) or primary care (n = 29). To compare usage of the platform between patients who used the platform independently or with a healthcare professional, we applied propensity score matching and performed adjusted Poisson regression analysis on CCQ-submission rate.ResultsUsing the eHealth platform in a blended setting was associated with a 3.25 higher CCQ-submission rate compared to patients using the eHealth platform independently. Within the blended setting, the CCQ-submission rate was 1.83 higher in the hospital care group than in the primary care group.ConclusionIt is shown that COPD patients used the platform more frequently in a blended care setting compared to patients who used the eHealth platform independently, adjusted for age, sex and disease burden. Blended care seems essential for adherence to eHealth programs in COPD, which in turn may improve self-management.
Highlights
Chronic Obstructive Pulmonary Disease (COPD) is a chronic airway disease characterized by an irreversible airway obstruction [1]
In the group without healthcare professional 54% remained stable after intervention, where stable is defined as a change in Clinical COPD Questionnaire (CCQ) between − 0.4 and 0.4
In this real-life study, we showed that COPD patients used an eHealth platform more frequent in a blended care setting compared to patients who used the platform independently, adjusted for sex, age and burden of disease
Summary
Chronic Obstructive Pulmonary Disease (COPD) is a chronic airway disease characterized by an irreversible airway obstruction [1]. Spruit et al discuss the critical role of behavioral change in pulmonary rehabilitation in chronic disease management. He described the major barrier to participation is accessibility [7]. Since the outbreak of COVID-19 more important than ever, can support self-man‐ agement in patients with Chronic Obstructive Pulmonary Disease (COPD). The aim of this observational study is to explore the impact of healthcare professional involvement on the adherence of patients to an eHealth platform. We evaluated the usage of an eHealth platform by patients who used the platform individually compared with patients in a blended setting, where healthcare professionals were involved
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