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Digital health system for personalised COPD long-term management
Carmelo Velardo1, Syed Ahmar Shah2, Oliver Gibson2
1Department of Engineering Science, University of Oxford, IBME, Oxford, UK. carmelo.velardo@eng.ox.ac.uk.
BMC Medical Informatics and Decision Making
|February 22, 2017
Summary
A patient-centered digital health system improved self-management for chronic obstructive pulmonary disease patients. This approach, incorporating user feedback, ensured high compliance with daily monitoring over 12 months.
Area of Science:
- Digital Health
- Chronic Obstructive Pulmonary Disease (COPD)
- Patient-Centered Design
Background:
- Telehealth interventions show limited impact on long-term conditions.
- Technology alone does not ensure patient compliance for data collection.
- Remote monitoring requires a patient-centered approach for effective disease management.
Purpose of the Study:
- To design and evaluate a digital health system for COPD self-management.
- To assess the impact of a patient-centered design on compliance and data quality.
- To personalize interventions through adaptive algorithms.
Main Methods:
- Developed a digital health system with a mobile app and secure backend.
- Included daily electronic symptom diaries and wireless pulse oximetry.
- Employed a patient-centered design informed by workshops.
- Conducted a 12-month randomized controlled trial with 110 patients.
Main Results:
- Patients used the system an average of 6 times per week.
- 96% of symptom diaries were completed within 1 minute 40 seconds.
- Personalized alert thresholds were developed using collected self-monitoring data.
Conclusions:
- Iterative design and continuous improvement are crucial for usable digital health interventions.
- User feedback led to high compliance with self-monitoring over 12 months.
- Health professionals actively used the remote monitoring website due to prioritized alerts.
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