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A Telemedicine Approach for Monitoring COPD: A Prospective Feasibility and Acceptability Cohort Study
Masahiro Shinoda1, Osamu Hataji2, Motohiko Miura3
1Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Shinagawa, Tokyo, Japan.
International Journal of Chronic Obstructive Pulmonary Disease
|November 24, 2022
Summary
Telemedicine using the YaDoc app appears feasible and acceptable for managing chronic obstructive pulmonary disease (COPD) in Japan. This approach may help detect symptom worsening and improve patient outcomes.
Area of Science:
- Digital Health
- Respiratory Medicine
- Clinical Feasibility Studies
Background:
- Telemedicine offers potential for early detection of symptom exacerbation in patients with chronic obstructive pulmonary disease (COPD).
- Assessing the feasibility and acceptability of telemedicine interventions is crucial for improving COPD management.
Purpose of the Study:
- To determine the feasibility and acceptability of a telemedicine smartphone application (YaDoc) for COPD patients in Japan.
- To evaluate participant compliance and satisfaction with daily symptom tracking and weekly COPD Assessment Test (CAT) completion via telemedicine.
Main Methods:
- A 52-week, prospective, single-arm feasibility study involving Japanese patients aged 40+ with COPD or asthma-COPD overlap.
- Participants used the YaDoc app for daily symptom reporting and weekly CAT assessments.
- Feasibility was assessed by participant compliance, and acceptability by questionnaires for patients and healthcare professionals.
Main Results:
- Participant compliance for daily and weekly assessments showed moderate to high rates, with 72 of 84 participants completing the study.
- High participant satisfaction was reported for YaDoc's ease of use (83.8%), health management impact (58.8%), and overall satisfaction (53.8%).
- Physicians and staff found the app facilitated communication, with 66.7% responding positively.
Conclusions:
- Daily telemedicine monitoring via the YaDoc app is potentially feasible and acceptable for both COPD patients and healthcare providers in Japan.
- These findings support the integration of telemedicine into clinical practice for COPD management and inform future research designs.
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