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Effectiveness of Digital Health Interventions for Chronic Obstructive Pulmonary Disease: Systematic Review and
Miaoqing Zhuang1, Intan Idiana Hassan2, Wan Muhamad Amir W Ahmad3
1Department of Nursing, College of Nursing and Rehabilitation, Xi'an Jiaotong University City College, Xi 'an, China.
Journal of Medical Internet Research
|May 26, 2025
Summary
Digital health interventions show promise for improving quality of life and self-efficacy in patients with chronic obstructive pulmonary disease (COPD). However, their overall clinical effectiveness requires further investigation in robust studies.
Area of Science:
- Digital Health Interventions
- Chronic Obstructive Pulmonary Disease (COPD) Management
- Systematic Review and Meta-Analysis
Background:
- Chronic obstructive pulmonary disease (COPD) significantly impacts patient quality of life and functionality.
- Digital health interventions, including mobile apps and web-based programs, can enhance patient self-efficacy and engagement.
- Effective self-management strategies are crucial for reducing the burden of COPD and healthcare utilization.
Purpose of the Study:
- To systematically review and meta-analyze the clinical effectiveness of digital health interventions for COPD.
- To assess the impact of smartphone apps, wearable monitors, and web-delivered platforms on quality of life, self-efficacy, functional capacity, and healthcare use in COPD patients.
Main Methods:
- Systematic review of randomized trials on digital health interventions for COPD, identified through comprehensive database searches (PubMed, Embase, Cochrane, Web of Science).
- Data extraction and analysis by two independent reviewers, focusing on outcomes such as quality of life (CAT, St George's Respiratory Questionnaire), self-efficacy (General Self-Efficacy Scale), functional status, and healthcare utilization.
- Inclusion of 17 studies with 2027 participants, predominantly older adults, with a focus on telerehabilitation and self-management systems.
Main Results:
- Digital health interventions significantly improved quality of life at 3, 6, and 12 months, as measured by CAT, St George's Respiratory Questionnaire, and EQ-5D.
- Significant improvements were observed in self-efficacy at 3 and 6 months, and in the Modified Medical Research Council Dyspnea Scale at over 3 months.
- No significant differences were found in functional capacity (6-minute walk test) or in hospital and emergency department admission rates for COPD.
Conclusions:
- Digital health interventions show potential benefits for COPD patients, particularly in improving quality of life and self-efficacy.
- The overall clinical effectiveness of these interventions remains uncertain, necessitating further robust research.
- Future studies should focus on larger cohorts, especially older adults with COPD, to confirm these findings.
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