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Patient-Centered Televisit for Chronic Obstructive Pulmonary Disease Discharge Transitions: User-Centered Design
Joanna Abraham1, Alicia Meng1, Nicolas Caravelli2
1Department of Anesthesiology, School of Medicine, Washington University in St. Louis, 660 S Euclid Ave, St. Louis, MO, 63110, United States, 1 3143625129.
JMIR Human Factors
|December 5, 2025
Summary
Telehealth Education: Leveraging Electronic Transitions of Care (TELE-TOC) was co-designed to improve COPD discharge transitions. This patient-centered televisit intervention showed high usability and identified key areas for optimizing care continuity.
Area of Science:
- Healthcare Technology
- Patient Care Management
- Respiratory Medicine
Background:
- Chronic obstructive pulmonary disease (COPD) affects millions, with high readmission rates linked to medication errors and poor patient education.
- Telehealth interventions offer a promising solution for medication reconciliation and inhaler education post-discharge.
Purpose of the Study:
- To design and prototype TELE-TOC, an in-home televisit intervention for COPD patients after hospital discharge.
- To map TELE-TOC's workflow for seamless integration into routine care transitions.
Main Methods:
- A user-centered design approach across three phases involving patients, caregivers, clinicians, and leaders.
- Data collection via interviews, usability surveys, and cognitive walkthroughs.
- Qualitative data analyzed thematically; quantitative data summarized descriptively.
Main Results:
- TELE-TOC demonstrated high patient usability (97.5/100) due to virtual hands-on teaching and teach-back methods.
- Identified facilitators like "meds-to-beds" and barriers such as technology literacy and clinician bandwidth.
- Key components include medication reconciliation, inhaler education, and self-management support.
Conclusions:
- Co-design integrated multiple perspectives to optimize TELE-TOC for COPD care transitions.
- TELE-TOC aims to enhance continuity of care and patient outcomes.
- Future research will assess TELE-TOC's impact on reducing COPD readmissions.
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