Use of mobile health to improve patient adherence to the management of chronic obstructive pulmonary disease Hang DING,, Ian YANG, Derek IRELAND, Lisa MCCARTHY, Rekha HAKIM, Philip MASEL, Kirsten PHILLIPS, and Mohan KARUNANITHI Presenter: Hang Ding hang.ding@csiro.au HIC 2016 27 July 2016 HEALTH AND BIOSECURITY
Objectives To develop an innovative mobile health based program to improve the management of COPD To evaluate the innovative program through a randomized controlled trial. 2 Validation of an innovative tele-monitoring enhanced care model for chronic heart failure Hang Ding, 27 July 2016
Burdens of COPD 750,000 Australians The fourth leading cause of death Debilitating symptoms 30-day readmission rates of 10% - 20% $900 million direct cost, $90 billion the total economic impacts 3 Validation of an innovative tele-monitoring enhanced care model for chronic heart failure Hang Ding, 27 July 2016
Issues of the patient compliance 40% - 60% of the patients adhered with their medications 50% conducted physical activities as recommended Only 35% of the patients quitted cigarettes as required Inactive to engage with collaborative care 4 Validation of an innovative tele-monitoring enhanced care model for chronic heart failure Hang Ding, 27 July 2016
MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care
MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care
MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care
MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care
MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care
MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care
MH-COPD Server (Secured Internet applications) Educational videos Inhaler techniques Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Communications and clinical interventions COPD nurses
MH-COPD Server (Secured Internet applications) Self-management summary Educational videos Inhaler techniques Specialists for COPD care Physical activity (walking) Cigarette secession Symptoms Electronic COPD action plan Collaborative care Communications and clinical interventions COPD nurses
Randomized Controlled Trial Project nurses recruit participants Baseline assessment Randomization Trial Sites: The Prince Charles Hospital, QLD Inclusion criteria: Diagnosis with COPD (Post-bronchodilator FEV1/FVC<70% and FEV1<80% predicted ) Current or former smokers with >10 pack-years smoking history MH-COPD Group (n=50) 6-month assessments Control Group (n=50) 6-month assessments No significant cognitive impairments. Exclusion criteria: Comorbid lung diseases that would potentially interfere with study outcomes Trial Completion and Trial Analysis Limitations to the use of mobile technology. 14 Validation of an innovative tele-monitoring enhanced care model for chronic heart failure Hang Ding, 27 July 2016
Primary and Secondary Outcomes Primary Outcome COPD symptoms Secondary Outcomes COPD knowledge Use of COPD action plan Cigarette cessation Inhaler technique Physical activity Exacerbation rate Socioeconomic outcomes Instrument/variables to compare MH-COPD and UC-COPD CAT and MMRC score at the baseline Questionnaire on the COPD knowledge Questionnaire and data recorded in the app Questionnaire. Number of cigarettes recorded in the app. Questionnaire at baseline and six-month time points. 6-minute walking test, and questionnaire on daily physical activities Questionnaire and records from the electronic healthcare system in Queensland Health (6-month period prior to trial, 6-month period during, and 6-month period post) Hospital readmissions and visits of emergency department. 15
Potential Contributions Evaluate the compliance of guidelines and associated benefits Provide clinical evidence to use innovative mobile health strategies in the community Improve COPD care. 16 Validation of an innovative tele-monitoring enhanced care model for chronic heart failure Hang Ding, 27 July 2016
THE PRINCE CHARLES HOSPITAL FOUNDATION Hang DING, Ian YANG Kirsten PHILLIPS Research Grant Mohan KARUNANITHI Lisa MCCARTHY Derek IRELAND Rekha HAKIM Philip MASEL Thank you Contact Us Phone: 1300 363 400 or +61 3 9545 2176 Email: enquiries@csiro.au Web: www.csiro.au