Effect on Health Status of Integrated Self-Management Platforms in COPD Disease-Management
Introduction: COPD self-management through eHealth is effective to improve the quality of integrated disease management (IDM). Nevertheless, adoption of eHealth stays behind with implementation problems.
Aim: to analyze the influence of eHealth implementation on the health status of COPD patients in primary care, using the Clinical COPD Questionnaire (CCQ).
Methods: The e-Vita COPD study compared 3 levels of integration of self-management platforms in IDM (high, medium, non) and randomization of 2 levels of personal assistance for patients (high and low). Interrupted time series (ITS) design was used to collect CCQ data at multiple time points (before/after intervention) and multilevel linear regression modelling to analyze CCQ data before and after intervention.
Results: Of the 702 invited COPD patients, 215 registered to a platform. 82 participated in group 1 (high integration); 36 with high, 46 with low assistance. 96 participated in group 2 (medium integration); 44 with high, 52 with low assistance. 37 participated in group 3 (no integration, no assistance). In the total group, no significant difference was found in CCQ-trend (p=0.334) before (-0.47% per month) and after intervention (-0.084% per month). No significant difference was found in CCQ changes before vs. after intervention between groups with high vs. low personal assistance (p=0.429). In all subgroups, there was no significant change in the CCQ trend before and after intervention.
Conclusion: The e-Vita intervention had no beneficial impact on health status of COPD patients. No differences were found between different levels of integration or between patients receiving different levels of personal assistance.
PRAKTEK Alamat 1:
, Dr Koentjahja, SpP
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