Computer and mobile technology interventions for self-management in chronic obstructive pulmonary disease

Abstract

Although our review suggests that interventions aimed at facilitating, supporting, and sustaining self-managment in people with COPD and delivered via smart technology significantly improved HRQoL and levels of activity up to six months compared with interventions given through face-to-face/digital and/or written support, no firm conclusions can be drawn. This improvement may not be sustained over a long duration. The only included study that measured outcomes up to 12 months highlighted the need to ensure sustained engagement with the technology over time. Limited evidence suggests that using computer and mobile technology for self-management for people with COPD is not harmful and may be more beneficial for some people than for others, for example, those with an interest in using technology may derive greater benefit.The evidence, provided by three studies at high risk of bias, is of poor quality and is insufficient for advising healthcare professionals, service providers, and members of the public with COPD about the health benefits of using smart technology as an effective means of supporting, encouraging, and sustaining self-management. Further research that focuses on outcomes relevant to different stages of COPD is needed. Researchers should provide clear information on how self-management is assessed and should include longitudinal measures that allow comment on behavioural change.

Use of Recombinant Factor VIIa Utilization Among a Hospitalized Pediatric Population

“…The poor use of the many functions of telephones and mobile phones as the main intervention may be due to the fact that researchers were more likely to believe in the effectiveness of traditional interventions, such as training and consultation in person, compared to technology-based interventions. On contrary to this, a recently published systematic review showed that technology-based interventions have a greater effect on the quality of life in patients with chronic obstructive pulmonary disease compared to traditional interventions (32). In the present review, only one study that used phones as its main intervention showed improvements in weight and BMI outcomes in its inter- vention group compared to the control; it should be noted that in the methodological assessment this study was categorized as high quality (11).…”

Rehabilitation in lung diseases: ‘Education’ component of pulmonary rehabilitation

“…However, caution in application of technology for learning and self‐management is needed as audits of web‐based resources available to people with COPD suggests that content and quality significantly vary on sites such as YouTube and Pinterest . Furthermore, adverse event rates were significantly higher in the smart technology groups of the aforementioned review . This may relate to the potential decreased capacity for learning of people with COPD, who are at increased risk for co‐morbidities that can impact the learning process including anxiety, depression and cognitive impairment .…”

“…As of May 2018, a total of 22 systematic reviews examining one or more learning focused interventions for people with respiratory‐related conditions compared to usual care had been published in the Cochrane Database of Systematic Reviews . The patient population groups include adults with asthma (11 reviews), COPD (3 reviews), smoking cessation (2 reviews), cystic fibrosis (1 review), bronchiectasis (1 review), acute upper respiratory tract infections (1 review), lung cancer (1 review), obstructive sleep apnoea (1 review) and tuberculosis (1 review) . The reviews reported two main categories of educational interventions: (i) didactic‐focused teaching for knowledge and (ii) learning experiences for developing self‐management strategies.…”

“…Technology to support learning and self‐management for people with COPD has only recently been evaluated with the publication of the recent Cochrane review in the area of telehealth for learning and self‐management . Three studies ( n = 557) examining the use of computer and mobile technology in facilitating, supporting and sustaining successful self‐management for people with COPD were included.…”

The Prospect of the Fourth Industrial Revolution and Home Healthcare in Super-Aged Society

“…A Cochrane review of the recent literature suggested that patients with chronic lung disease who used smart devices for self-management at home maintained their level of activity and improved quality of life; however, the long-term effects were unclear, and the benefits of smart homecare were not equally given to everyone. For example, it derived greater benefit with the patients who showed high interest in using smart devices 23) . Bhattarai and Phillips 24) also suggested that digital and mobile technology could be applied to the pain management of the elderly, but the level of technology should be more advanced than the current ones, and a thorough analysis and verification of such technology demand are required.…”