Effectiveness of Telemonitoring for Respiratory and Systemic Symptoms of Asthma and COPD: A Narrative Review

Abstract

Asthma and chronic obstructive pulmonary diseases (COPD) are highly prevalent chronic lung diseases that require ongoing self-management, which itself is often suboptimal. Therefore, telemonitoring has been used to help patients measure their symptoms, share data with healthcare providers and receive education and feedback to improve disease management. In this study, we conducted a narrative review of recent evidence on the effectiveness of telemonitoring for asthma and COPD in adults. Of the thirteen identified studies, eleven focused on COPD and two focused on asthma. All studies were reviewed, and effects were compared between intervention and care as usual groups. Of the study interventions, seven showed a positive outcome on at least one outcome measure, and six had no significant results on any of the outcome measures. All of the interventions with a positive outcome included an educational component, while only one of the six interventions without positive outcomes included an educational component. We conclude that telemonitoring interventions for asthma and COPD seem more effective if they included an educational component regarding different aspects of self-management.

Efficacy of Web-Based Supportive Interventions in Quality of Life in COPD Patients, a Systematic Review and Meta-Analysis

“…The most recent systematic reviews and meta-analyses [ 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] on telehealth care analyze teleassessment, telephone assistance, mobile app development, and website assistance in depth, but they need to be analyzed separately [ 8 ].…”

Nuevas tecnologías en Medicina

“…Los sistemas de apoyo a la autogestión basados en la TMN se han centrado en diferentes aspectos, destacando los recordatorios automatizados de la medicación para mejorar la adherencia, la TMN de la tensión arterial (TA), frecuencia cardiaca (FC), frecuencia respiratoria (FR), temperatura (Tª), electrocardiograma (ECG), actividad física (AF), función pulmonar (FP) y cuestionarios de control con diversos niveles de supervisión profesional. Cuando se ha usado la TMN como herramienta de apoyo a la autogestión se ha demostrado mejoras en las medidas de control de la enfermedad, en la calidad de vida, en la reducción del riesgo de limitación de la actividad, en el absentismo escolar, en las exacerbaciones y en el uso de cuidados no programados [44,45]. Una revisión reciente sugirió que la adición de la TMN a la atención habitual redujo las visitas a urgencias y las hospitalizaciones y mejoró la puntuación de la calidad de vida en la salud mental.…”

Unleashing the Power of Very Small Data to Predict Acute Exacerbations of Chronic Obstructive Pulmonary Disease

“…2 According to this survey, remote patient monitoring helps patients improve disease-related self-management and care-plan adherence, boosts involvement in care and improves patient experience and satisfaction, especially when an educational component is included regarding different aspects of self-management. 2 This picture is confirmed by other studies that point out how daily monitoring of COPD is an essential step to prevent the occurrence and the risk of future AECOPDs, eg, the studies by Rassouli et al with Swiss COPD patients, 3,4 and the studies by Persson and Lyth et al with Swedish patients. [5][6][7] Predictions are important for optimising remote patient care.…”