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BMC Pulmonary Medicine
Published in: BMC Pulmonary Medicine 1/2018

Open Access 01-12-2018 | Research article

Mobile health applications in self-management of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis of their efficacy

Authors: Fen Yang, Yuncui Wang, Chongming Yang, Hui Hu, Zhenfang Xiong

Published in: BMC Pulmonary Medicine | Issue 1/2018

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Abstract

Background

Mobile health applications are increasingly used in patients with Chronic Obstructive Pulmonary Disease (COPD) to improve their self-management, nonetheless, without firm evidence of their efficacy. This meta-analysis was aimed to assess the efficacy of mobile health applications in supporting self-management as an intervention to reduce hospital admission rates and average days of hospitalization, etc.

Methods

PubMed, Web of Science (SCI), Cochrane Library, and Embase were searched for relevant articles published before November 14th, 2017. A total of 6 reports with randomized controlled trials (RCTs) were finally included in this meta-analysis.

Results

Patients using mobile phone applications may have a lower risk for hospital admissions than those in the usual care group (risk ratio (RR) = 0.73, 95% CI [0.52, 1.04]). However, there was no significant difference in reducing the average days of hospitalization.

Conclusion

Self-management with mobile phone applications could reduce hospital admissions of patients with COPD.
Literature
1.
2.
Puhan MA, Scharplatz M, Troosters T, Steurer J. Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality - a systematic review. Respir Res. 2005;6(1):54.CrossRefPubMedCentralPubMed
3.
Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. Lancet. 2007;370(9589):765–73.CrossRef
4.
Lopez AD, Shibuya K, Rao C, Mathers CD, Hansell AL, Held LS, et al. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J. 2006;27(2):397–412.CrossRef
5.
Buist AS, McBurnie MA, Vollmer WM, Gillespie S, Burney P, Mannino DM, et al. International variation in the prevalence of COPD (the BOLD study): a population-based prevalence study. Lancet. 2007;370(9589):741–50.CrossRef
6.
Mapel DW, McMillan GP, Frost FJ, Hurley JS, Picchi MA, Lydick E, et al. Predicting the costs of managing patients with chronic obstructive pulmonary disease. Respir Med. 2005;99(10):1325–33.CrossRef
7.
Tynan AJ, Lane SJCOPD. Illness severity, resource utilization and cost. Ir Med J. 2005;98(2):41–2.
8.
Efraimsson EO, Hillervik C, Ehrenberg A. Effects of COPD self-care management education at a nurse-led primary health care clinic. Scand J Caring Sci. 2008;22(2):178–85.CrossRef
9.
Bourbeau J, Julien M, Maltais F, Rouleau M, Beaupré A, Bégin R, et al. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med. 2003;163(5):585–91.CrossRef
10.
Zwerink M, Brusse-Keizer M, Van PD ZGA, Monninkhof EM, van der Palen J, et al. Self-management for patients with chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2014;3(3):CD002990.
11.
Warwick M, Gallagher R, Chenoweth L, Stein-Parbury J. Self-management and symptom monitoring among older adults with chronic obstructive pulmonary disease. J Adv Nurs. 2010;66(4):784–93.CrossRef
12.
Black AD, Car J, Pagliari C, Anandan C, Cresswell K, Bokun T, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387.CrossRefPubMedCentralPubMed
13.
Boulos MN, Brewer AC, Karimkhani C, Buller DB, Dellavalle RP. Mobile medical and health apps: state of the art, concerns, regulatory control and certification. Online J Public Health Inform. 2014;5(3):229.PubMedCentralPubMed
14.
Nguyen HQ, Wolpin S, Chiang KC, Cuenco D, Carrieri- Kohlman V. Exercise and symptom monitoring with a mobile device. AMIA Annu Symp Proc. 2006;1047
15.
Nour M, Chen J, Allman-Farinelli M. Efficacy and external validity of electronic and mobile phone-based interventions promoting vegetable intake in young adults: systematic review and meta-analysis. J Med Internet Res. 2016;18(4):e58.CrossRefPubMedCentralPubMed
16.
Devi BR, Syed-Abdul S, Kumar A, Iqbal U, Nguyen PA, Li YC, et al. An updated systematic review with a focus on HIV/AIDS and tuberculosis long term management using mobile phones. Comput Methods Prog Biomed. 2015;122(2):257–65.CrossRef
17.
Cui M, Wu X, Mao J, Wang X, Nie M. T2DM self-management via smartphone applications: a systematic review and meta-analysis. PLoS One. 2016;11(11):e0166718.CrossRefPubMedCentralPubMed
18.
Hurling R, Catt M, Boni MD, Fairley BW, Hurst T, Murray P, et al. Using internet and mobile phone technology to deliver an automated physical activity program: randomized controlled trial. J Med Internet Res. 2007;9(2):e7.CrossRefPubMedCentralPubMed
19.
Brendryen H, Drozd F, Kraft P. A digital smoking cessation program delivered through internet and cell phone without nicotine replacement (happy ending): randomized controlled trial. J Med Internet Res. 2008;10(5):e51.CrossRefPubMedCentralPubMed
20.
Wennberg DE, Marr A, Lang L, O’Malley S, Bennett G. A randomized trial of a telephone care-management strategy. N Engl J Med. 2010;363(13):1245–55.CrossRef
21.
Martínez-García MDM, Ruiz-Cárdenas JD, Rabinovich RA. Effectiveness of smartphone devices in promoting physical activity and exercise in patients with chronic obstructive pulmonary disease: a systematic review. COPD. 2017;14(5):543–51.CrossRef
22.
Polisena J, Tran K, Cimon K, Hutton B, McGill S, Palmer K, et al. Home telehealth for chronic obstructive pulmonary disease: a systematic review and meta-analysis. J Telemed Telecare. 2010;16(3):120–7.CrossRef
23.
Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: J Wiley; 2006.
24.
Jehn M, Donaldson G, Kiran B, Liebers U, Mueller K, Scherer D, et al. Tele-monitoring reduces exacerbation of COPD in the context of climate change--a randomized controlled trial. Environ Health. 2013;12:99.CrossRefPubMedCentralPubMed
25.
Chau JP, Lee DT, Yu DS, Chow AY, Yu WC, Chair SY, et al. A feasibility study to investigate the acceptability and potential effectiveness of a telecare service for older people with chronic obstructive pulmonary disease. Int J Med Inform. 2012;81(10):674–82.CrossRef
26.
Liu WT, Wang CH, Lin HC, Lin SM, Lee KY, Lo YL, et al. Efficacy of a cell phone-based exercise programme for COPD. Eur Respir J. 2008;32(3):651–9.CrossRef
27.
Martín-Lesende I, Orruño E, Bilbao A, Vergara I, Cairo MC, Bayón JC, et al. Impact of telemonitoring home care patients with heart failure or chronic lung disease from primary care on healthcare resource use (the TELBIL study randomised controlled trial). BMC Health Serv Res. 2013;13:118.CrossRefPubMedCentralPubMed
28.
Pedone C, Chiurco D, Scarlata S, Incalzi RA. Efficacy of multiparametric telemonitoring on respiratory outcomes in elderly people with COPD: a randomized controlled trial. BMC Health Serv Res. 2013;13:82.CrossRefPubMedCentralPubMed
29.
Tabak M, Brusse-Keizer M, van der Valk P, Hermens H, Vollenbroek-Hutten M. A telehealth program for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial. Int J Chron Obstruct Pulmon Dis. 2014;9:935–44.CrossRefPubMedCentralPubMed
30.
Tabak M, Vollenbroek-Hutten MM, van der Valk PD, van der Palen J, Hermens HJ. A telerehabilitation intervention for patients with chronic obstructive pulmonary disease: a randomized controlled pilot trial. Clin Rehabil. 2014;28(6):582–91.CrossRef
31.
Wang CH, Chou PC, Joa WC, Chen LF, Sheng TF, Ho SC, et al. Mobile-phone-based home exercise training program decreases systemic inflammation in COPD: a pilot study. BMC Pulm Med. 2014;14:142.CrossRefPubMedCentralPubMed
32.
Borenstein M, Hedges LV, Higgins JP, Rothstein HR. A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods. 2010;1(2):97–111.CrossRef
33.
34.
Pinnock H, Hanley J, McCloughan L, Todd A, Krishan A, Lewis S, et al. Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicenter, randomized controlled trial. BMJ. 2013;347:f6070.CrossRefPubMedCentralPubMed
35.
Kobayashi M, Hiyama A, Miura T, Asakawa C, Hirose M, Ifukube T. Elderly user evaluation of mobile touchscreen interactions. Springer Berlin Heidelberg. 2011;6946:83–99.
36.
Velardo C, Shah SA, Gibson O, Clifford G, Heneghan C, Rutter H, et al. Digital health system for personalised COPD long-term management. BMC Med Inform Decis Mak. 2017;17(1):19.CrossRefPubMedCentralPubMed
37.
Abaza H, Marschollek M. mHealth application areas and technology combinations. A comparison of literature from high and low/middle income countries. Methods Inf Med. 2017;56(7):e105–22.
38.
Gosselink R, Langer D, Burtin C, Probst V, Hendriks HJM, van der Schans CP, et al. Clinical practice guideline for physical therapy in patients with COPD – practice guidelines. Dutch J Phys Ther. 2008;118(suppl):1–60.
39.
Langer D, Hendriks E, Burtin C, Probst V, van der Schans C, Paterson W, et al. A clinical practice guideline for physiotherapists treating patients with chronic obstructive pulmonary disease based on a systematic review of available evidence. Clin Rehabil. 2009;23(5):445–62.CrossRef
40.
Sandland CJ, Singh SJ, Curcio A, Jones PM, Morgan MD. A profile of daily activity in chronic obstructive pulmonary disease. J Cardpulm Rehabil. 2005;25(3):181–3.CrossRef
41.
Pitta F, Troosters T, Spruit MA, Probst VS, Decramer M, Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2005;171(9):972–7.CrossRef
42.
Tabak M, Vollenbroek-Hutten M, van der Valk P, van der Palen J, Tönis T, Hermens H. Telemonitoring of daily activity and symptom behavior in patients with COPD. Int J Telemed Appl. 2012;2012:438736.PubMedCentralPubMed
43.
Lores V, Garcia-Rio F, Rojo B, Alcolea S, Mediano O. Recording the daily physical activity of COPD patients with an accelerometer: an analysis of agreement and repeatability. Arch Bronconeumol. 2006;42(12):627–32.CrossRef
44.
Dale J, Connor S, Tolley K. An evaluation of the west surrey telemedicine monitoring project. J Telemed Telecare. 2003;9(Suppl 1):S39–41.CrossRef
45.
McCabe C, McCann M, Brady AM. Computer and mobile technology interventions for self-management in chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2017;5:CD011425.
Metadata
Title
Mobile health applications in self-management of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis of their efficacy
Authors
Fen Yang
Yuncui Wang
Chongming Yang
Hui Hu
Zhenfang Xiong
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pulmonary Medicine / Issue 1/2018
Electronic ISSN: 1471-2466
DOI
https://doi.org/10.1186/s12890-018-0671-z

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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