A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation

Abstract Background Patients with chronic obstructive pulmonary disease (COPD) experience deficits in exercise capacity and physical activity as their disease progresses. Pulmonary rehabilitation (PR) can enhance exercise capacity of patients and it is crucial for patients to maintain a lifestyle wh...

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Autores principales:	Ning Deng, Leiyi Sheng, Wangshu Jiang, Yongfa Hao, Shuoshuo Wei, Bei Wang, Huilong Duan, Juan Chen
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	COPD Pulmonary rehabilitation mHealth Behavior change wheel Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/7f7a500b52bc420291b463b9906603f6
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spelling	oai:doaj.org-article:7f7a500b52bc420291b463b9906603f62021-11-28T12:26:22ZA home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation10.1186/s12911-021-01694-51472-6947https://doaj.org/article/7f7a500b52bc420291b463b9906603f62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12911-021-01694-5https://doaj.org/toc/1472-6947Abstract Background Patients with chronic obstructive pulmonary disease (COPD) experience deficits in exercise capacity and physical activity as their disease progresses. Pulmonary rehabilitation (PR) can enhance exercise capacity of patients and it is crucial for patients to maintain a lifestyle which is long-term physically active. This study aimed to develop a home-based rehabilitation mHealth system incorporating behavior change techniques (BCTs) for COPD patients, and evaluate its technology acceptance and feasibility. Methods Guided by the medical research council (MRC) framework the process of this study was divided into four steps. In the first step, the prescription was constructed. The second step was to formulate specific intervention functions based on the behavior change wheel theory. Subsequently, in the third step we conducted iterative system development. And in the last step two pilot studies were performed, the first was for the improvement of system functions and the second was to explore potential clinical benefits and validate the acceptance and usability of the system. Results A total of 17 participants were enrolled, among them 12 COPD participants completed the 12-week study. For the clinical outcomes, Six-Minute Walk Test (6MWT) showed significant difference (P = .023) over time with an improvement exceeded the minimal clinically important difference (MCID). Change in respiratory symptom (CAT score) was statistically different (P = .031) with a greater decrease of − 3. The mMRC levels reduced overall and showed significant difference. The overall compliance of this study reached 82.20% (± 1.68%). The results of questionnaire and interviews indicated good technology acceptance and functional usability. The participants were satisfied with the mHealth-based intervention. Conclusions This study developed a home-based PR mHealth system for COPD patients. We showed that the home-based PR mHealth system incorporating BCTs is a feasible and acceptable intervention for COPD patients, and COPD patients can benefit from the intervention delivered by the system. The proposed system played an important auxiliary role in offering exercise prescription according to the characteristics of patients. It provided means and tools for further individuation of exercise prescription in the future.Ning DengLeiyi ShengWangshu JiangYongfa HaoShuoshuo WeiBei WangHuilong DuanJuan ChenBMCarticleCOPDPulmonary rehabilitationmHealthBehavior change wheelComputer applications to medicine. Medical informaticsR858-859.7ENBMC Medical Informatics and Decision Making, Vol 21, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COPD Pulmonary rehabilitation mHealth Behavior change wheel Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	COPD Pulmonary rehabilitation mHealth Behavior change wheel Computer applications to medicine. Medical informatics R858-859.7 Ning Deng Leiyi Sheng Wangshu Jiang Yongfa Hao Shuoshuo Wei Bei Wang Huilong Duan Juan Chen A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation
description	Abstract Background Patients with chronic obstructive pulmonary disease (COPD) experience deficits in exercise capacity and physical activity as their disease progresses. Pulmonary rehabilitation (PR) can enhance exercise capacity of patients and it is crucial for patients to maintain a lifestyle which is long-term physically active. This study aimed to develop a home-based rehabilitation mHealth system incorporating behavior change techniques (BCTs) for COPD patients, and evaluate its technology acceptance and feasibility. Methods Guided by the medical research council (MRC) framework the process of this study was divided into four steps. In the first step, the prescription was constructed. The second step was to formulate specific intervention functions based on the behavior change wheel theory. Subsequently, in the third step we conducted iterative system development. And in the last step two pilot studies were performed, the first was for the improvement of system functions and the second was to explore potential clinical benefits and validate the acceptance and usability of the system. Results A total of 17 participants were enrolled, among them 12 COPD participants completed the 12-week study. For the clinical outcomes, Six-Minute Walk Test (6MWT) showed significant difference (P = .023) over time with an improvement exceeded the minimal clinically important difference (MCID). Change in respiratory symptom (CAT score) was statistically different (P = .031) with a greater decrease of − 3. The mMRC levels reduced overall and showed significant difference. The overall compliance of this study reached 82.20% (± 1.68%). The results of questionnaire and interviews indicated good technology acceptance and functional usability. The participants were satisfied with the mHealth-based intervention. Conclusions This study developed a home-based PR mHealth system for COPD patients. We showed that the home-based PR mHealth system incorporating BCTs is a feasible and acceptable intervention for COPD patients, and COPD patients can benefit from the intervention delivered by the system. The proposed system played an important auxiliary role in offering exercise prescription according to the characteristics of patients. It provided means and tools for further individuation of exercise prescription in the future.
format	article
author	Ning Deng Leiyi Sheng Wangshu Jiang Yongfa Hao Shuoshuo Wei Bei Wang Huilong Duan Juan Chen
author_facet	Ning Deng Leiyi Sheng Wangshu Jiang Yongfa Hao Shuoshuo Wei Bei Wang Huilong Duan Juan Chen
author_sort	Ning Deng
title	A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation
title_short	A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation
title_full	A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation
title_fullStr	A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation
title_full_unstemmed	A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation
title_sort	home-based pulmonary rehabilitation mhealth system to enhance the exercise capacity of patients with copd: development and evaluation
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7f7a500b52bc420291b463b9906603f6
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A home-based pulmonary rehabilitation mHealth system to enhance the exercise capacity of patients with COPD: development and evaluation

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