Development, Implementation, And Evaluation of An Informatics Platform for Home Based Self- Management of Chronic Obstructive Pulmonary Disease: A Study Protocol

Ashwani Verma; Ashok Behera; KM Monirul Islam; Ashish Joshi

doi:10.55489/njcm.140720232982

Authors

Ashwani Verma School of Pharmaceutical & Populations Health Informatics, DIT University, Dehradun, India https://orcid.org/0000-0001-6818-1723
Ashok Behera School of Pharmaceutical & Populations Health Informatics, DIT University, Dehradun, India
KM Monirul Islam Medical College of Georgia, Augusta University, Augusta, Georgia, USA
Ashish Joshi School of Public Health, University of Memphis, USA

DOI:

https://doi.org/10.55489/njcm.140720232982

Keywords:

COPD, health informatics, Protocol, chronic respiratory disease, evaluation

Abstract

Background: The burden of chronic obstructive pulmonary disease to patients, their caretakers, and health system is gradually increasing and is associated with the morbidity, mortality, disability adjusted life years and higher costs. Self-management of COPD is a vital strategy for its management. This study aims to develop, implement, and evaluate an informatics platform for the home-based self-management of Chronic Obstructive Pulmonary Disease.

Method: A systematic review will be conducted to synthesize and appraise the evidence on self-management informatics tool or platform for COPD. An evidence-based COPD self-management application will be developed and implemented to 35 COPD patients at identified hospitals of New Delhi using prospective non-randomized study. A mixed methods study will be conducted to evaluate the effectiveness of this informatics platform at selected hospitals of Delhi. Outcomes will be measured in terms of self-management for COPD related exacerbations, number of health care facility admissions for COPD and hospitalization days, adherence to the informatics platform, number of exacerbations requiring hospital visits, health related quality of life.

Conclusion: The development and evaluation of home-based self-management of informatics platform for COPD would be an innovative strategy for the COPD patients in India.

References

Celli B, Fabbri L, Criner G, Martinez FJ, Mannino D, Vogelmeier C, et al. Definition and Nomenclature of Chronic Obstructive Pulmonary Disease: Time for Its Revision. Am J Respir Crit Care Med. 2022 Dec 1;206(11):1317-25. Doi: https://doi.org/10.1164/rccm.202204-0671PP PMid:35914087 PMCid:PMC9746870

Global Inititave for Chronic Obstructive Lung Disease. Global Strategy for Prevention, Diagnosis and Management of COPD: 2023 Report [Internet]. 2023. Available from: https://goldcopd.org/2023-gold-report-2/

Verma A, Gudi N, Yadav UN, Roy MP, Mahmood A, Nagaraja R, et al. Prevalence of COPD among population above 30 years in India: A systematic review and meta-analysis. J Glob Health. 2021 Aug 21;11:04038. Doi: https://doi.org/10.7189/jogh.11.04038 PMid:34484706 PMCid:PMC8397327

Salvi S, Kumar GA, Dhaliwal RS, Paulson K, Agrawal A, Koul PA, et al. The burden of chronic respiratory diseases and their heterogeneity across the states of India: the Global Burden of Disease Study 1990-2016. Lancet Glob Health. 2018 Dec;6(12):e1363-74. Doi: https://doi.org/10.1016/S2214-109X(18)30409-1 PMid:30219316

Daniel R, Aggarwal P, Kalaivani M, Gupta S. Prevalence of chronic obstructive pulmonary disease in India: A systematic review and meta-analysis. Lung India. 2021;38(6):506. Doi: https://doi.org/10.4103/lungindia.lungindia_159_21 PMid:34747730 PMCid:PMC8614617

Indian Council of Medical Researh, Public Health Foundation of India, Institue for Health Metrics and Evaluation. India: Health of the Nation's States- The India State-Level Disease Burden Initiative. New Delhi: ICMR, PHFI, and IHME; 2017.

Madas S, Londhe J, Mudliar K, Powar K, Dhadge N, Gaikwad S, et al. What are the Direct and Indirect costs of COPD in India? 0601 - Epidemiol. 2022 Sep 4;3373. Doi: https://doi.org/10.1183/13993003.congress-2022.3373

Effing TW, Vercoulen JH, Bourbeau J, Trappenburg J, Lenferink A, Cafarella P, et al. Definition of a COPD self-management in-tervention: International Expert Group consensus. Eur Respir J. 2016 Jul;48(1):46-54. Doi: https://doi.org/10.1183/13993003.00025-2016 PMid:27076595

Watson A, Wilkinson TMA. Digital healthcare in COPD man-agement: a narrative review on the advantages, pitfalls, and need for further research. Ther Adv Respir Dis. 2022 Jan;16:175346662210754. Doi: https://doi.org/10.1177/17534666221075493 PMid:35234090 PMCid:PMC8894614

Bourbeau J. Reduction of Hospital Utilization in Patients With Chronic Obstructive Pulmonary DiseaseA Disease-Specific Self-management Intervention. Arch Intern Med. 2003 Mar 10;163(5):585. Doi: https://doi.org/10.1001/archinte.163.5.585 PMid:12622605

Moy ML, Martinez CH, Kadri R, Roman P, Holleman RG, Kim HM, et al. Long-Term Effects of an Internet-Mediated Pedome-ter-Based Walking Program for Chronic Obstructive Pulmo-nary Disease: Randomized Controlled Trial. J Med Internet Res. 2016 Aug 8;18(8):e215. Doi: https://doi.org/10.2196/jmir.5622 PMid:27502583 PMCid:PMC4993862

Tabak M, Vollenbroek-Hutten MM, van der Valk PD, van der Palen J, Hermens HJ. A telerehabilitation intervention for pa-tients with Chronic Obstructive Pulmonary Disease: a ran-domized controlled pilot trial. Clin Rehabil. 2014;28(6):582-91. Doi: https://doi.org/10.1177/0269215513512495 PMid:24293120

Kessler R, Casan-Clara P, Koehler D, Tognella S, Viejo JL, Dal Negro RW, et al. COMET: a multicomponent home-based dis-ease-management programme versus routine care in severe COPD. Eur Respir J. 2018 Jan;51(1):1701612. Doi: https://doi.org/10.1183/13993003.01612-2017 PMid:29326333

Voncken-Brewster V, Tange H, de Vries H, Nagykaldi Z, Winkens B, van der Weijden T. A randomized controlled trial evaluating the effectiveness of a web-based, computer-tailored self-management intervention for people with or at risk for COPD. Int J Chron Obstruct Pulmon Dis. 2015 Jun;1061. Doi: https://doi.org/10.2147/COPD.S81295 PMid:26089656 PMCid:PMC4467652

Hossain MM, Tasnim S, Sharma R, Sultana A, Shaik AF, Faizah F, et al. Digital interventions for people living with non-communicable diseases in India: A systematic review of in-tervention studies and recommendations for future research and development. Digit Health. 2019 Jan;5:205520761989615. Doi: https://doi.org/10.1177/2055207619896153 PMid:31897307 PMCid:PMC6920343

Horie J, Murata S, Hayashi S, Murata J, Miyazaki J, Mizota K, et al. Factors That Delay COPD Detection in the General Elderly Population. Respir Care. 2011 Aug;56(8):1143-50. Doi: https://doi.org/10.4187/respcare.01109 PMid:21496370

Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009 Jul 21;6(7):e1000097. Doi: https://doi.org/10.1371/journal.pmed.1000097 PMid:19621072 PMCid:PMC2707599

Wan ES, Kantorowski A, Polak M, Kadri R, Richardson CR, Gagnon DR, et al. Long-term effects of web-based pedometer-mediated intervention on COPD exacerbations. Respir Med. 2020 Feb;162:105878. Doi: https://doi.org/10.1016/j.rmed.2020.105878 PMid:32056676 PMCid:PMC7269114

GSK. The COPD Assessment Test (CAT). Available from: https://www.catestonline.org/hcp-homepage/research.html

van der Molen T, Willemse BW, Schokker S, ten Hacken NH, Postma DS, Juniper EF. Development, validity and respon-siveness of the Clinical COPD Questionnaire. Health Qual Life Outcomes. 2003;1(1):13. Doi: https://doi.org/10.1186/1477-7525-1-13 PMid:12773199 PMCid:PMC156640

American Thoracic Society. St. George's Respiratory Ques-tionnaire (SGRQ). Available from: https://www.thoracic.org/me-mbers/assemblies/assemblies/srn/questionaires/sgrq.php

Dennis E. Doherty, Mark H Belfer, Stephen A Brunton, Leon-ard Fromer. Chronic obstructive pulmonary disease: consen-sus recommendations for early diagnosis and treatment. J Fam Pract 2006; 55(11):S1-S8

Casanova C, Cote CG, Marin JM, de Torres JP, Aguirre-Jaime A, Mendez R, et al. The 6-min walking distance: long-term follow up in patients with COPD. Eur Respir J. 2007 Mar 1;29(3):535-40. Doi: https://doi.org/10.1183/09031936.00071506 PMid:17107991

Lovibond SH, Lovibond PF. Depression Anxiety Stress Scales [Internet]. American Psychological Association; 2011 [cited 2023 Jun 5]. Doi: https://doi.org/10.1037/t01004-000

The World Bank. Mobile Penetration [Internet]. Available from: https://databank.worldbank.org/Mobile-penetration-/id/5494af8e