Feasibility of RESP-FIT: Technology-Enhanced Self-Management Intervention for Adults with COPD.
Feasibility of RESP-FIT: Technology-Enhanced Self-Management Intervention for Adults with COPD.
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DOI：
10.2147/copd.s326675
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发表时间：
2021
影响因子：
2.8
通讯作者：
Strange C
中科院分区：
文献类型：
--
作者：
Miller S;Teufel R 2nd;Nichols M;Davenport P;Mueller M;Silverman E;Madisetti M;Pittman M;Kelechi T;Strange C
慢性阻塞性肺疾病（COPD）与严重的功能性发病相关，包括呼吸困难和疲劳等活动限制症状。自我管理干预措施有助于慢性阻塞性肺病的症状管理，并已被证明可以对生活质量 (QOL) 产生积极的结果并减少入院率。这项随机对照纵向试点研究的目的是评估呼吸健康 (RESP-FIT) + 智能手机气道管理系统 (SAMS) 联合计划的可行性，这是一项为期 6 周的自我管理、技术增强的呼吸肌力量训练 (RMST) 移动健康干预措施。通过评估招募、保留、可接受性、依从性和安全性数据来评估可行性。从 30 名参与者（干预组 15 名，对照组 15 名）在 3 个时间点（基线、6 周和 14 周）收集数据。干预组被要求在一周内定期进行RMST（5次呼吸，每天5次，每周5天）。支持蓝牙的跟踪用于跟踪训练课程。使用描述性统计分析数据。招募按照设备使用情况进行交错，并在 57 周内完成，从基线到干预结束的保留率接近 90%。移动应用程序评级量表分数和访谈数据表明中等满意度。参与者在应用程序中完成了 14,388 项操作。最常用的功能是通过生态瞬时评估 (EMA) 记录日常症状，并在分配给训练课程时跟踪 RMST。使用 EMA 成功捕获了训练日，但发现支持蓝牙的训练跟踪不可行。总体而言，参与者对 RESP-FIT + SAMS 移动健康干预表示满意，并认为其可以接受。 RESP-FIT 是可行的，可以在家庭环境中进行实时 COPD 症状评估，但需要进行额外的工作才能将蓝牙技术集成到平台中。正在进行的研究重点是症状感知的准确性、自我效能以及影响依从行为的瞬时因素。
Chronic obstructive pulmonary disease (COPD) is associated with substantial functional morbidity, including activity-limiting symptoms such as dyspnea and fatigue. Self-management interventions aid in symptomatic management of COPD and have been shown to produce positive outcomes on quality of life (QOL) and reduce hospital admissions. The purpose of this randomized controlled longitudinal pilot study was to assess feasibility of the combined Respiratory Fitness (RESP-FIT) + Smartphone Airway Management System (SAMS) program, a 6-week, self-management, technology-enhanced respiratory muscle strength training (RMST) mHealth intervention. Feasibility was assessed by evaluating recruitment, retention, acceptability, adherence, and safety data. Data were collected from 30 participants (15 in intervention group, 15 in control) at 3 time points (baseline, 6 weeks, and 14 weeks). The intervention group was requested to perform RMST at regular intervals during the week (5 breaths, 5 times a day, 5 days a week). Bluetooth enabled tracking was used to track training sessions. Data were analyzed using descriptive statistics. Recruitment was staggered for device usage and was completed in 57 weeks, with near 90% retention from baseline to end-of-intervention. Mobile application rating scale scores and interview data indicated moderate satisfaction. Participants completed 14,388 actions in the app. The most commonly used features were recording of daily symptoms via ecological momentary assessment (EMA) and tracking RMST if assigned to training sessions. Training days were successfully captured using EMA, but Bluetooth enabled training tracking was found to be not feasible. Overall, participants reported satisfaction with the RESP-FIT + SAMS mHealth intervention and found it acceptable. RESP-FIT is feasible and enables real-time COPD symptom assessment in the home environment, but additional work is needed to integrate Bluetooth technology into the platform. Ongoing investigations focus on the accuracy of symptom perception, self-efficacy, and momentary factors that impact adherence behaviors.