Comprehensive Health Informatics Engagement Framework for Pulmonary Rehab

以前的研究明确确立了慢性肺功能不全患者肺康复的临床益处。 阻塞性肺疾病（COPD），但肺康复（PR）的吸收和完成率 这些患者的治疗受到多重障碍的限制。我们开发了一个综合健康信息学 肺康复参与框架（CHIEF-PR），为患者转诊提供便利， 采用创新的多管齐下的方法促进肺康复计划的依从性。它 包括以电脑为媒介的病人辅导，以增加病人参与公关计划的动力， 通过远程康复系统对PR进行持续的家庭支持，该系统监测患者的进展， 由临床公关团队远程监督。该项目的目标是系统地评估 肺康复综合健康信息学参与框架（CHIEF-PR） 随机对照试验。我们的主要假设是，CHIEF-PR将导致显着更高的发病率， 完成全面的肺康复计划。我们将在4年内招募120名COPD患者 将COPD急性加重期患者纳入随机对照试验，并随访12个月。患者 将被随机分配到干预组（CHIEF-PR）和对照组（现有最佳护理标准）。 主要结局将是3个月综合PR计划的完成率。次要结局将 包括相关临床和患者报告参数。

Previous studies clearly established clinical benefits of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) however uptake and completion rate of pulmonary rehabilitation (PR) programs by these patients is limited by multiple barriers. We developed a t Comprehensive Health Informatics Engagement Framework for Pulmonary Rehabilitation (CHIEF-PR) which facilities patient referral and promoted adherence with pulmonary rehabilitation program using innovative multi-pronged approach. It includes computer-mediated patient counseling to increase patient motivation in joining PR program followed by ongoing home-based support of PR by a telerehabilitation system that monitors patients' progress and allows remote oversight by clinical PR team. The goal of this project to systematically evaluate impact of Comprehensive Health Informatics Engagement Framework for Pulmonary Rehabilitation (CHIEF-PR) in a randomized controlled trial. Our main hypothesis is that CHIEF-PR will result in significantly higher rates of completion of a comprehensive pulmonary rehabilitation program. We will enroll 120 COPD patients within 4 weeks of acute exacerbation of COPD into randomized controlled trial and follow them for 12 months. Patients will be randomly assigned to intervention (CHIEF-PR) and control (best available standard of care) groups. Primary outcome will be completion rate of comprehensive 3-month PR program. Secondary outcomes will include relevant clinical and patient-reported parameters.