Comprehensive Health Informatics Engagement Framework for Pulmonary Rehab

先前的研究清楚地证实了肺康复对慢性阻塞性肺疾病患者的临床益处 然而，阻塞性肺疾病(COPD)对肺康复(PR)的摄取和完成率 这些患者的计划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(首席公关)，方便患者转介和 通过创新的多管齐下的方法促进对肺康复计划的遵守。它 包括以电脑为媒介的患者咨询，以增加患者参与后续公关计划的动机 通过远程康复系统持续以家庭为基础支持PR，该系统监控患者的进展并允许 临床公关团队的远程监督。该项目的目标是系统地评估 肺康复综合卫生信息学参与框架(HEAD-PR) 随机对照试验。我们的主要假设是，首席公关将导致显著更高的 完成全面的肺康复计划。我们将在4年内招收120名COPD患者 COPD急性加重数周纳入随机对照试验，随访12个月。病人 将被随机分配到干预组(首席公关)和对照组(最佳可用护理标准)。 主要结果将是为期3个月的全面公关计划的完成率。次要结果将是 包括相关的临床和患者报告的参数。

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.