PMID- 34809614
OWN - NLM
STAT- MEDLINE
DCOM- 20220124
LR  - 20240404
IS  - 1472-6947 (Electronic)
IS  - 1472-6947 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Nov 22
TI  - A home-based pulmonary rehabilitation mHealth system to enhance the exercise 
      capacity of patients with COPD: development and evaluation.
PG  - 325
LID - 10.1186/s12911-021-01694-5 [doi]
LID - 325
AB  - 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.
CI  - (c) 2021. The Author(s).
FAU - Deng, Ning
AU  - Deng N
AD  - College of Biomedical Engineering and Instrument Science, Ministry of Education 
      Key Laboratory of Biomedical Engineering, Zhejiang University, Hangzhou, China.
AD  - Alibaba-Zhejiang University Joint Research Center of Future Digital Healthcare, 
      Hangzhou, China.
FAU - Sheng, Leiyi
AU  - Sheng L
AD  - College of Biomedical Engineering and Instrument Science, Ministry of Education 
      Key Laboratory of Biomedical Engineering, Zhejiang University, Hangzhou, China.
FAU - Jiang, Wangshu
AU  - Jiang W
AD  - College of Biomedical Engineering and Instrument Science, Ministry of Education 
      Key Laboratory of Biomedical Engineering, Zhejiang University, Hangzhou, China.
FAU - Hao, Yongfa
AU  - Hao Y
AD  - Department of Pulmonary and Critical Care Medicine, General Hospital of Ningxia 
      Medical University, Yinchuan, 750004, Ningxia, China.
FAU - Wei, Shuoshuo
AU  - Wei S
AD  - Department of Pulmonary and Critical Care Medicine, General Hospital of Ningxia 
      Medical University, Yinchuan, 750004, Ningxia, China.
FAU - Wang, Bei
AU  - Wang B
AD  - Department of Pulmonary and Critical Care Medicine, General Hospital of Ningxia 
      Medical University, Yinchuan, 750004, Ningxia, China.
FAU - Duan, Huilong
AU  - Duan H
AD  - College of Biomedical Engineering and Instrument Science, Ministry of Education 
      Key Laboratory of Biomedical Engineering, Zhejiang University, Hangzhou, China.
FAU - Chen, Juan
AU  - Chen J
AD  - Department of Pulmonary and Critical Care Medicine, General Hospital of Ningxia 
      Medical University, Yinchuan, 750004, Ningxia, China. chenjuan7419@163.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20211122
PL  - England
TA  - BMC Med Inform Decis Mak
JT  - BMC medical informatics and decision making
JID - 101088682
SB  - IM
MH  - Exercise Tolerance
MH  - Humans
MH  - *Pulmonary Disease, Chronic Obstructive/therapy
MH  - Quality of Life
MH  - *Telemedicine
MH  - Walk Test
PMC - PMC8607968
OTO - NOTNLM
OT  - Behavior change wheel
OT  - COPD
OT  - Pulmonary rehabilitation
OT  - mHealth
COIS- The authors declare that they have no competing interests.
EDAT- 2021/11/24 06:00
MHDA- 2022/01/27 06:00
PMCR- 2021/11/22
CRDT- 2021/11/23 05:34
PHST- 2021/06/07 00:00 [received]
PHST- 2021/11/16 00:00 [accepted]
PHST- 2021/11/23 05:34 [entrez]
PHST- 2021/11/24 06:00 [pubmed]
PHST- 2022/01/27 06:00 [medline]
PHST- 2021/11/22 00:00 [pmc-release]
AID - 10.1186/s12911-021-01694-5 [pii]
AID - 1694 [pii]
AID - 10.1186/s12911-021-01694-5 [doi]
PST - epublish
SO  - BMC Med Inform Decis Mak. 2021 Nov 22;21(1):325. doi: 10.1186/s12911-021-01694-5.