Cathelijne M van Zelst1,2, Marise J Kasteleyn3,4,5, Esther M J van Noort3, Maureen P M H Rutten-van Molken6, Gert-Jan Braunstahl7,8, Niels H Chavannes3,4, Johannes C C M In 't Veen7. 1. Department of Pulmonology, Franciscus Gasthuis en Vlietland, Kleiweg 500, Rotterdam, 3045 PM, The Netherlands. c.zelst@franciscus.nl. 2. Department of Pulmonology, Erasmus Medical Center, Rotterdam, The Netherlands. c.zelst@franciscus.nl. 3. Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands. 4. National eHealth Living Lab, Leiden University Medical Center, Leiden, The Netherlands. 5. Department of Pulmonology, Leiden University Medical Center, Leiden, The Netherlands. 6. Erasmus School of Health Policy & Management, Erasmus University, Rotterdam, The Netherlands. 7. Department of Pulmonology, Franciscus Gasthuis en Vlietland, Kleiweg 500, Rotterdam, 3045 PM, The Netherlands. 8. Department of Pulmonology, Erasmus Medical Center, Rotterdam, The Netherlands.
Abstract
BACKGROUND: Ehealth platforms, since the outbreak of COVID-19 more important than ever, can support self-management in patients with Chronic Obstructive Pulmonary Disease (COPD). The aim of this observational study is to explore the impact of healthcare professional involvement on the adherence of patients to an eHealth platform. We evaluated the usage of an eHealth platform by patients who used the platform individually compared with patients in a blended setting, where healthcare professionals were involved. METHODS: In this observational cohort study, log data from September 2011 until January 2018 were extracted from the eHealth platform Curavista. Patients with COPD who completed at least one Clinical COPD Questionnaire (CCQ) were included for analyses (n = 299). In 57% (n = 171) of the patients, the eHealth platform was used in a blended setting, either in hospital (n = 128) or primary care (n = 29). To compare usage of the platform between patients who used the platform independently or with a healthcare professional, we applied propensity score matching and performed adjusted Poisson regression analysis on CCQ-submission rate. RESULTS: Using the eHealth platform in a blended setting was associated with a 3.25 higher CCQ-submission rate compared to patients using the eHealth platform independently. Within the blended setting, the CCQ-submission rate was 1.83 higher in the hospital care group than in the primary care group. CONCLUSION: It is shown that COPD patients used the platform more frequently in a blended care setting compared to patients who used the eHealth platform independently, adjusted for age, sex and disease burden. Blended care seems essential for adherence to eHealth programs in COPD, which in turn may improve self-management.
BACKGROUND: Ehealth platforms, since the outbreak of COVID-19 more important than ever, can support self-management in patients with Chronic Obstructive Pulmonary Disease (COPD). The aim of this observational study is to explore the impact of healthcare professional involvement on the adherence of patients to an eHealth platform. We evaluated the usage of an eHealth platform by patients who used the platform individually compared with patients in a blended setting, where healthcare professionals were involved. METHODS: In this observational cohort study, log data from September 2011 until January 2018 were extracted from the eHealth platform Curavista. Patients with COPD who completed at least one Clinical COPD Questionnaire (CCQ) were included for analyses (n = 299). In 57% (n = 171) of the patients, the eHealth platform was used in a blended setting, either in hospital (n = 128) or primary care (n = 29). To compare usage of the platform between patients who used the platform independently or with a healthcare professional, we applied propensity score matching and performed adjusted Poisson regression analysis on CCQ-submission rate. RESULTS: Using the eHealth platform in a blended setting was associated with a 3.25 higher CCQ-submission rate compared to patients using the eHealth platform independently. Within the blended setting, the CCQ-submission rate was 1.83 higher in the hospital care group than in the primary care group. CONCLUSION: It is shown that COPDpatients used the platform more frequently in a blended care setting compared to patients who used the eHealth platform independently, adjusted for age, sex and disease burden. Blended care seems essential for adherence to eHealth programs in COPD, which in turn may improve self-management.
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Authors: Cynthia Hallensleben; Sanne van Luenen; Emiel Rolink; Hans C Ossebaard; Niels H Chavannes Journal: Int J Chron Obstruct Pulmon Dis Date: 2019-07-26
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Authors: Geertje M de Boer; T H Mennema; Esther van Noort; Niels H Chavannes; Erwin Birnie; Johannes C C M In 't Veen Journal: ERJ Open Res Date: 2018-06-11