Remote Health Monitoring (RHM) is the assessment of one's own symptoms at home between doctor visits, using things like at-home breathing tests, electronic diaries to answer questionnaires, and other monitoring devices. The hypothesis of this study is that the health and quality of life of people with COPD who do RHM for one year will be better than people with COPD who do not do RHM. Subjects who are at least 40 years old, have been diagnosed with chronic obstructive pulmonary disease (COPD), also known as chronic bronchitis or emphysema, and are current or former smokers will be invited to participate. This study is paid for by eResearch Technology (eRT). Subjects will complete 2 visits at UCLA, separated by one year of RHM. All subjects will participate in RHM. RHM will involve daily monitoring at home using a few electronic devices: blood oxygen levels, symptoms, medication use, breathing tests, and activity monitoring. Visits will include physical exam and medical history, ECG, questionnaires, breathing tests, and exercise tests.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
17
1 year of remote health monitoring of symptoms, medication use, breathing tests, physical activity, and healthcare utilization.
UCLA David Geffen School of Medicine
Los Angeles, California, United States
Compliance with daily RHM
Compliance with daily RHM as a percentage of study days
Time frame: 1 year
Integrity of spirometric data
Integrity of the spirometric data in terms of the standard American Thoracic Society and European Respiratory Society criteria for acceptability and repeatability.
Time frame: 1 year
Rate of adoption of RHM
Time it takes for subjects to become compliant with daily RHM
Time frame: 1 year
Treatment adherence
Treatment adherence in terms of percentage of days prescribed treatment\* is taken (\* treatment separate from study, prescribed by personal physician)
Time frame: 1 year
Time to first COPD exacerbation
Time to first COPD exacerbation as defined by standard criteria.
Time frame: 1 year
Number of COPD exacerbations per year
Time frame: 1 year
Proportion of subjects experiencing one or more exacerbations
Time frame: 1 year
Mean daily FEV1
Time frame: 1 year
Mean daily IC
Time frame: 1 year
Mean daily activity level
Time frame: 1 year
Mean daily SpO2
Time frame: 1 year
Daily symptom scores
Time frame: 1 year
Number of physician visits
Time frame: 1 year
Number of emergency department visits
Time frame: 1 year
Number of hospitalizations
Time frame: 1 year
Number of days spent in hospital
Time frame: 1 year
Health care costs
Inferred health care costs using a standard cost framework model
Time frame: 1 year
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