Selfcare MAnagement InteRvenTion in COPD (SMART COPD)

Lund University60 enrolled

Overview

To evaluate whether a digital support and communication platform for COPD patients after 6 months provides: 1. Decreased breathlessness on the basis of modified medical research council dyspnea scale \[mMRC\] 2. Improved health status and symptom relief based on COPD assessment scale \[CAT\] 3. Improved quality of life based on EQ-5D 4. Reduction in the number of incidents, hospital nights, the number of hospitalizations, outpatient contacts or the number of deaths related to COPD 5. A change in the classification of COPD severity based on GOLD A-D

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Copd Assessment, Self Hospitalization

Interventions

LifePodDEVICE

LifePod consists of a Web-based E-Health platform with two interfaces, one medical for healthcare professionals and one patient interface. LifePod is accessed via a smartphone, tablets and computers via a web application where patients enter symptom parameters and vital parameters such as breathing and mucus status, weight, activity, medication or other disease-specific values. Several different validated questionnaires are sent regularly to the patient to obtain information about the patient's mood and activity. The platform contains a chat function between healthcare professionals and patients. A unique health profile is created in which the patient self-reports their health. The patient receives direct feedback in their web application if they are within the interval given for the individual. The medical interfaces are designed so that patients are automatically placed in a priority order where the person outside the given range is given top priority.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: The patient is included in the study in connection with visits to COPD. * Diagnosed COPD J44 (newly discovered or existing) * Have completed the consent form * Is judged to be able to handle the intervention himself or with the help of staff or relatives Exclusion Criteria: Patient who declines to participate in the trial. * Impaired cognitive ability that is judged to affect the ability to conduct the study in the intended manner. * Life expectancy \<8 months * In other ways, treating physicians are deemed to be inappropriate to participate in the study, e.g. due to participation in another study.

Locations (1)

Lund University

Lund, Skåne County, Sweden

Outcomes

Primary Outcomes

Severity of dyspnea on the basis of modified medical research council dyspnea scale [mMRC]

Dyspnea is measured with mMRC from 0-4 where high figure represent dyspnea in minimal exertion

Time frame: 6 months

Change in health status and symptom relief based on COPD assessment scale [CAT]

Health status and symptom is evaluated with COPD assessment scale (CAT) where the scale is from 0-40 and where high score represent worse health status and symptoms

Time frame: 6 months

Change in quality of life

Improved quality of life as measured on visual analogue scale 0-100 where high figure represent best quality of life

Time frame: 6 months

A change in the classification of COPD severity based on GOLD A-D

A change in the classification of COPD severity based on GOLD 1-4 (A-D) where high figure represent worse severity

Time frame: 6 months

Change in patient reported symptoms

Improved patient-reported symptoms as measured by questionnaire EuroQol three-dimensional questionnaire (EQ-5D-3L ) where high score represent worse symptoms. The minimum score is 7 points and the maximum score is 23 points.

Time frame: 6 months

Number of participants with COPD related events and deaths during intervention and up to 12 months after inclusion

Time frame: 12 months

Number of participants with new hospitalization up 12 months after inclusion

Time frame: 12 months

Number of hospital days during intervention and up 12 months after inclusion

Data from ClinicalTrials.gov

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