This study aims to analyze the effectiveness/safety/cost of the Smart Homespital system that provides a service that allows patients with Chronic Obstructive Pulmonary Disease to easily access and use biosignals generated using biosignal collection medical equipment at home.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
198
The Smart Homespital system can be applied for the first 3 months (12 weeks), and then the primary and secondary variables will be evaluated at 3, 6, 9months. While applying the Smart Homespital system, exercise three times a week, measure sleep twice a week, and questionnaire assessments (mMRC, CRQ, EQ-5D, K-CESD) are conducted once every two weeks.
The waiting list-control group will receive general medical services for the first 3 months and will receive a Smart Homespital system for 3-6 months. Primary and secondary variables will be monitored between 3, 6, and 9 months. While applying the Smart Homespital system, exercise three times a week, measure sleep twice a week, and questionnaire assessments (mMRC, CRQ, EQ-5D, K-CESD) are conducted once every two weeks.
Severance Hospital
Seoul, South Korea
RECRUITINGRespiratory symptom questionnaire
For survey scores, success is defined as an increase in the respective defined MCID(the minimal clinically important difference) rises the baseline. 1\) Chronic respiratory questionnaire (CRQ) * Success: 4 points or more 2.)Modified Medical Research Council dyspnea scale (mMRC) * Success: 1points or more 3) EQ-5D * Success: 1 points or more
Time frame: After applying the Smart Homespital system(12weaks)
Depression Questionnaire
K-CESD-R : Survey every 2 weeks during the 12-week Homespital system application, then at 3, 6, and 9 months after the start of the study. * Success Criteria: Achieving 4 points or more. * Success: 4 points or more
Time frame: Survey every 2 weeks during the 12-week Homespital system application, then at 3, 6, and 9 months after the start of the study.
Service satisfaction evaluation
CSQ-8: After 12 weeks of applying the Smart Homespital system. \- Success Criteria: Achieving 4 points or more.
Time frame: After 12 weeks of applying the Smart Homespital system.
safety
* Number of hospital visits directly related to the Smart Home Hospital Program * Success Criteria: Less than 2 hospital visits related to the Smart Homespital program.
Time frame: Measured after the study ends (9 months later).
cost assessment
Criteria: Comparison of average hospital respiratory rehabilitation treatment costs with the Smart Homespital program's costs.
Time frame: After study ends (9 months later)
6 minute walking test
\- Success Criteria: More than a 10% increase over the baseline.
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Time frame: At 3, 6, and 9 months.
pulmonary function test
Success Criteria: Increase in FVC, FEV1, or DLCO by more than 10% at the time of registration.
Time frame: At 3, 6, and 9 months.
system compliance
Criteria: Maintaining a minimum of 5,000 steps/day during the 12-week period of applying the Homespital system.
Time frame: During the 12-week period of applying the Homespital system.