A review of the feasibility of a smartphone application supporting a self- management programme among Chronic Obstructive Pulmonary Disease patients

Title: A review of the feasibility of a smartphone application supporting a self- management programme among Chronic Obstructive Pulmonary Disease patients
Author(s): L Glynn, E Moloney, M Kooblall, A Subramaniam, C McCabe, M Mc Cann
Institution: Tallaght University Hospital. Trinity College, Dublin
Poster: Click to view poster
Category: Asthma and COPD
Abstract: Title: A review of the feasibility of a smartphone application supporting a self- management programme among Chronic Obstructive Pulmonary Disease patients.
L Glynn, E Moloney, M Kooblall, A Subramaniam, C McCabe, M Mc Cann
Respiratory Department, Tallaght University Hospital, Dublin, Ireland.
Trinity College Dublin, Ireland.

Globally chronic obstructive pulmonary disease (COPD) is the most significant chronic respiratory disease that poses a major public health challenge1. It is characterised by chronic decline in lung function with irreversible airflow obstruction with systemic manifestations resulting in rising frequency and severity of exacerbations. COPD has a significant impact on respiratory morbidity and mortality resulting in frequent exacerbations that often require hospital admissions2,3 . Studies have proven that self-management programmes among COPD patients result in improved self -management decisions leading to an improved quality of life4,5.Current advances in smartphones have allowed for opportunities to provide effective health promotion and disease management interventions.
Aim
To evaluate the literature pertaining the use of a smartphone app in supporting a self-management programme among COPD patients.
Methodology

Systematic searches of bibliographic databases such as MEDLINE, CINAHL, AMED, CENTRAL and PubMed pertaining to smartphone apps relating to self-management programmes used in COPD patients.
Inclusion criteria consisted of relating too;

Initial search generated 1709 articles, after screening of articles and reference lists, seven studies met the inclusion criteria for this review.


The existing literature indicates that the use of a smartphone app supporting a self-management programme is feasible in people with COPD. People who received smart technology showed greater improvement in clinical health outcomes such as increased self-care behaviour, health related quality of life and increased physical activity up to nine months in comparison to standard respiratory care.

Conclusion:

Although, current literature on the role of smartphones in supporting a self-management programme is limited findings from this review suggest that a smartphone app self-management programme is feasible among people with COPD. Further research is required with adequately powered sample sizes that focuses on outcomes relevant to different stages of COPD
References:
1. Jennings S. (2014) Preventing Chronic Disease: Defining the Problem. Report from the Prevention of Chronic Disease Programme. Health Service Executive, Dublin.
2. Global Initiative for Chronic Obstructive Lung Disease (GOLD) (2020) From the Global Strategy for the Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease. Retrieved from http://www.goldcopd.org on 10th March 2020.
3. Irish Thoracic Society (ITS) (2018) Respiratory Health of the Nation. The Irish Thoracic Society, Dublin.
4. Park K. S., Bang H. C., Lee H. S. (2020) Evaluating the effect of a smartphone app-based self-management program for people with COPD: A randomized control trial. Applied Nursing Research 52,151-231.
5. Newham J. J., Presseau J., Heslop-Marshall K., Russel S., Ogunbayo O. J., Netts P. & Kaner E. (2017) Features of a self- management interventions for people with COPD associated with improved health-related quality of life and reduced emergency department visits: A systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease 12, 1705-1720.