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Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Respir+Res 2021 ; 22 (1): 88 Nephropedia Template TP
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English Wikipedia
The impact of the involvement of a healthcare professional on the usage of an eHealth platform: a retrospective observational COPD study #MMPMID33743686
van Zelst CM; Kasteleyn MJ; van Noort EMJ; Rutten-van Molken MPMH; Braunstahl GJ; Chavannes NH; In 't Veen JCCM
Respir Res 2021[Mar]; 22 (1): 88 PMID33743686show ga
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.
|Aged[MESH]
|COVID-19/epidemiology/*psychology/therapy[MESH]
|Cohort Studies[MESH]
|Female[MESH]
|Health Personnel/*psychology[MESH]
|Humans[MESH]
|Male[MESH]
|Middle Aged[MESH]
|Patient Acceptance of Health Care/*psychology[MESH]