College of Biomedical Engineering and Instrument Science, Ministry of Education Key Laboratory of Biomedical Engineering, Zhejiang University, Hangzhou, China.
Alibaba-Zhejiang University Joint Research Center of Future Digital Healthcare, Hangzhou, China.
BMC Med Inform Decis Mak. 2021 Nov 22;21(1):325. doi: 10.1186/s12911-021-01694-5.
BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) experience deficits in exercise capacity and physical activity as their disease progresses. Pulmonary rehabilitation (PR) can enhance exercise capacity of patients and it is crucial for patients to maintain a lifestyle which is long-term physically active. This study aimed to develop a home-based rehabilitation mHealth system incorporating behavior change techniques (BCTs) for COPD patients, and evaluate its technology acceptance and feasibility. METHODS: Guided by the medical research council (MRC) framework the process of this study was divided into four steps. In the first step, the prescription was constructed. The second step was to formulate specific intervention functions based on the behavior change wheel theory. Subsequently, in the third step we conducted iterative system development. And in the last step two pilot studies were performed, the first was for the improvement of system functions and the second was to explore potential clinical benefits and validate the acceptance and usability of the system. RESULTS: A total of 17 participants were enrolled, among them 12 COPD participants completed the 12-week study. For the clinical outcomes, Six-Minute Walk Test (6MWT) showed significant difference (P = .023) over time with an improvement exceeded the minimal clinically important difference (MCID). Change in respiratory symptom (CAT score) was statistically different (P = .031) with a greater decrease of - 3. The mMRC levels reduced overall and showed significant difference. The overall compliance of this study reached 82.20% (± 1.68%). The results of questionnaire and interviews indicated good technology acceptance and functional usability. The participants were satisfied with the mHealth-based intervention. CONCLUSIONS: This study developed a home-based PR mHealth system for COPD patients. We showed that the home-based PR mHealth system incorporating BCTs is a feasible and acceptable intervention for COPD patients, and COPD patients can benefit from the intervention delivered by the system. The proposed system played an important auxiliary role in offering exercise prescription according to the characteristics of patients. It provided means and tools for further individuation of exercise prescription in the future.
背景：随着慢性阻塞性肺疾病（COPD）的发展，患者的运动能力和身体活动能力会出现下降。肺康复（PR）可以提高患者的运动能力，对于患者来说，保持长期积极的生活方式至关重要。本研究旨在为 COPD 患者开发一种基于家庭的康复移动医疗系统，结合行为改变技术（BCT），并评估其技术接受度和可行性。
方法：本研究遵循医学研究委员会（MRC）框架，分为四个步骤。第一步，制定处方。第二步，根据行为改变轮理论制定具体的干预功能。随后，在第三步中，我们进行了迭代系统开发。最后，进行了两项试点研究，第一项是为了改进系统功能，第二项是为了探索潜在的临床益处，并验证系统的接受度和可用性。
结果：共纳入 17 名参与者，其中 12 名 COPD 患者完成了 12 周的研究。在临床结果方面，六分钟步行测试（6MWT）显示时间上有显著差异（P=0.023），且改善程度超过了最小临床重要差异（MCID）。呼吸症状（CAT 评分）的变化有统计学意义（P=0.031），下降幅度更大，为-3。mMRC 水平总体下降，且差异显著。本研究的总体依从率达到 82.20%（±1.68%）。问卷调查和访谈结果表明，该系统具有良好的技术接受度和功能可用性。患者对移动医疗干预非常满意。
结论：本研究开发了一种基于家庭的 COPD 患者肺康复移动医疗系统。我们表明，基于家庭的结合 BCT 的 PR 移动医疗系统是一种对 COPD 患者可行且可接受的干预措施，患者可以从系统提供的干预中受益。该系统根据患者的特点提供运动处方，发挥了重要的辅助作用。它为未来进一步个体化运动处方提供了手段和工具。
BMC Med Inform Decis Mak. 2021-11-22
Cochrane Database Syst Rev. 2023-1-6
Int J Chron Obstruct Pulmon Dis. 2016-8-25
Rambam Maimonides Med J. 2025-4-29
Int J Chron Obstruct Pulmon Dis. 2025-3-5
J Health Popul Nutr. 2025-1-18
BMC Med Inform Decis Mak. 2025-1-10
Int J Chron Obstruct Pulmon Dis. 2020-9-15
Respirology. 2019-4-30
Respirology. 2019-3-13
Zotero 插件
