Cookies?
Library Header Image
LSE Research Online LSE Library Services

A RCT of telehealth for COPD patient's quality of life: the whole system demonstrator evaluation

Rixon, Lorna, Hirani, Shashivadan P., Cartwright, Martin, Beynon, Michelle, Doll, Helen, Steventon, Adam, Henderson, Catherine and Newman, Stanton P. (2015) A RCT of telehealth for COPD patient's quality of life: the whole system demonstrator evaluation. Clinical Respiratory Journal. ISSN 1752-6981

[img] Text - Published Version
Download (410kB)
Identification Number: 10.1111/crj.12359

Abstract

Introduction/Objectives: Despite some concerns that the introduction of telehealth (TH) may lead to reductions in quality of life (QoL), lower mood and increased anxiety in response to using assistive technologies to reduce health care utilisation and manage long term conditions, this research focuses on the extent to which providing people with tools to monitor their condition can improve QoL. Methods: The Chronic Obstructive Pulmonary Disease (COPD) cohort of the Whole Systems Demonstrator Trial is a pragmatic General Practitioner (GP) clustered randomised controlled trial (RCT) evaluating TH in the UK from three regions in England. All patients at a participating GP practice were deemed eligible for inclusion in the study if they were diagnosed with COPD. Results: 447 participants completed baseline and either a short (4 months) or long term (12 months) follow-up. There was a trend of improved QoL and mood in the TH group at longer-term follow-up, but not short term follow-up. Emotional functioning (g= 0.280 95%CI, 0.051-0.510) and mastery reached (g= 2.979 95%CI, 0-0.46) significance at P<0.05 (all Hedges g <0.3). Conclusions: TH showed minimal benefit to QoL in COPD patients who were not preselected to be at increased risk of acute exacerbations. Benefits were more likely in disease specific measures at longer term follow-up. TH is a complex intervention and should be embedded in a service that is evidenced based. Outcome measures must be sensitive enough to detect changes in the target population for the specific intervention.

Item Type: Article
Official URL: http://onlinelibrary.wiley.com/journal/10.1111/(IS...
Additional Information: © 2015 John Wiley & Sons
Divisions: Personal Social Services Research Unit
Subjects: R Medicine > RA Public aspects of medicine
Sets: Research centres and groups > Personal Social Services Research Unit (PSSRU)
Date Deposited: 19 Oct 2015 12:00
Last Modified: 20 Jul 2019 02:03
URI: http://eprints.lse.ac.uk/id/eprint/64043

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics