Evaluating a Web-Based Coaching Program Using Electronic Health Records for Patients With Chronic Obstructive Pulmonary Disease in China: Randomized Controlled Trial
Chronic obstructive pulmonary disease (COPD) is now the fourth leading cause of death in the world, and it continues to increase in developing countries. The World Health Organization expects COPD to be the third most common cause of death in the world by 2020. Effective and continuous postdischarge...
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| Veröffentlicht in: | Journal of medical Internet research 2017-07, Vol.19 (7), p.e264-e264 |
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| creator | Wang, Lan He, Lin Tao, Yanxia Sun, Li Zheng, Hong Zheng, Yashu Shen, Yuehao Liu, Suyan Zhao, Yue Wang, Yaogang |
| description | Chronic obstructive pulmonary disease (COPD) is now the fourth leading cause of death in the world, and it continues to increase in developing countries. The World Health Organization expects COPD to be the third most common cause of death in the world by 2020. Effective and continuous postdischarge care can help patients to maintain good health. The use of electronic health records (EHRs) as an element of community health care is new technology in China.
The aim of this study was to develop and evaluate a Web-based coaching program using EHRs for physical function and health-related quality of life for patients with COPD in China.
A randomized controlled trial was conducted from 2008 to 2015 at two hospitals. The control group received routine care and the intervention group received routine care with the addition of the Web-based coaching program using EHRs. These were used to manage patients' demographic and clinical variables, publish relevant information, and have communication between patients and health care providers. Participants were not blinded to group assignment. The effects of the intervention were evaluated by lung function, including percent of forced expiratory volume in 1 second (FEV1%), percent of forced vital capacity (FVC%), peak expiratory flow (PEF), maximum midexpiratory flow; St George's Respiratory Questionnaire (SGRQ); Modified Medical Research Council Dyspnea Scale (MMRC); and 6-Minute Walk Test (6MWT). Data were collected before the program, and at 1, 3, 6, and 12 months after the program.
Of the 130 participants, 120 (92.3%) completed the 12-month follow-up program. There were statistically significant differences in lung function (FEV1%: F1,4=5.47, P=.002; FVC%: F1,4=3.06, P=.02; PEF: F1,4=12.49, P |
| doi_str_mv | 10.2196/jmir.6743 |
| format | Article |
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The aim of this study was to develop and evaluate a Web-based coaching program using EHRs for physical function and health-related quality of life for patients with COPD in China.
A randomized controlled trial was conducted from 2008 to 2015 at two hospitals. The control group received routine care and the intervention group received routine care with the addition of the Web-based coaching program using EHRs. These were used to manage patients' demographic and clinical variables, publish relevant information, and have communication between patients and health care providers. Participants were not blinded to group assignment. The effects of the intervention were evaluated by lung function, including percent of forced expiratory volume in 1 second (FEV1%), percent of forced vital capacity (FVC%), peak expiratory flow (PEF), maximum midexpiratory flow; St George's Respiratory Questionnaire (SGRQ); Modified Medical Research Council Dyspnea Scale (MMRC); and 6-Minute Walk Test (6MWT). Data were collected before the program, and at 1, 3, 6, and 12 months after the program.
Of the 130 participants, 120 (92.3%) completed the 12-month follow-up program. There were statistically significant differences in lung function (FEV1%: F1,4=5.47, P=.002; FVC%: F1,4=3.06, P=.02; PEF: F1,4=12.49, P<.001), the total score of SGRQ (F1,4=23.30, P<.001), symptoms of SGRQ (F1,4=12.38, P<.001), the activity of SGRQ (F1,4=8.35, P<.001), the impact of SGRQ (F1,4=12.26, P<.001), MMRC (F1,4=47.94, P<.001), and 6MWT (F1,4=35.54, P<.001) between the two groups with the variation of time tendency.
The Web-based coaching program using EHRs in China appears to be useful for patients with COPD when they are discharged from hospital into the community. It promotes the sharing of patients' medical information by hospital and community nurses, and achieves dynamic management and follow-up analysis for patients' disease. In addition, this program can postpone the decreasing rate of lung function, improve quality of life, decrease dyspnea, and increase physical capacity.]]></description><identifier>ISSN: 1438-8871</identifier><identifier>ISSN: 1439-4456</identifier><identifier>EISSN: 1438-8871</identifier><identifier>DOI: 10.2196/jmir.6743</identifier><identifier>PMID: 28733270</identifier><language>eng</language><publisher>Canada: Gunther Eysenbach MD MPH, Associate Professor</publisher><subject>Aged ; China ; Chronic obstructive pulmonary disease ; Clinical information ; Clinical trials ; Clinical variables ; Coaching ; Community health care ; Community Health Services - methods ; Community nurses ; Computerized medical records ; Death & dying ; Developing countries ; Directive Counseling - methods ; Dyspnea ; Dyspnea - complications ; Dyspnea - prevention & control ; Electronic Health Records ; Female ; Forced Expiratory Volume ; Health Care Surveys ; Health education ; Health information ; Health records ; Health status ; Hospital discharged ; Humans ; Internet ; Intervention ; LDCs ; Male ; Medical personnel ; Medical research ; Medical technology ; New technology ; Nurses ; Original Paper ; Patients ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - therapy ; Quality of Life</subject><ispartof>Journal of medical Internet research, 2017-07, Vol.19 (7), p.e264-e264</ispartof><rights>Lan Wang, Lin He, Yanxia Tao, Li Sun, Hong Zheng, Yashu Zheng, Yuehao Shen, Suyan Liu, Yue Zhao, Yaogang Wang. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 21.07.2017.</rights><rights>Copyright Gunther Eysenbach MD MPH, Associate Professor Jul 2017</rights><rights>Lan Wang, Lin He, Yanxia Tao, Li Sun, Hong Zheng, Yashu Zheng, Yuehao Shen, Suyan Liu, Yue Zhao, Yaogang Wang. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 21.07.2017. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-84722af3bc0e465adacf42eeedca39bccdf385ce6c873fe0ed7a67ecebc04fa23</citedby><cites>FETCH-LOGICAL-c403t-84722af3bc0e465adacf42eeedca39bccdf385ce6c873fe0ed7a67ecebc04fa23</cites><orcidid>0000-0002-4677-7945 ; 0000-0002-0322-9033 ; 0000-0001-7421-1239 ; 0000-0002-9111-1173 ; 0000-0002-9203-4720 ; 0000-0003-1730-0141 ; 0000-0002-5170-7204 ; 0000-0002-7325-0663 ; 0000-0002-8211-6124 ; 0000-0002-0430-4138</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,723,776,780,860,881,27903,27904,30978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28733270$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Lan</creatorcontrib><creatorcontrib>He, Lin</creatorcontrib><creatorcontrib>Tao, Yanxia</creatorcontrib><creatorcontrib>Sun, Li</creatorcontrib><creatorcontrib>Zheng, Hong</creatorcontrib><creatorcontrib>Zheng, Yashu</creatorcontrib><creatorcontrib>Shen, Yuehao</creatorcontrib><creatorcontrib>Liu, Suyan</creatorcontrib><creatorcontrib>Zhao, Yue</creatorcontrib><creatorcontrib>Wang, Yaogang</creatorcontrib><title>Evaluating a Web-Based Coaching Program Using Electronic Health Records for Patients With Chronic Obstructive Pulmonary Disease in China: Randomized Controlled Trial</title><title>Journal of medical Internet research</title><addtitle>J Med Internet Res</addtitle><description><![CDATA[Chronic obstructive pulmonary disease (COPD) is now the fourth leading cause of death in the world, and it continues to increase in developing countries. The World Health Organization expects COPD to be the third most common cause of death in the world by 2020. Effective and continuous postdischarge care can help patients to maintain good health. The use of electronic health records (EHRs) as an element of community health care is new technology in China.
The aim of this study was to develop and evaluate a Web-based coaching program using EHRs for physical function and health-related quality of life for patients with COPD in China.
A randomized controlled trial was conducted from 2008 to 2015 at two hospitals. The control group received routine care and the intervention group received routine care with the addition of the Web-based coaching program using EHRs. These were used to manage patients' demographic and clinical variables, publish relevant information, and have communication between patients and health care providers. Participants were not blinded to group assignment. The effects of the intervention were evaluated by lung function, including percent of forced expiratory volume in 1 second (FEV1%), percent of forced vital capacity (FVC%), peak expiratory flow (PEF), maximum midexpiratory flow; St George's Respiratory Questionnaire (SGRQ); Modified Medical Research Council Dyspnea Scale (MMRC); and 6-Minute Walk Test (6MWT). Data were collected before the program, and at 1, 3, 6, and 12 months after the program.
Of the 130 participants, 120 (92.3%) completed the 12-month follow-up program. There were statistically significant differences in lung function (FEV1%: F1,4=5.47, P=.002; FVC%: F1,4=3.06, P=.02; PEF: F1,4=12.49, P<.001), the total score of SGRQ (F1,4=23.30, P<.001), symptoms of SGRQ (F1,4=12.38, P<.001), the activity of SGRQ (F1,4=8.35, P<.001), the impact of SGRQ (F1,4=12.26, P<.001), MMRC (F1,4=47.94, P<.001), and 6MWT (F1,4=35.54, P<.001) between the two groups with the variation of time tendency.
The Web-based coaching program using EHRs in China appears to be useful for patients with COPD when they are discharged from hospital into the community. It promotes the sharing of patients' medical information by hospital and community nurses, and achieves dynamic management and follow-up analysis for patients' disease. In addition, this program can postpone the decreasing rate of lung function, improve quality of life, decrease dyspnea, and increase physical capacity.]]></description><subject>Aged</subject><subject>China</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Clinical information</subject><subject>Clinical trials</subject><subject>Clinical variables</subject><subject>Coaching</subject><subject>Community health care</subject><subject>Community Health Services - methods</subject><subject>Community nurses</subject><subject>Computerized medical records</subject><subject>Death & dying</subject><subject>Developing countries</subject><subject>Directive Counseling - methods</subject><subject>Dyspnea</subject><subject>Dyspnea - complications</subject><subject>Dyspnea - prevention & control</subject><subject>Electronic Health Records</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Health Care Surveys</subject><subject>Health education</subject><subject>Health information</subject><subject>Health records</subject><subject>Health status</subject><subject>Hospital discharged</subject><subject>Humans</subject><subject>Internet</subject><subject>Intervention</subject><subject>LDCs</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medical technology</subject><subject>New technology</subject><subject>Nurses</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - therapy</subject><subject>Quality of Life</subject><issn>1438-8871</issn><issn>1439-4456</issn><issn>1438-8871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNpdkcFu1DAQhiNERUvhwAsgS1zgkOLYTuJwQIJl2yJV6qpq1aM1cSa7Xjl2sZOV4H14T5xuqQonj2e--WdGf5a9KegJK5rq43Yw4aSqBX-WHRWCy1zKunj-JD7MXsa4pZRR0RQvskMma85ZTY-y38sd2AlG49YEyC22-VeI2JGFB72Zk6vg1wEGchPn39KiHoN3RpNzBDtuyBVqH7pIeh_IKumgGyO5Namy2OzByzaOYdKj2SFZTXbwDsJP8s1ETJOIcQk0Dj6RK3CdH8yv--kuTbE2hdfBgH2VHfRgI75-eI-zm9Pl9eI8v7g8-774cpFrQfmYS1EzBj1vNUVRldCB7gVDxE4Db1qtu57LUmOl0_09UuxqqGrUmBpED4wfZ5_3undTO6SudEwAq-6CGdLOyoNR_1ac2ai136myFEI2Igm8fxAI_seEcVSDiRqtBYd-iqpoGCuprGiV0Hf_oVs_BZfOS5QouKxkKRP1YU_p4GMM2D8uU1A1m69m89VsfmLfPt3-kfzrNv8DlPmwIA</recordid><startdate>20170721</startdate><enddate>20170721</enddate><creator>Wang, Lan</creator><creator>He, Lin</creator><creator>Tao, Yanxia</creator><creator>Sun, Li</creator><creator>Zheng, Hong</creator><creator>Zheng, Yashu</creator><creator>Shen, Yuehao</creator><creator>Liu, Suyan</creator><creator>Zhao, Yue</creator><creator>Wang, Yaogang</creator><general>Gunther Eysenbach MD MPH, Associate Professor</general><general>JMIR Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>E3H</scope><scope>F2A</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4677-7945</orcidid><orcidid>https://orcid.org/0000-0002-0322-9033</orcidid><orcidid>https://orcid.org/0000-0001-7421-1239</orcidid><orcidid>https://orcid.org/0000-0002-9111-1173</orcidid><orcidid>https://orcid.org/0000-0002-9203-4720</orcidid><orcidid>https://orcid.org/0000-0003-1730-0141</orcidid><orcidid>https://orcid.org/0000-0002-5170-7204</orcidid><orcidid>https://orcid.org/0000-0002-7325-0663</orcidid><orcidid>https://orcid.org/0000-0002-8211-6124</orcidid><orcidid>https://orcid.org/0000-0002-0430-4138</orcidid></search><sort><creationdate>20170721</creationdate><title>Evaluating a Web-Based Coaching Program Using Electronic Health Records for Patients With Chronic Obstructive Pulmonary Disease in China: Randomized Controlled Trial</title><author>Wang, Lan ; He, Lin ; Tao, Yanxia ; Sun, Li ; Zheng, Hong ; Zheng, Yashu ; Shen, Yuehao ; Liu, Suyan ; Zhao, Yue ; Wang, Yaogang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-84722af3bc0e465adacf42eeedca39bccdf385ce6c873fe0ed7a67ecebc04fa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>China</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Clinical information</topic><topic>Clinical trials</topic><topic>Clinical variables</topic><topic>Coaching</topic><topic>Community health care</topic><topic>Community Health Services - methods</topic><topic>Community nurses</topic><topic>Computerized medical records</topic><topic>Death & dying</topic><topic>Developing countries</topic><topic>Directive Counseling - methods</topic><topic>Dyspnea</topic><topic>Dyspnea - complications</topic><topic>Dyspnea - prevention & control</topic><topic>Electronic Health Records</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Health Care Surveys</topic><topic>Health education</topic><topic>Health information</topic><topic>Health records</topic><topic>Health status</topic><topic>Hospital discharged</topic><topic>Humans</topic><topic>Internet</topic><topic>Intervention</topic><topic>LDCs</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical research</topic><topic>Medical technology</topic><topic>New technology</topic><topic>Nurses</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - therapy</topic><topic>Quality of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Lan</creatorcontrib><creatorcontrib>He, Lin</creatorcontrib><creatorcontrib>Tao, Yanxia</creatorcontrib><creatorcontrib>Sun, Li</creatorcontrib><creatorcontrib>Zheng, Hong</creatorcontrib><creatorcontrib>Zheng, Yashu</creatorcontrib><creatorcontrib>Shen, Yuehao</creatorcontrib><creatorcontrib>Liu, Suyan</creatorcontrib><creatorcontrib>Zhao, Yue</creatorcontrib><creatorcontrib>Wang, Yaogang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Library & Information Sciences Abstracts (LISA)</collection><collection>Library & Information Science Abstracts (LISA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medical Internet research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Lan</au><au>He, Lin</au><au>Tao, Yanxia</au><au>Sun, Li</au><au>Zheng, Hong</au><au>Zheng, Yashu</au><au>Shen, Yuehao</au><au>Liu, Suyan</au><au>Zhao, Yue</au><au>Wang, Yaogang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating a Web-Based Coaching Program Using Electronic Health Records for Patients With Chronic Obstructive Pulmonary Disease in China: Randomized Controlled Trial</atitle><jtitle>Journal of medical Internet research</jtitle><addtitle>J Med Internet Res</addtitle><date>2017-07-21</date><risdate>2017</risdate><volume>19</volume><issue>7</issue><spage>e264</spage><epage>e264</epage><pages>e264-e264</pages><issn>1438-8871</issn><issn>1439-4456</issn><eissn>1438-8871</eissn><abstract><![CDATA[Chronic obstructive pulmonary disease (COPD) is now the fourth leading cause of death in the world, and it continues to increase in developing countries. The World Health Organization expects COPD to be the third most common cause of death in the world by 2020. Effective and continuous postdischarge care can help patients to maintain good health. The use of electronic health records (EHRs) as an element of community health care is new technology in China.
The aim of this study was to develop and evaluate a Web-based coaching program using EHRs for physical function and health-related quality of life for patients with COPD in China.
A randomized controlled trial was conducted from 2008 to 2015 at two hospitals. The control group received routine care and the intervention group received routine care with the addition of the Web-based coaching program using EHRs. These were used to manage patients' demographic and clinical variables, publish relevant information, and have communication between patients and health care providers. Participants were not blinded to group assignment. The effects of the intervention were evaluated by lung function, including percent of forced expiratory volume in 1 second (FEV1%), percent of forced vital capacity (FVC%), peak expiratory flow (PEF), maximum midexpiratory flow; St George's Respiratory Questionnaire (SGRQ); Modified Medical Research Council Dyspnea Scale (MMRC); and 6-Minute Walk Test (6MWT). Data were collected before the program, and at 1, 3, 6, and 12 months after the program.
Of the 130 participants, 120 (92.3%) completed the 12-month follow-up program. There were statistically significant differences in lung function (FEV1%: F1,4=5.47, P=.002; FVC%: F1,4=3.06, P=.02; PEF: F1,4=12.49, P<.001), the total score of SGRQ (F1,4=23.30, P<.001), symptoms of SGRQ (F1,4=12.38, P<.001), the activity of SGRQ (F1,4=8.35, P<.001), the impact of SGRQ (F1,4=12.26, P<.001), MMRC (F1,4=47.94, P<.001), and 6MWT (F1,4=35.54, P<.001) between the two groups with the variation of time tendency.
The Web-based coaching program using EHRs in China appears to be useful for patients with COPD when they are discharged from hospital into the community. It promotes the sharing of patients' medical information by hospital and community nurses, and achieves dynamic management and follow-up analysis for patients' disease. In addition, this program can postpone the decreasing rate of lung function, improve quality of life, decrease dyspnea, and increase physical capacity.]]></abstract><cop>Canada</cop><pub>Gunther Eysenbach MD MPH, Associate Professor</pub><pmid>28733270</pmid><doi>10.2196/jmir.6743</doi><orcidid>https://orcid.org/0000-0002-4677-7945</orcidid><orcidid>https://orcid.org/0000-0002-0322-9033</orcidid><orcidid>https://orcid.org/0000-0001-7421-1239</orcidid><orcidid>https://orcid.org/0000-0002-9111-1173</orcidid><orcidid>https://orcid.org/0000-0002-9203-4720</orcidid><orcidid>https://orcid.org/0000-0003-1730-0141</orcidid><orcidid>https://orcid.org/0000-0002-5170-7204</orcidid><orcidid>https://orcid.org/0000-0002-7325-0663</orcidid><orcidid>https://orcid.org/0000-0002-8211-6124</orcidid><orcidid>https://orcid.org/0000-0002-0430-4138</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Applied Social Sciences Index & Abstracts (ASSIA); EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Aged China Chronic obstructive pulmonary disease Clinical information Clinical trials Clinical variables Coaching Community health care Community Health Services - methods Community nurses Computerized medical records Death & dying Developing countries Directive Counseling - methods Dyspnea Dyspnea - complications Dyspnea - prevention & control Electronic Health Records Female Forced Expiratory Volume Health Care Surveys Health education Health information Health records Health status Hospital discharged Humans Internet Intervention LDCs Male Medical personnel Medical research Medical technology New technology Nurses Original Paper Patients Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - therapy Quality of Life |
| title | Evaluating a Web-Based Coaching Program Using Electronic Health Records for Patients With Chronic Obstructive Pulmonary Disease in China: Randomized Controlled Trial |
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