Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic Monitoring
Sheryl Flynn,1 Christopher L Mosher,2,3 Sharon Cornelison,4 Erica Rao,2 Kimberly A Metzler,4 William Pu,1 John Davies,2 Connie Paladenech,4 Daniel Doyle,3 Neil MacIntyre,2 Jill Ohar5 1Blue Marble Health, Altadena, California, USA; 2Division of Pulmonary, Allergy, and Critical Care Medicine, Duke Uni...
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Dove Medical Press
2025-01-01
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| Series: | International Journal of COPD |
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| author | Flynn S Mosher CL Cornelison S Rao E Metzler KA Pu W Davies J Paladenech C Doyle D MacIntyre N Ohar J |
| author_facet | Flynn S Mosher CL Cornelison S Rao E Metzler KA Pu W Davies J Paladenech C Doyle D MacIntyre N Ohar J |
| author_sort | Flynn S |
| collection | DOAJ |
| description | Sheryl Flynn,1 Christopher L Mosher,2,3 Sharon Cornelison,4 Erica Rao,2 Kimberly A Metzler,4 William Pu,1 John Davies,2 Connie Paladenech,4 Daniel Doyle,3 Neil MacIntyre,2 Jill Ohar5 1Blue Marble Health, Altadena, California, USA; 2Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, North Carolina, USA; 3Duke Clinical Research Institute, Durham, North Carolina, United States; 3Cabin Creek Health Systems, Dawes, West Virginia, USA; 4Department of Cardiac and Pulmonary Rehabilitation, J. Paul Sticht Center on Aging and Rehabilitation, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA; 5Wake Forest University School of Medicine, Winston-Salem, North Carolina, USACorrespondence: Sheryl Flynn, Blue Marble Health, 2400 Lincoln Ave, Altadena, CA, 91001, USA, Tel +1 626 296 6400, Email Sheryl@BlueMarbleHealthCo.ComObjective: Fewer than 3% of adults with Chronic Obstructive Pulmonary Disease (COPD) attend in-person, center-based pulmonary rehabilitation (PR) despite demonstrated health benefits and reduction in mortality. This study evaluated the feasibility and usability of a novel home-based, virtual PR (V-PR) intervention compared to center-based PR (C-PR). The virtual PR intervention was supported by remote therapeutic monitoring (V-PR+RTM; Blue Marble Platform, Blue Marble Health, Altadena, CA). Additionally, we collected data on the 6-Minute Walk Test to explore the efficacy of the V-PR compared to C-PR.Patients and Methods: Adults with stable COPD referred for PR were recruited. The participants self-selected C-PR or V-PR and were provided a 6-8-week personalized exercise and COPD self-management educational program. In addition, weekly phone contacts with the V-PR group were made. Feasibility was measured using qualitative analysis of adherence, reasons for withdrawal, and self-reported barriers to using the software at home. Usability was measured with the System Usability Scale (SUS). Efficacy was evaluated with the 6 minute Walk Test (6MWT) and various functional performance and patient-centered health-related quality of life (HRQoL) questionnaires.Results: Forty-eight participants were enrolled, and 40 (83.3%) completed the intervention, n=17 in the C-PR group and n=23 in the V-PR group. Four participants from each group withdrew due to reasons related to health issues (appendicitis, thrush, COVID, back pain) or the health status of their spouse, no-shows, and time constraints. Adherence to the exercise dose (3x/week) and educational offerings were > 80% in both groups. Participants in the V-PR group scored the software as having high usability. In both groups, 6MWT distance improved significantly, as did scores on the CAT and SGRQ. No adverse events were reported in either group.Conclusion: A software-enabled virtual PR program with remote therapeutic monitoring is feasible, usable, and effective. It could offer an alternative model that increases PR uptake for those unable or unwilling to attend in-person, center-based PR.Plain Language Summary: Pulmonary rehabilitation (PR) is a treatment program that improves breathlessness and quality of life for adults with lung diseases such as chronic obstructive pulmonary disease (COPD). Typically, PR is conducted in a clinic, which is often inaccessible for many adults with COPD; only 3% of Medicare-eligible patients with COPD participate in PR. Recently, new telehealth models of PR that do not require transport to a clinic have been shown to be as beneficial as clinic-based PR. This study measured the feasibility, usability, and effectiveness of a virtual home-based program supported by a remote therapeutic monitoring software platform and a weekly phone call from the clinician to the patient compared to traditional clinic-based PR. We found that both PR models were effective and that the virtual, home-based model supported by a remote monitoring software platform was feasible and usable.Keywords: chronic obstructive pulmonary disease, COPD, education, pulmonary rehabilitation, self-management, exercise training, remote therapeutic monitoring, telehealth, virtual |
| format | Article |
| id | doaj-art-a175d1b5047144b3a91ec0fcf78ad8cc |
| institution | Kabale University |
| issn | 1178-2005 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of COPD |
| spelling | doaj-art-a175d1b5047144b3a91ec0fcf78ad8cc2025-02-02T15:59:40ZengDove Medical PressInternational Journal of COPD1178-20052025-01-01Volume 2023124199766Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic MonitoringFlynn SMosher CLCornelison SRao EMetzler KAPu WDavies JPaladenech CDoyle DMacIntyre NOhar JSheryl Flynn,1 Christopher L Mosher,2,3 Sharon Cornelison,4 Erica Rao,2 Kimberly A Metzler,4 William Pu,1 John Davies,2 Connie Paladenech,4 Daniel Doyle,3 Neil MacIntyre,2 Jill Ohar5 1Blue Marble Health, Altadena, California, USA; 2Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, North Carolina, USA; 3Duke Clinical Research Institute, Durham, North Carolina, United States; 3Cabin Creek Health Systems, Dawes, West Virginia, USA; 4Department of Cardiac and Pulmonary Rehabilitation, J. Paul Sticht Center on Aging and Rehabilitation, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA; 5Wake Forest University School of Medicine, Winston-Salem, North Carolina, USACorrespondence: Sheryl Flynn, Blue Marble Health, 2400 Lincoln Ave, Altadena, CA, 91001, USA, Tel +1 626 296 6400, Email Sheryl@BlueMarbleHealthCo.ComObjective: Fewer than 3% of adults with Chronic Obstructive Pulmonary Disease (COPD) attend in-person, center-based pulmonary rehabilitation (PR) despite demonstrated health benefits and reduction in mortality. This study evaluated the feasibility and usability of a novel home-based, virtual PR (V-PR) intervention compared to center-based PR (C-PR). The virtual PR intervention was supported by remote therapeutic monitoring (V-PR+RTM; Blue Marble Platform, Blue Marble Health, Altadena, CA). Additionally, we collected data on the 6-Minute Walk Test to explore the efficacy of the V-PR compared to C-PR.Patients and Methods: Adults with stable COPD referred for PR were recruited. The participants self-selected C-PR or V-PR and were provided a 6-8-week personalized exercise and COPD self-management educational program. In addition, weekly phone contacts with the V-PR group were made. Feasibility was measured using qualitative analysis of adherence, reasons for withdrawal, and self-reported barriers to using the software at home. Usability was measured with the System Usability Scale (SUS). Efficacy was evaluated with the 6 minute Walk Test (6MWT) and various functional performance and patient-centered health-related quality of life (HRQoL) questionnaires.Results: Forty-eight participants were enrolled, and 40 (83.3%) completed the intervention, n=17 in the C-PR group and n=23 in the V-PR group. Four participants from each group withdrew due to reasons related to health issues (appendicitis, thrush, COVID, back pain) or the health status of their spouse, no-shows, and time constraints. Adherence to the exercise dose (3x/week) and educational offerings were > 80% in both groups. Participants in the V-PR group scored the software as having high usability. In both groups, 6MWT distance improved significantly, as did scores on the CAT and SGRQ. No adverse events were reported in either group.Conclusion: A software-enabled virtual PR program with remote therapeutic monitoring is feasible, usable, and effective. It could offer an alternative model that increases PR uptake for those unable or unwilling to attend in-person, center-based PR.Plain Language Summary: Pulmonary rehabilitation (PR) is a treatment program that improves breathlessness and quality of life for adults with lung diseases such as chronic obstructive pulmonary disease (COPD). Typically, PR is conducted in a clinic, which is often inaccessible for many adults with COPD; only 3% of Medicare-eligible patients with COPD participate in PR. Recently, new telehealth models of PR that do not require transport to a clinic have been shown to be as beneficial as clinic-based PR. This study measured the feasibility, usability, and effectiveness of a virtual home-based program supported by a remote therapeutic monitoring software platform and a weekly phone call from the clinician to the patient compared to traditional clinic-based PR. We found that both PR models were effective and that the virtual, home-based model supported by a remote monitoring software platform was feasible and usable.Keywords: chronic obstructive pulmonary disease, COPD, education, pulmonary rehabilitation, self-management, exercise training, remote therapeutic monitoring, telehealth, virtualhttps://www.dovepress.com/feasibility-usability-and-pilot-efficacy-study-of-a-software-enabled-v-peer-reviewed-fulltext-article-COPDchronic obstructive pulmonary diseasecopdeducationpulmonary rehabilitationself-managementexercise trainingremote therapeutic monitoringtelehealthvirtual |
| spellingShingle | Flynn S Mosher CL Cornelison S Rao E Metzler KA Pu W Davies J Paladenech C Doyle D MacIntyre N Ohar J Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic Monitoring International Journal of COPD chronic obstructive pulmonary disease copd education pulmonary rehabilitation self-management exercise training remote therapeutic monitoring telehealth virtual |
| title | Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic Monitoring |
| title_full | Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic Monitoring |
| title_fullStr | Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic Monitoring |
| title_full_unstemmed | Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic Monitoring |
| title_short | Feasibility, Usability, and Pilot Efficacy Study of a Software-Enabled, Virtual Pulmonary Rehabilitation with Remote Therapeutic Monitoring |
| title_sort | feasibility usability and pilot efficacy study of a software enabled virtual pulmonary rehabilitation with remote therapeutic monitoring |
| topic | chronic obstructive pulmonary disease copd education pulmonary rehabilitation self-management exercise training remote therapeutic monitoring telehealth virtual |
| url | https://www.dovepress.com/feasibility-usability-and-pilot-efficacy-study-of-a-software-enabled-v-peer-reviewed-fulltext-article-COPD |
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