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Inform Health Soc Care. 2015 Jan;40(1):1-22. Epub 2013 Dec 31.

A novel multimodal tool for telemonitoring patients with COPD.

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Biomedical Engineering and Telemedicine Lab, University of Cádiz , Cádiz , Spain and.


Introduction: Among factors that underlie high rates of non-participation reported in telehealth interventions are the low older users' acceptance of information technologies and the low levels of non-compliance with therapy of chronic patients. Therefore, inclusion of potential users into design stages of assistive technologies is challenging. In this paper, the design, implementation and evaluation of a multimodal mobile application for telemonitoring chronic obstructive pulmonary disease (COPD) is presented. The goal of the study was to assess the usability and feasibility of the designed tool. Methods: An iterative user-centered design methodology was applied to implement a prototype that satisfied users' requirements. Feasibility (compliance, COPD knowledge and satisfaction) of the application was assessed in a 6-month field trial with COPD patients. Results: A usable, effective and efficient prototype was released after the development process. A high compliance (86.1%) and an increasing in COPD knowledge were achieved in the field trial. Conclusions: The findings reveal the importance of integrating usability in the design development processes to improve adherence to routine tasks and to reduce the high rates of non-participation reported in recent evaluation studies of telehealth interventions. The presented tool can help to recognize early symptoms of deterioration and to support patients in COPD self-management.


COPD; home monitoring; multimodal; telemonitoring; usability

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