PT  - JOURNAL ARTICLE
AU  - Johannes In't Veen
AU  - Bianka Mennema
AU  - Anne-Lin Beekhof
AU  - Esther Van Noort
AU  - Niels Chavannes
TI  - Adherence to online selfmanagement in patients with COPD or asthma: The role of disease burden
AID  - 10.1183/13993003.congress-2015.PA2788
DP  - 2015 Sep 01
TA  - European Respiratory Journal
PG  - PA2788
VI  - 46
IP  - suppl 59
4099  - http://erj.ersjournals.com/content/46/suppl_59/PA2788.short
4100  - http://erj.ersjournals.com/content/46/suppl_59/PA2788.full
SO  - Eur Respir J2015 Sep 01; 46
AB  - Introduction: Selfmanagement plays a key role in integrated care strategies for chronic diseases. Curavista Health is an online patient self-management platform for several chronic diseases, including asthma and COPD: MyCOPDonline & Myasthmaonline which consists of 3 basic-elements: 1. Health status; 2. Self management; 3. eConsult. We incorporated the program into our daily hospital routine. We hypothesize that patients with increased burden of disease more frequently use the program.Aim: The aim of the study was to retrospectively analyze the use of the program by patients in relation to impairment of health status as reflected by ACQ (mild: 0-0.75; moderate: 0.75-1.5; severe >1.5) or CCQ (mild: 0-1; moderate 1-2, severe >2).Results: ACQ in asthma (n=156) and CCQ in COPD (n=154) were normally distributed. A higher disease burden was related to a more frequent startup and adherence to the online program (table 1, p<,0.05).View this table:[table 1] Distribution of burden of disease for asthma/COPD in usage of online selfmanagementDiscussion: These data suggest that self management programs are especially appreciated by patients with more advanced disease. However self management should not be restricted to patients with a high disease burden only, as almost 50% of the patients who started and persisted in program use had mild/moderate burden of disease. This might imply that the urge for mastery and empowerment is not solely dependent on health status per se.