PT  - JOURNAL ARTICLE
AU  - Esther Talboom-Kamp
AU  - Marise Kasteleyn
AU  - Noortje Verdijk
AU  - Niels Chavannes
AU  - Mattijs Numans
AU  - Lara Harmans
AU  - Nan van Geloven
AU  - Irvin Talboom
TI  - Effect on health status of integrated self-management platforms in COPD disease-management
AID  - 10.1183/1393003.congress-2017.OA2912
DP  - 2017 Sep 01
TA  - European Respiratory Journal
PG  - OA2912
VI  - 50
IP  - suppl 61
4099  - http://erj.ersjournals.com/content/50/suppl_61/OA2912.short
4100  - http://erj.ersjournals.com/content/50/suppl_61/OA2912.full
SO  - Eur Respir J2017 Sep 01; 50
AB  - Introduction: COPD self-management through eHealth is effective to improve the quality of integrated disease management (IDM). Nevertheless, adoption of eHealth stays behind with implementation problems.Aim: to analyze the influence of eHealth implementation on the health status of COPD patients in primary care, using the Clinical COPD Questionnaire (CCQ).Methods: The e-Vita COPD study compared 3 levels of integration of self-management platforms in IDM (high, medium, non) and randomization of 2 levels of personal assistance for patients (high and low). Interrupted time series (ITS) design was used to collect CCQ data at multiple time points (before/after intervention) and multilevel linear regression modelling to analyze CCQ data before and after intervention.Results: Of the 702 invited COPD patients, 215 registered to a platform. 82 participated in group 1 (high integration); 36 with high, 46 with low assistance. 96 participated in group 2 (medium integration); 44 with high, 52 with low assistance. 37 participated in group 3 (no integration, no assistance). In the total group, no significant difference was found in CCQ-trend (p=0.334) before (-0.47% per month) and after intervention (-0.084% per month). No significant difference was found in CCQ changes before vs. after intervention between groups with high vs. low personal assistance (p=0.429). In all subgroups, there was no significant change in the CCQ trend before and after intervention.Conclusion: The e-Vita intervention had no beneficial impact on health status of COPD patients. No differences were found between different levels of integration or between patients receiving different levels of personal assistance.