The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

Evaluating an Intervention Program Using WeChat for Patients With Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial

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Institution
Communities in Wuxi
Institution Typology
University, Hospital, Rehabilitation Center, Public Institution
Country
China
Description
The four resources of self-efficacy theory— - experience, verbal persuasion, physiological and emotional state, and alternative experience — were considered in the design of the WeChat Moments implementation process. COPD patients can share their comments or photos of their rehabilitation training on PeR Moments. By leaving comments or giving a thumbs up, other patients and healthcare professionals can engage with them, promoting mutual support among patients and communication between patients and doctors. An incentive system has also been created to motivate COPD patients to participate. By publishing PeR Moments, patients were able to collect points. Once they reached a certain number of points, they could redeem rewards. To inspire the other patients, the standardized pulmonary rehabilitation program shared by the PeR Moments patients served as an example. A multidisciplinary team created the functional modules of Pulmonary Internet Explorer Rehabilitation (PeR) in accordance with the elements of the Electronic Health-Enhanced Chronic Care Model (eCCM). A total of 106 patients — 53 in the outpatient face-to-face group [FtF] and 53 in the PeR group — were randomly selected. The three-month pulmonary rehabilitation intervention was followed by three months of outcome monitoring. The majority of participants were Chinese COPD patients, and the sample size was tiny.
Disease
COPD
Activity level
Medium
Activity Typology
Rehabilitation section-based activities, Home-based activities
Motivation Tools
Not available
Innovation
Patients with COPD can experience a greater sense of self-efficacy and a better quality of life through pulmonary rehabilitation at home with PeR and FtF.
Evaluation System
The Medical Research Council Scale (mMRC) scores and the patients' improved COPD Assessment Test (CAT) scores persisted three months after the intervention. Although there was a decline in Physical Activity Self-Regulation Scale (Ex-SRES) scores after the peak at month three, rather than a subsequent effect, this was still an improvement on pre-intervention scores. At the end of the session, patients' St. George's Respiratory Questionnaire (SGRQ) scores improved in all areas.
Assessment
Pulmonary PeR rehabilitation, based on eCCM and self-efficacy theory, is a feasible and efficient way to help COPD patients reduce their dyspnea symptoms, strengthen their self-efficacy and improve their overall quality of life. The outcome was the same as for the face-to-face intervention. In developing remote technology, we should consider how theoretical models are changing while incorporating behavioral interventions.
References
Jiang, Y., Liu, F., Guo, J., Sun, P., Chen, Z., Li, J., Cai, L., Zhao, H., Gao, P., Ding, Z., & Wu, X. (2020). Evaluating an Intervention Program Using WeChat for Patients With Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial. Journal of medical Internet research, 22(4), e17089. doi.org/10.2196/17089
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Ricardo Sousa Mestre, Escola Superior de Saúde Atlântica - Portugal (PT)
Very helpful and interesting article.