RT Journal Article
SR Electronic
T1 Qualitative investigation into a wearable system for chronic obstructive pulmonary disease: the stakeholders' perspective
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e011657
DO 10.1136/bmjopen-2016-011657
VO 6
IS 8
A1 Kayyali, Reem
A1 Savickas, Vilius
A1 Spruit, Martijn A
A1 Kaimakamis, Evangelos
A1 Siva, Roshan
A1 Costello, Richard W
A1 Chang, John
A1 Pierscionek, Barbara
A1 Davies, Nikki
A1 Vaes, Anouk W
A1 Paradiso, Rita
A1 Philip, Nada
A1 Perantoni, Eleni
A1 D'Arcy, Shona
A1 Raptopoulos, Andreas
A1 Nabhani-Gebara, Shereen
YR 2016
UL http://bmjopen.bmj.com/content/6/8/e011657.abstract
AB Objectives To ascertain the stakeholders' views and devise recommendations for further stages of the Wearable Sensing and Smart Cloud Computing for Integrated Care to Chronic Obstructive Pulmonary Disease (COPD) Patients with Co-morbidities (WELCOME) system development. This system aims to create a wearable vest to monitor physiological signals for patients concerned incorporating an inhaler adherence monitoring, weight, temperature, blood pressure and glucose metres, and a mobile health application for communication with healthcare professionals (HCPs).Design A study of qualitative data derived from focus groups and semistructured interviews.Setting 4 participating clinical sites in Greece, the UK, Ireland and the Netherlands.Participants Purposive sampling was used to recruit 32 patients with COPD with heart failure, diabetes, anxiety or depression, 27 informal carers and 23 HCPs from 4 European Union (EU) countries for focus groups and interviews.Results Most patients and HCPs described the WELCOME system as ‘brilliant and creative’ and felt it gave a sense of safety. Both users and HCPs agreed that the duration and frequency of vest wear should be individualised as should the mobile application functions. The parameters and frequency of monitoring should be personalised using a multidisciplinary approach. A ‘traffic light’ alert system was proposed by HCPs for abnormal results. Patients were happy to take actions in response.Conclusions WELCOME stakeholders provided valuable views on the development of the system, which should take into account patient's individual comorbidities, circumstances and concerns. This will enable the development of the individualised system in each member state concerned.