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 Reem Kayyali
A1 Vilius Savickas
A1 Martijn A Spruit
A1 Evangelos Kaimakamis
A1 Roshan Siva
A1 Richard W Costello
A1 John Chang
A1 Barbara Pierscionek
A1 Nikki Davies
A1 Anouk W Vaes
A1 Rita Paradiso
A1 Nada Philip
A1 Eleni Perantoni
A1 Shona D'Arcy
A1 Andreas Raptopoulos
A1 Shereen Nabhani-Gebara
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.