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Review
. 2021 Mar;20(3):209-220.

Telemedicine Services in Chronic Obstructive Pulmonary Disease: A Systematic Review of Patients' Adherence

Azam Sabahi  1 , Azamossadat Hosseini  2 , Hasan Emami  2 , Sohrab Almasi  2
Affiliations
Review

Telemedicine Services in Chronic Obstructive Pulmonary Disease: A Systematic Review of Patients' Adherence

Azam Sabahi et al. Tanaffos. 2021 Mar.

Abstract

Background: The current systematic review aimed to determine the effect of telemedicine services on adherence in patients with chronic obstructive pulmonary disease (COPD) and to describe the type of adherence and applied devices and modules.

Materials and methods: We reviewed PubMed, Scopus, Web of Science, and Embase databases to identify relevant studies from the time of inception of these databases to March 10, 2019, using three groups of keywords. The first group comprised words describing COPD, the second group included words describing types of telemedicine interventions, and the third group contained words describing adherence. The reference list of identified articles was also hand-searched to retrieve possibly relevant articles.

Results: In total 21 articles were included, in which 13 reported a positive effect for telemedicine on patients' adherence. Adherence to treatment was classified under six categories. The highest frequency belongs to the adherence to performing exercises and participation in training sessions, using the system, using devices, measuring (like blood pressure, oxygen saturation, heart rate, weight, temperature, sputum volume) and reporting symptoms and the results of measurements, completing tasks, and medication.

Conclusion: This study demonstrated the effectiveness of telemedicine services on adherence to treatment plans in patients with COPD. The following factors contribute to the effectiveness of telemedicine services: patient support by healthcare professionals and easy access to them, uninterrupted execution of telemedicine programs, follow-up and supervision of providers, creating and maintaining motivation in patients, and provision of different self-management modules.

Keywords: Adherence; Chronic obstructive pulmonary disease; Telemedicine.

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Figures

Figure 1.
Figure 1.
Flow diagram of included and excluded studies
See this image and copyright information in PMC

References

    1. Pedone C, Lelli D. Systematic review of telemonitoring in COPD: an update. Pneumonol Alergol Pol 2015;83(6):476–84. - PubMed
    1. Tabak M, Brusse-Keizer M, van der Valk P, Hermens H, Vollenbroek-Hutten M. A telehealth program for self-management of COPD exacerbations and promotion of an active lifestyle: a pilot randomized controlled trial. Int J Chron Obstruct Pulmon Dis 2014;9935–44 - PMC - PubMed
    1. Segrelles Calvo G, Gómez-Suárez C, Soriano JB, Zamora E, Gónzalez-Gamarra A, González-Béjar M, et al. A home telehealth program for patients with severe COPD: the PROMETE study. Respir Med 2014;108(3):453–62. - PubMed
    1. Bourbeau J, Casan P, Tognella S, Haidl P, Texereau JB, Kessler R. An international randomized study of a home-based self-management program for severe COPD: the COMET. Int J Chron Obstruct Pulmon Dis 2016;111447–51 - PMC - PubMed
    1. Chronic obstructive pulmonary disease (COPD) . Available from url: https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pul.... [Cited 2020 October 19].

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