Evaluating Chronic Obstructive Pulmonary Disease (COPD) Patients' Treatment Compliance and Quality of Life Via Telemedicine

NCT ID: NCT06477328

Last Updated: 2024-06-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 74 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-07-01
• Study Completion Date: 2023-10-15

Brief Summary

The Covid-19 pandemic has disrupted the follow-up and treatment processes for patients, and telemedicine has emerged as an important alternative method. Our aim was to test compare COPD Assessment Test (CAT) scores, inhaler treatment techniques and adherence between telemedicine-mediated healthcare and healthcare provided face-to-face.

Conditions

Telehealth; Copd

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SCREENING
• Blinding Strategy: NONE

Study Groups

Telemedicine group

The study participants were evaluated through telemedicine visits at specific intervals after the baseline visit, with the following schedule:

• 1st visit: At day 10 post-baseline
• 2nd visit: At the end of the 1st month
• 3rd visit: At the end of the 3rd month

These visits were conducted by the principal investigator using telemedicine. Additional telemedicine visits were arranged for patients in the telemedicine group as required.

Group Type: ACTIVE_COMPARATOR

Telemedicine

Intervention Type: PROCEDURE

Video calls were made with the telemedicine group.

Control group

The visits for the control group, due to being conducted face-to-face in the outpatient clinic, were carried out by the routine attending physician at the clinic, who was not aware of the study. As suggested in the discharge recommendations during the baseline visit (0th visit) for the control group, they were advised to return for a follow-up visit on the 10th day and to schedule these follow-up appointments through the hospital's system. No intervention was made to facilitate the scheduling of these appointments.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Telemedicine

Video calls were made with the telemedicine group.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients who were diagnosed with COPD according to Global Initiative for Obstructive Lung Disease (GOLD)
• GOLD spirometric grade 3-4
• At least one hospital admission in the past year
• Acceptable score on the Mini-Mental State Examination
• Residing in Ankara
• Patient or caregiver must understand the process and be able to provide clear information
• Medical records and laboratory test results must be accessible to healthcare professionals
• Patient must have access to prescribed medications
• Comorbidities outside of the lungs are included

Exclusion Criteria

• Patients diagnosed with asthma
• Patients with lung cancer
• Patients with combined pulmonary fibrosis and emphysema
• Patients with active infections such as pneumonia or COVID-19
• Patients being followed for COPD without spirometry
• Patients with low cognitive function as determined by the Mini-Mental State Examination
• Patients who do not consent to participate in the study
• Patients lacking adequate social support
• Patients with COPD grade 1-2
• Patients with no hospital admissions in the past year
• Patients diagnosed with psychotic disorders
• Patients residing outside of Ankara
• Patients enrolled in inpatient or supervised outpatient rehabilitation programs
• Patients unable to use telemedicine devices or without a caregiver to assist
• Patients and caregivers having difficulty providing information
• Patients without internet access or video call capabilities at home

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ankara Etlik City Hospital

OTHER_GOV

Sponsor Role: lead

Responsible Party

Zeynep Sena Doğan

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Gazi University

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Dogan ZS, Kokturk N. Evaluation of patients diagnosed with chronic obstructive pulmonary disease in terms of treatment compliance and quality of life after follow-up with telemedicine: a randomized controlled trial. BMC Pulm Med. 2025 Aug 26;25(1):408. doi: 10.1186/s12890-025-03854-z.

Reference Type: DERIVED

PMID: 40859183 (View on PubMed)

Other Identifiers

GAZISOLMAZ01

Identifier Type: -

Identifier Source: org_study_id