Abstract

Asthma and chronic obstructive pulmonary disease (COPD) are long-term respiratory diseases that can adversely affect an individual's quality of life and inflict financial strain on the patient, family, and healthcare system (Kocks et al., 2018). Adherence to prescribed inhaler medication is an integral component of effective disease management. Remote patient monitoring may serve as an effective means to proactively measure adherence with inhaled medications to improve respiratory health outcomes and decrease avoidable healthcare utilization (George & Bender, 2019). An inobtrusive device attaches to the metered dose inhaler to passively monitor the use and electronically transmit the information to a digital health platform for clinician evaluation. A quality improvement project was conducted with a group of individuals discharged from the hospital with a primary diagnosis of asthma and COPD. The purpose was to evaluate the effectiveness of remote patient monitoring on disease self-management, medication adherence, and health care utilization. Subjective and objective data was collected using the Asthma Control Test (ACT), COPD Assessment Test (CAT), and Peak Expiratory Flow rates respectively. Experiental feedback was gathered from patients and clinicians through surveys. Results revealed significant improvements in all three areas using a combination of subjective and objective measurement criteria with a high rate of patient and clinician satisfaction.

Author Details

Barbara A. Werner, DNP, MSN, RN-BC, CHPQ, AE-C

Sigma Membership

Lambda Rho at-Large

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Pilot/Exploratory Study

Keywords:

Asthama, Chronic Obstructive Pulmonary Disease, Inhaler Senors, Remote Patient Monitoring, Medication Adherence

Advisors

Christopher, Roberta||de Tantillo, Lila

Advisor

Roberta Christopher

Second Advisor

Lila de Tantillo

Degree

DNP

Degree Grantor

Jacksonville University

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2022-05-03

Full Text of Presentation

wf_yes

Download

Share

COinS