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Remote-Management of COPD: Evaluating the Implementation of Digital Innovation to Enable Routine Care (RECEIVER): the protocol for a feasibility and service adoption observational cohort study
BMJ Open Respiratory Research ( IF 4.1 ) Pub Date : 2021-08-01 , DOI: 10.1136/bmjresp-2021-000905
Anna Taylor 1 , David J Lowe 2 , Grace McDowell 3 , Stephanie Lua 3 , Shane Burns 4 , Paul McGinness 4 , Christopher M Carlin 1
Affiliation  

Introduction Reductions in exacerbation and hospitalisations are the outcomes rated as most important by people with chronic obstructive pulmonary disease (COPD). Most COPD management is currently based on a reactive approach, and delays in recognising treatable opportunities underpin COPD care quality gaps. Innovations that empower COPD self-management, facilitate integrated clinical care and support delivery of evidence-based treatment interventions are urgently required. Methods and analysis The Remote-Management of COPD: Evaluating the Implementation of Digital Innovation to Enable Routine Care trial is a prospective observational cohort hybrid implementation and effectiveness study that will explore the adoption of a digital service model for people with ‘high-risk’ COPD and evaluate the feasibility of this approach versus current standards of care. People with COPD, who have had recent severe exacerbation and/or COPD–obstructive sleep apnoea overlap or chronic hypercapnic respiratory failure requiring home non-invasive ventilation (NIV) or continuous positive airway pressure (CPAP), with internet access will be recruited into the study and enrolled into the digital service. Study endpoints will examine participant utilisation, clinical service impact and clinical outcomes compared with historical and contemporary control patient data. The digital infrastructure will also provide a foundation to explore the feasibility of approaches to predict outcomes and exacerbation in people with COPD through machine learning analysis. Ethics and dissemination Ethical approval for this clinical trial has been obtained from the West of Scotland Research Ethics Service. The trial will commence in September 2019 for a duration of 2 years. Results will be presented at local, national and international meetings, as well as submission for publication to peer-reviewed journals. Trial registration number [NCT04240353][1]. [1]: /lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT04240353&atom=%2Fbmjresp%2F8%2F1%2Fe000905.atom

中文翻译:

COPD 的远程管理:评估数字创新的实施以实现常规护理 (RECEIVER):可行性和服务采用观察性队列研究的协议

简介 慢性阻塞性肺疾病 (COPD) 患者认为急性加重和住院的减少是最重要的结果。大多数 COPD 管理目前基于反应性方法,并且延迟识别可治疗机会导致 COPD 护理质量差距。迫切需要能够增强 COPD 自我管理、促进综合临床护理和支持提供循证治疗干预措施的创新。方法和分析 COPD 的远程管理:Evaluating the Implementation of Digital Innovation to Enable Routine Care 试验是一项前瞻性观察队列混合实施和有效性研究,将探索为“高危”COPD 患者采用数字服务模式,并评估这种方法与当前标准的可行性关心。COPD 患者,最近有严重加重和/或 COPD 阻塞性睡眠呼吸暂停重叠或需要家庭无创通气 (NIV) 或持续气道正压通气 (CPAP) 的慢性高碳酸血症呼吸衰竭,并且可以访问互联网,将被招募到学习并注册数字服务。研究终点将与历史和当代对照患者数据相比,检查参与者的使用情况、临床服务影响和临床结果。数字基础设施还将为探索通过机器学习分析预测 COPD 患者结果和恶化的方法的可行性奠定基础。伦理和传播 该临床试验的伦理批准已从苏格兰西部研究伦理服务处获得。该试验将于 2019 年 9 月开始,为期 2 年。结果将在地方、国家和国际会议上公布,并提交给同行评审的期刊发表。试验注册号 [NCT04240353][1]。[1]:/lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT04240353&atom=%2Fbmjresp%2F8%2F1%2Fe000905.atom 伦理和传播 该临床试验的伦理批准已从苏格兰西部研究伦理服务处获得。该试验将于 2019 年 9 月开始,为期 2 年。结果将在地方、国家和国际会议上公布,并提交给同行评审的期刊发表。试验注册号 [NCT04240353][1]。[1]:/lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT04240353&atom=%2Fbmjresp%2F8%2F1%2Fe000905.atom 伦理和传播 该临床试验的伦理批准已从苏格兰西部研究伦理服务处获得。该试验将于 2019 年 9 月开始,为期 2 年。结果将在地方、国家和国际会议上公布,并提交给同行评审的期刊发表。试验注册号 [NCT04240353][1]。[1]:/lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT04240353&atom=%2Fbmjresp%2F8%2F1%2Fe000905.atom 试验注册号 [NCT04240353][1]。[1]:/lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT04240353&atom=%2Fbmjresp%2F8%2F1%2Fe000905.atom 试验注册号 [NCT04240353][1]。[1]:/lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT04240353&atom=%2Fbmjresp%2F8%2F1%2Fe000905.atom
更新日期:2021-08-30
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