Publications by authors named "L S van den Wijngaart"
Background: Home spirometers have been widely implemented in the treatment of people with cystic fibrosis (CF). Frequent spirometry measurements at home could lead to earlier detection of exacerbations. However, previous research indicates that the long-term use of home spirometry is not well maintained by people with CF.
View Article and Find Full Text PDFAccuracy, Reproducibility, and Responsiveness to Treatment of Home Spirometry in Cystic Fibrosis: Multicenter, Retrospective, Observational Study.
J Med Internet Res
December 2024
Article Synopsis
- Portable spirometers are becoming popular for measuring lung function at home, but there are concerns about their accuracy, which impacts the management of chronic respiratory diseases.
- The study aimed to evaluate the accuracy, repeatability, and responsiveness of home spirometry for cystic fibrosis patients in both children and adults across multiple Dutch centers.
- Results indicated that home spirometry measurements consistently showed lower values than clinic measurements, suggesting potential limitations in using these devices for accurate lung function assessment.
Background: Remote care usefulness and climate change co-benefits should be addressed simultaneously to incentivize political action.
Objectives: To assess the changes in healthcare consumption, lung function and greenhouse gas (GHG) emissions during the COVID-19 pandemic in Dutch cystic fibrosis (CF) care.
Design: Retrospective multicentre observational study in five Dutch CF centres.
Potential, Pitfalls, and Future Directions for Remote Monitoring of Chronic Respiratory Diseases: Multicenter Mixed Methods Study in Routine Cystic Fibrosis Care.
J Med Internet Res
August 2024
Background: The current literature inadequately addresses the extent to which remote monitoring should be integrated into care models for chronic respiratory diseases (CRDs).
Objective: This study examined a remote monitoring program (RMP) in cystic fibrosis (CF) by exploring experiences, future perspectives, and use behavior over 3 years, with the aim of developing future directions for remote monitoring in CRDs.
Methods: This was a mixed methods, multicenter, observational study in 5 Dutch CF centers following a sequential explanatory design.
Article Synopsis
- The study examined the implementation of forced expiratory volume (FEV) telemonitoring for pediatric asthma during the COVID-19 pandemic, highlighting the perceptions of both patients and health care professionals (HCPs).
- Findings from surveys indicated a high acceptance of FEV home monitoring, with participants believing it improved asthma control and self-management, though concerns about device reliability and self-administered lung function tests were noted.
- Overall, while both patients and HCPs found value in the online monitoring, usage frequency varied significantly, suggesting that monitoring strategies should be personalized to meet individual patient goals.