AI Article Synopsis
- The study addresses the challenge of managing excessive mucus in patients with chronic obstructive airway disease (COAD) through a new mobile system called COAD-MoAcCare, which enhances home-based pulmonary rehabilitation (H-PR) using technology.
- COAD-MoAcCare utilizes deep learning and vision technology to monitor and guide patients in real-time during postural drainage and percussion (PD + P) exercises, providing personalized support while reducing reliance on professional supervision.
- Evaluation by respiratory therapists showed high satisfaction with the system, achieving notable usability scores and demonstrating impressive accuracy (97.5%) in guiding PD + P operations during therapy sessions.
Article Abstract
Background: Excessive mucus secretion is a serious issue for patients with chronic obstructive airway disease (COAD), which can be effectively managed through postural drainage and percussion (PD + P) during pulmonary rehabilitation (PR). Home-based (H)-PR can be as effective as center-based PR but lacks professional supervision and timely feedback, leading to low motivation and adherence. Telehealth home-based pulmonary (TH-PR) has emerged to assist H-PR, but video conferencing and telephone calls remain the main approaches for COAD patients. Therefore, research on effectively assisting patients in performing PD + P during TH-PR is limited.
Objective: This study developed a mobile-based airway clearance care for chronic obstructive airway disease (COAD-MoAcCare) system to support personalized TH-PR for COAD patients and evaluated its usability through expert validation.
Methods: The COAD-MoAcCare system uses a mobile device through deep learning-based vision technology to monitor, guide, and evaluate COAD patients' PD + P operations in real time during TH-PR programs. Medical personnel can manage and monitor their personalized PD + P and operational statuses through the system to improve TH-PR performance. Respiratory therapists from different hospitals evaluated the system usability using system questionnaires based on the technology acceptance model, system usability scale (SUS), and task load index (NASA-TLX).
Results: Eleven participant therapists were highly satisfied with the COAD-MoAcCare system, rating it between 4.1 and 4.6 out of 5.0 on all scales. The system demonstrated good usability (SUS score of 74.1 out of 100) and a lower task load (NASA-TLX score of 30.0 out of 100). The overall accuracy of PD + P operations reached a high level of 97.5% by comparing evaluation results of the system by experts.
Conclusions: The COAD-MoAcCare system is the first mobile-based method to assist COAD patients in conducting PD + P in TH-PR. It was proven to be usable by respiratory therapists, so it is expected to benefit medical personnel and COAD patients. It will be further evaluated through clinical trials.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10571692 | PMC |
| http://dx.doi.org/10.1177/20552076231207206 | DOI Listing |
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