%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 22
%N 4
%P e17089
%T Evaluating an Intervention Program Using WeChat for Patients With Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial
%A Jiang,Yuyu
%A Liu,Fenglan
%A Guo,Jianlan
%A Sun,Pingping
%A Chen,Zhongyi
%A Li,Jinping
%A Cai,Liming
%A Zhao,Hongqing
%A Gao,Ping
%A Ding,Zhaosheng
%A Wu,Xiaoliang
%+ Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, No 1800 Lihu Avenue, Wuxi, China, 86 0510 85328363, doctoryuyu@jiangnan.edu.cn
%K chronic obstructive pulmonary disease
%K randomized controlled trial
%K self-efficacy
%K telemedicine
%K the eHealth enhanced chronic care model
%K WeChat
%D 2020
%7 21.4.2020
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: The application of telemedicine in home pulmonary rehabilitation interventions for the management of patients with chronic obstructive pulmonary disease (COPD) has achieved promising results. Objective: This study aimed to develop a WeChat official account (Pulmonary Internet Explorer Rehabilitation [PeR]) based on social media. It further evaluated the effect of PeR on the quality of life, symptoms, and exercise self-efficacy of patients with COPD. Methods: The functional modules of PeR were developed by a multidisciplinary team according to the electronic health–enhanced chronic care model (eCCM) components. A total of 106 patients were randomly selected (53 in the PeR group and 53 in the outpatient face-to-face group [FtF]). Pulmonary rehabilitation intervention was conducted for 3 months, and the outcome was observed for 3 months. The primary outcome was patient quality of life measured with the COPD assessment test (CAT). The secondary outcomes were evaluated using the modified Medical Research Council scale (mMRC), exercise self-regulatory efficacy scale (Ex-SRES), and St George’s Respiratory Questionnaire (SGRQ). Results: The intention-to-treat analysis was used in the study. A total of 94 participants completed the 6-month pulmonary rehabilitation program. No statistically significant differences were observed in CAT (F1,3=7.78, P=.001), Ex-SRES (F1,3=21.91, P<.001), and mMRC scores (F1,3=29.64, P<.001) between the two groups with the variation in time tendency. The Ex-SRES score had a significant effect on the CAT score (P=.03). The partial regression coefficient of Ex-SRES to CAT was 0.81, and Exp (B) was 2.24. Conclusions: The telemedicine technology was effective using the eCCM combined with a behavioral intervention strategy centering on self-efficacy. Pulmonary rehabilitation at home through PeR and FtF could improve the sense of self-efficacy and quality of life and alleviate symptoms in patients with COPD. Trial Registration: Chinese Clinical Trial Registry ChiCTR1900022770; https://tinyurl.com/tmmvpq3 
%M 32314971
%R 10.2196/17089
%U http://www.jmir.org/2020/4/e17089/
%U https://doi.org/10.2196/17089
%U http://www.ncbi.nlm.nih.gov/pubmed/32314971