Evidence map›Paper›PMID 29439942›Full record

Trial reportJournal of medical Internet research2018

Using Robots at Home to Support Patients With Chronic Obstructive Pulmonary Disease: Pilot Randomized Controlled Trial.

Elizabeth Broadbent, Jeff Garrett, Nicola Jepsen, Vickie Li Ogilvie, Ho Seok Ahn, Hayley Robinson, Kathryn Peri, Ngaire Kerse, Paul Rouse, Avinesh Pillai and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 17 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 17 syntheses or guidelines pooled it, 126 citations in OpenAlex.

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  7. Digital remote maintenance inhaler adherence interventions in COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2024
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  14. Telerehabilitation for chronic respiratory disease.The Cochrane database of systematic reviews · 2021
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  15. Coaching Through Technology: A Systematic Review into Efficacy and Effectiveness for the Ageing Population.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Elizabeth BroadbentDepartment of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID 0000-0003-3626-9100
Jeff GarrettDepartment of Respiratory Medicine, Counties Manukau District Health Board, Auckland, New Zealand.ORCID 0000-0001-9679-9272
Nicola JepsenAcute Allied Health Department, Counties Manukau District Health Board, Auckland, New Zealand.ORCID 0000-0001-9627-1275
Vickie Li OgilvieAcute Allied Health Department, Counties Manukau District Health Board, Auckland, New Zealand.ORCID 0000-0003-4882-0019
Ho Seok AhnDepartment of Electrical and Computer Engineering, The University of Auckland, Auckland, New Zealand.ORCID 0000-0001-7418-6280
Hayley RobinsonDepartment of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID 0000-0001-8073-3260
Kathryn PeriSchool of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID 0000-0002-3630-137X
Ngaire KerseSchool of Population Health, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.ORCID 0000-0002-5992-3681
Paul RouseDepartment of Accounting and Finance, The University of Auckland, Auckland, New Zealand.ORCID 0000-0002-5223-3143
Avinesh PillaiDepartment of Statistics, The University of Auckland, Auckland, New Zealand.ORCID 0000-0001-9928-5090
Bruce MacDonaldDepartment of Electrical and Computer Engineering, The University of Auckland, Auckland, New Zealand.ORCID 0000-0001-7602-8497
University of Auckland · NZCounties Manukau District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocially assistive robots are being developed for patients to help manage chronic health conditions such as chronic obstructive pulmonary disease (COPD). Adherence to medication and availability of rehabilitation are suboptimal in this patient group, which increases the risk of hospitalization.

objectiveThis pilot study aimed to investigate the effectiveness of a robot delivering telehealth care to increase adherence to medication and home rehabilitation, improve quality of life, and reduce hospital readmission compared with a standard care control group.

methodsAt discharge from hospital for a COPD admission, 60 patients were randomized to receive a robot at home for 4 months or to a control group. Number of hospitalization days for respiratory admissions over the 4-month study period was the primary outcome. Medication adherence, frequency of rehabilitation exercise, and quality of life were also assessed. Implementation interviews as well as benefit-cost analysis were conducted.

resultsIntention-to-treat and per protocol analyses showed no significant differences in the number of respiratory-related hospitalizations between groups. The intervention group was more adherent to their long-acting inhalers (mean number of prescribed puffs taken per day=48.5%) than the control group (mean 29.5%, P=.03, d=0.68) assessed via electronic recording. Self-reported adherence was also higher in the intervention group after controlling for covariates (P=.04). The intervention group increased their rehabilitation exercise frequency compared with the control group (mean difference -4.53, 95% CI -7.16 to -1.92). There were no significant differences in quality of life. Of the 25 patients who had the robot, 19 had favorable attitudes.

conclusionsThis pilot study suggests that a homecare robot can improve adherence to medication and increase exercise. Further research is needed with a larger sample size to further investigate effects on hospitalizations after improvements are made to the robots. The robots could be especially useful for patients struggling with adherence.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12615000259549; http://www.anzctr.org.au (Archived by WebCite at  http://www.webcitation.org/6whIjptLS).

Indexed as

Exercise TherapyFemaleHome Care ServicesHumansMalePilot ProjectsPulmonary Disease, Chronic ObstructiveQuality of LifeRoboticschronic obstructive pulmonary diseasehospitalizationmedication adherencerehabilitation exerciseroboticstelehealth

Identifiers

PMID29439942
PMCPMC5829456
OpenAlexW2786832304

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.