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Monitoring COPD and asthma: technological developments in the IMCA II Project

Monitoring COPD and asthma: technological developments in the IMCA II Project. Enric Duran Institut Municipal d’Assistència Mèdica al Personal Municipal (PAMEM) Municipal Institut of Medical Research (IMIM) Subgroup on Health Examination Surveys Luxembourg, 20 January 2010.

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Monitoring COPD and asthma: technological developments in the IMCA II Project

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  1. Monitoring COPD and asthma: technological developments in the IMCA II Project Enric Duran Institut Municipal d’Assistència Mèdica al Personal Municipal (PAMEM) Municipal Institut of Medical Research (IMIM) Subgroup on Health Examination Surveys Luxembourg, 20 January 2010

  2. IMCA IIWorking Packages overview • WP 1: Coordination of the project. • WP 2: Dissemination of the results. • WP 3: Evaluation of the project. • WP 4: Indicators from routine database. • WP 5: Indicators from international research studies. • WP 6: HES Feasibility Study – Respiratory diseases Respiratory Health Survey in the Elderly

  3. HES Feasibility StudyObjectives • To assess the feasibility of using Motohealth system as a tool for performing interviews and measurements at home in the context of large scale respiratory surveys at national and international level. • To evaluate to what extent the Motohealth system can improve response rates to questionnaires, the acceptability of measurements performance and biological samples collection when the measurements are performed at home in comparison to other settings such as a primary health care centre.

  4. MethodologyStudy design: randomized controlled trial (Model A) Model B

  5. MethodologyStudy design and population • Which model will perform each country? • 1st Wave: Spain (Model A) and Sweden, Germany, Italy (Pisa) and Italy (Rome) (Model B). • 2nd Wave: France (Model A) Poland, Greece, Norway and Bulgaria decided (Model B). • In summary 10 centres will perform the HES Feasibility Study. • Other countries despite funding difficulties can explore ways of making it possible (national funding or helping them to obtain funding).

  6. MethodologyTechnology and communication system(MOTOHEALTH) • MOTOHEALTH is a tool which integrates questionnaire design, field work management, measurements performance, data collection and transmission on line with high eficiency and quality reducing costs and time for data analysis.

  7. MethodologyTechnology and communication system(MOTOHEALTH) • Is an integrated mobile monitoring system. • Allows remote monitoring of chronic patients or healthy individuals. • Transmits the data through wireless communication (GPRS) in a secure mode to a central repository server. • Professionals review the data and take decisions accordingly to patient/individual situation.

  8. MethodologyTechnology and communication system(MOTOHEALTH) • The system integrates three main applications: • Backend Application (BEA): this is the application for study administration, importing individuals to the system and the administration of professionals involved in the study. • Survey Application (SVA): this is the application administered by the field worker for the measurements performance and questionnaires completion at individuals home. • Geographic Location Application (GLA): this is the application that facilitates the work of the phone operators for the the individuals scheduling visits according to a geographical area.

  9. MethodologyTechnology and communication systemWireless sensors, handset/computer, call center, central server

  10. SM Key professionals involved and roles Study Manager Phone operator Field worker

  11. SM Study manager Overview of the fieldwork materials and tools? PC portàtil

  12. MethodologyMeasurements performed and sensors characteristics • Spirometry (NDD Easy One Model 2001). • Blood pressure monitor UA -767BT (A&D Medical). • Pulse-oximetry (NONIN 4000 Avant Bluetooth). • Weight (A&D - Medical UC-321PL). • Height (Laser). • Blood sample: Hemograme, Cholesterol, C-Reactive Proteine and Creatinine.

  13. MethodologyQuestionnaires selected (Adults & Children) • Adults questionnaire: GA2LEN screening quetionnaire. • 21 questions. • Translated to four languages or more. • Children’s questionnaire: ISAAC II protocol (selected questions): • 32 questions. • Translated to four languages or more.

  14. MethodologyConsent Form • Which are the options for all individuals? • A) The questionnaire and all described measurements. • B) The questionnaire and all marked measurements: • Weight and height • Spirometry (Pre and Post-bronchodilator) • Pulse-oximetry • Blood pressure • Blood extraction • C) Only the questionnaire. • Blood extraction

  15. What we expect from the technology used in this study? MOTOHEALTH System

  16. Web IMCA: www.imca.cat

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