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Monitoring COPD and asthma: technological developments in the
IMCA II Project
Enric Duran
Municipal Institut of Medical Research (IMIM)
Workshop on Health Examination SurveysLuxembourg, 9 -11 April 2008
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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 Health Survey in the Elderly
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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.
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MethodologyStudy design: randomized controlled trial
Random sampleN=250
From small GA
Group AN=125
Fiedwork at home
Group BN=125
Fieldwork at the PCC
(Model A)Model B
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MethodologyStudy design and population
• Which model will perform each country?
– Spain has choosen Model A.
– Sweden, Germany, Italy (Pisa &Roma) have to decide which model they choose.
– Other countries may considerer to perform the study with funding available: France, Poland, Norway and Finland.
– Other countries despite funding difficulties can explore ways of making it possible (national funding or helping them to obtain funding).
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MethodologyTechnology and communication system
MOTOHEALTH System
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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.
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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.
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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.
MethodologyTechnology and communication system
(MOTOHEALTH)
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MethodologyTechnology and communication system
Wireless sensors, handset/computer, call center, central server
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LoginLogin ( https://linkcare.clinic.ub.es/mhworld/ )
MethodologyTechnology and communication system
Acces to MOTOHEALTH
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Key professionals involved and roles
SM
Phone operator
Field worker
Study Manager
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PC portàtil
Overview of the fieldwork materials and tools?
Study manager SM
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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.
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Study Manager and human resources
4 Field workers
2 Phone operators
1 Study manager
1 Pediatric nurse
FW
PO
PN
SM
FW
FW
FW PO
HES Feasibility Study in
Barcelona
HES Feasibility Study in
BarcelonaBarcelona option:Barcelona option:
SM
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Field worker activities
Participant
Confirm visit
Consent form
Questionnaire & measurements
Consent formQuestionnaire & measurements
Study information
Study information
Synchronize
Field Worker
Synchronize
Interview results
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Phone operator activities
Consent form
Participant
Schedule a visit Brief Questionnaire
Questionnaire & measurements
Check participant’s data
Phone Operator
Study information
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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.
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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
– Pulse-oximetry
– Blood pressure
– Blood extraction
– C) Only the questionnaire.– Blood extraction
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What we expect from the technology used in this study?
MOTOHEALTH
System
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Web IMCA: www.imca.cat