Design and Implementation of a Digital Health Home Spirometry Intervention for Remote Monitoring of Lung Transplant Function
Authors: Anobel Y. Odisho, MD, MPH, Andrew W. Liu, BA, Ali R. Maiorano, BA, M. Olivia A. Bigazzi, MS, Eli Medina MBA, Lorriana E. Leard, Rupal Shah, MD, Aida Venado, MD, Alyssa Perez, MD, Jeffrey Golden, MD, Mary Ellen Kleinhenz, MD, Nicholas A. Kolaitis, MD, Julia Maheshwari, MD, Binh N. Trinh, MD, PhD, Jasleen Kukreja MD, MPH, John Greenland MD, PhD, Daniel Calabrese, MD, Aaron B. Neinstein, MD, Jonathan P. Singer ,MD, MS, Steven R. Hays, MD
Published: February 2, 2023
An automated, chat-based, digital health intervention using Bluetooth-enabled home spirometers was developed to monitor for complications of lung transplantation in a real-world application. Between May 2020 and December 2021, 544 patients were invited to enroll, of whom 427 were invited remotely and 117 were enrolled in-person.
The team demonstrated that a novel, automated, chat-based, and EHR-integrated home spirometry intervention is well accepted, generates reliable assessments of graft function, and can deliver automated feedback and education resulting in moderately-high adherence rates. They also found that in-person onboarding yields better engagement and adherence. Future work will aim to demonstrate the impact of remote care monitoring on early detection of lung transplant complications.