The program's long term objective is to improve the health status of lung transplant recipients by providing a means for the early detection of acute bronchopulmonary events, resulting in earlier and more timely intervention and improved outcome. We have developed and tested a telehealth home monitoring system in which recipients do daily lung function measurements and record respiratory symptoms; these measurements are transmitted from the recipient's home to our data center over the recipient's telephone. This information is currently used by nurses to identify those recipients who show the earliest indications of an acute bronchopulmonary event. This is a laborious process, especially when large numbers of patients are doing home monitoring on a regular daily schedule. We have developed a computerized triage system to interpret the home monitoring data using appropriate probability measures. The computer systems are necessary to evaluate the large amount of data generated from home monitoring. These systems can identify early indications of a problem, but it is not known if this results in improved health outcome for the patient doing home monitoring. The first part of the study will evaluate a new telehealth enhanced home spirometer/diary device which should make it easier for patients to do home monitoring, for nurses to review and assess their patient's home monitoring data, and to provide automated feedback messages to patients to help them maintain home monitoring adherence. The next part of the study will be a randomized controlled trial to evaluate and compare manual nurse triage with the computerized triage system in terms of patient's health and quality of life, and the time required to fully utilize each triage system. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR009212-02
Application #
7107232
Study Section
Nursing Science: Adults and Older Adults Study Section (NSAA)
Program Officer
Huss, Karen
Project Start
2005-08-08
Project End
2009-05-31
Budget Start
2006-06-01
Budget End
2007-05-31
Support Year
2
Fiscal Year
2006
Total Cost
$488,296
Indirect Cost
Name
University of Minnesota Twin Cities
Department
Pathology
Type
Schools of Medicine
DUNS #
555917996
City
Minneapolis
State
MN
Country
United States
Zip Code
55455
Wang, Wayne; Finkelstein, Stanley M; Hertz, Marshall I (2013) Automatic event detection in lung transplant recipients based on home monitoring of spirometry and symptoms. Telemed J E Health 19:658-63
Finkelstein, Stanley M; Lindgren, Bruce R; Robiner, William et al. (2013) A randomized controlled trial comparing health and quality of life of lung transplant recipients following nurse and computer-based triage utilizing home spirometry monitoring. Telemed J E Health 19:897-903
Finkelstein, Stanley M; MacMahon, Kathleen; Lindgren, Bruce R et al. (2012) Development of a remote monitoring satisfaction survey and its use in a clinical trial with lung transplant recipients. J Telemed Telecare 18:42-6
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Oz, Gülin; Hutter, Diane; Tkác, Ivan et al. (2010) Neurochemical alterations in spinocerebellar ataxia type 1 and their correlations with clinical status. Mov Disord 25:1253-61
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