This project will extend our current work with self-management of chronic obstructive pulmonary disease (COPD) using a tablet computer based system. Although self-management in COPD can improve patients’ quality of life, mood and health status and reduce hospital admissions, it is still not clear how best to help patients maximise their self-management potential. Anxiety and depression are common in COPD and have major impact on patients, their families and the health services. There is increasing evidence that these conditions are undetected and undertreated. Interactive communication and monitoring offers a means of delivering stratified interventions to sustain effect of pulmonary rehabilitation, which particularly aims to support patients’ self-management of symptoms including anxiety and depression.
Using data from our current trial and work currently in progress, we will carry out additional analysis of data to explore the use of mood screening questionnaires on the tablet computer, outcomes for individuals identified with mood disorders and the impact of the intervention components targeting these disorders. We will use this information to refine the current intervention and implement its use in a small group of people with mood disturbance. We will explore options for delivery of these interventions and the best ways of establishing and maintaining engagement with patients. A small randomised pilot trial with an embedded qualitative study with 30 to 50 participants will provide evidence of effect as well as additional data on which to design a full-scale evaluation.