Efficacy of Web-Based Supportive Interventions in Quality of Life in COPD Patients, a Systematic Review and Meta-Analysis

Andrés Calvache-Mateo, Laura López-López, Alejandro Heredia-Ciuró, Javier Martín-Núñez, Janet Rodríguez-Torres, Araceli Ortiz-Rubio and Marie Carmen Valenza
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Andrés Calvache-Mateo: Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain
Laura López-López: Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain
Alejandro Heredia-Ciuró: Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain
Javier Martín-Núñez: Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain
Janet Rodríguez-Torres: Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain
Araceli Ortiz-Rubio: Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain
Marie Carmen Valenza: Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain

IJERPH, 2021, vol. 18, issue 23, 1-19

Abstract: Background: Adults living with Chronic Obstructive Pulmonary Disease (COPD) often have difficulties when trying to access health care services. Interactive communication technologies are a valuable tool to enable patients to access supportive interventions to cope with their disease. The aim of this revision and meta-analysis is to analyze the content and efficacy of web-based supportive interventions in quality of life in COPD. Methods: Medline (via PubMed), Web of Science, and Scopus were the databases used to select the studies for this systematic review. A screening, analysis, and assessment of the methodological quality was carried out by two independent researchers. A meta-analysis of the extracted data was performed. Results: A total of 9 of the 3089 studies reviewed met the inclusion criteria. Most repeated web content elements were educational and involved communication with healthcare professional content. Finally, seven of the nine studies were included in a quantitative analysis. Web-based supportive interventions significantly improved quality of life when added to usual care (SMD = −1.26, 95% CI = −1.65, −0.86; p < 0.001) but no significant differences were found when compared with an autonomous pedometer walking intervention ( p = 0.64) or a face-to-face treatment ( p = 0.82). Conclusion: This systematic review and meta-analysis suggests that web-based supportive interventions may complement or accompany treatments in COPD patients due to the advantages of online interventions. The results obtained should be treated with caution due to the limited number of studies in this area and methodological weaknesses.

Keywords: communication; COPD patients; educational content; supportive interventions; web-based (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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