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Article

Multimodal Remote Home Monitoring of Lung Transplant Recipients during COVID-19 Vaccinations: Usability Pilot Study of the COVIDA Desk Incorporating Wearable Devices

by
Macé M. Schuurmans
1,2,*,
Michal Muszynski
3,
Xiang Li
4,5,
Ričards Marcinkevičs
5,
Lukas Zimmerli
3,
Diego Monserrat Lopez
3,6,
Bruno Michel
3,
Jonas Weiss
3,
René Hage
1,2,
Maurice Roeder
1,2,
Julia E. Vogt
5 and
Thomas Brunschwiler
3
1
Division of Pulmonology, University Hospital Zurich, 8091 Zurich, Switzerland
2
Faculty of Medicine, University of Zurich, 8032 Zurich, Switzerland
3
IBM Research Europe, 8803 Rüschlikon, Switzerland
4
Department of Mathematics, ETH Zurich, 8092 Zurich, Switzerland
5
Department of Computer Science, ETH Zurich, 8092 Zurich, Switzerland
6
Department of Biosystems Science and Engineering, ETH Zurich, 4058 Basel, Switzerland
*
Author to whom correspondence should be addressed.
Medicina 2023, 59(3), 617; https://doi.org/10.3390/medicina59030617
Submission received: 8 February 2023 / Revised: 13 March 2023 / Accepted: 15 March 2023 / Published: 20 March 2023
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Abstract

Background and Objectives: Remote patient monitoring (RPM) of vital signs and symptoms for lung transplant recipients (LTRs) has become increasingly relevant in many situations. Nevertheless, RPM research integrating multisensory home monitoring in LTRs is scarce. We developed a novel multisensory home monitoring device and tested it in the context of COVID-19 vaccinations. We hypothesize that multisensory RPM and smartphone-based questionnaire feedback on signs and symptoms will be well accepted among LTRs. To assess the usability and acceptability of a remote monitoring system consisting of wearable devices, including home spirometry and a smartphone-based questionnaire application for symptom and vital sign monitoring using wearable devices, during the first and second SARS-CoV-2 vaccination. Materials and Methods: Observational usability pilot study for six weeks of home monitoring with the COVIDA Desk for LTRs. During the first week after the vaccination, intensive monitoring was performed by recording data on physical activity, spirometry, temperature, pulse oximetry and self-reported symptoms, signs and additional measurements. During the subsequent days, the number of monitoring assessments was reduced. LTRs reported on their perceptions of the usability of the monitoring device through a purpose-designed questionnaire. Results: Ten LTRs planning to receive the first COVID-19 vaccinations were recruited. For the intensive monitoring study phase, LTRs recorded symptoms, signs and additional measurements. The most frequent adverse events reported were local pain, fatigue, sleep disturbance and headache. The duration of these symptoms was 5–8 days post-vaccination. Adherence to the main monitoring devices was high. LTRs rated usability as high. The majority were willing to continue monitoring. Conclusions: The COVIDA Desk showed favorable technical performance and was well accepted by the LTRs during the vaccination phase of the pandemic. The feasibility of the RPM system deployment was proven by the rapid recruitment uptake, technical performance (i.e., low number of errors), favorable user experience questionnaires and detailed individual user feedback.
Keywords: home monitoring; COVID-19 vaccination; lung transplant; digital health; respiratory disease; disease management; chronic disease; patient monitoring home monitoring; COVID-19 vaccination; lung transplant; digital health; respiratory disease; disease management; chronic disease; patient monitoring

Share and Cite

MDPI and ACS Style

Schuurmans, M.M.; Muszynski, M.; Li, X.; Marcinkevičs, R.; Zimmerli, L.; Monserrat Lopez, D.; Michel, B.; Weiss, J.; Hage, R.; Roeder, M.; et al. Multimodal Remote Home Monitoring of Lung Transplant Recipients during COVID-19 Vaccinations: Usability Pilot Study of the COVIDA Desk Incorporating Wearable Devices. Medicina 2023, 59, 617. https://doi.org/10.3390/medicina59030617

AMA Style

Schuurmans MM, Muszynski M, Li X, Marcinkevičs R, Zimmerli L, Monserrat Lopez D, Michel B, Weiss J, Hage R, Roeder M, et al. Multimodal Remote Home Monitoring of Lung Transplant Recipients during COVID-19 Vaccinations: Usability Pilot Study of the COVIDA Desk Incorporating Wearable Devices. Medicina. 2023; 59(3):617. https://doi.org/10.3390/medicina59030617

Chicago/Turabian Style

Schuurmans, Macé M., Michal Muszynski, Xiang Li, Ričards Marcinkevičs, Lukas Zimmerli, Diego Monserrat Lopez, Bruno Michel, Jonas Weiss, René Hage, Maurice Roeder, and et al. 2023. "Multimodal Remote Home Monitoring of Lung Transplant Recipients during COVID-19 Vaccinations: Usability Pilot Study of the COVIDA Desk Incorporating Wearable Devices" Medicina 59, no. 3: 617. https://doi.org/10.3390/medicina59030617

APA Style

Schuurmans, M. M., Muszynski, M., Li, X., Marcinkevičs, R., Zimmerli, L., Monserrat Lopez, D., Michel, B., Weiss, J., Hage, R., Roeder, M., Vogt, J. E., & Brunschwiler, T. (2023). Multimodal Remote Home Monitoring of Lung Transplant Recipients during COVID-19 Vaccinations: Usability Pilot Study of the COVIDA Desk Incorporating Wearable Devices. Medicina, 59(3), 617. https://doi.org/10.3390/medicina59030617

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