Enhancing Accessibility and Remote Monitoring for COPD Patients Through Human Factors Engineering

Chronic obstructive pulmonary disease (COPD) is currently a leading cause of morbidity and mortality worldwide with traditional management approaches such as in-person pulmonary rehabilitation typically prescribed. However, the success of these traditional approaches is often hindered by low patient engagement and limited regional access to rehabilitation centers. This paper describes a human factors (HF)-informed approach to developing an alternative model of care via digital pulmonary coaching and a portable spirometer device. Through iterative development and user-centered design, Vigor Health created a comprehensive digital pulmonary management program integrating a portable spirometer, digital app, and personalized health coaching. A pilot study demonstrated substantial improvements in patient enrollment, retention, and reductions in emergency visits and hospital admissions. The findings highlight the value of understanding and incorporating HF principles into design to enhance accessibility, usability, and outcomes in chronic disease care.