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Dorronzoro-Zubiete E, Castro-Marrero J, Ropero J, Sevillano-Ramos JL, Dolores Hernández M, Sanmartin Sentañes R, Alegre-Martin J, Launois-Obregón P, Martin-Garrido I, Luque Budia A, Lacalle-Remigio JR, Béjar Prado L, Rivera Romero O. Personalized Management of Fatigue in Individuals With Myalgic Encephalomyelitis/Chronic Fatigue Syndrome and Long COVID Using a Smart Digital mHealth Solution: Protocol for a Participatory Design Approach. JMIR Res Protoc 2024; 13:e50157. [PMID: 38608263 PMCID: PMC11053387 DOI: 10.2196/50157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Accepted: 07/27/2023] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Fatigue is the most common symptom in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and long COVID, impacting patients' quality of life; however, there is currently a lack of evidence-based context-aware tools for fatigue self-management in these populations. OBJECTIVE This study aimed to (1) address fatigue in ME/CFS and long COVID through the development of digital mobile health solutions for self-management, (2) predict perceived fatigue severity using real-time data, and (3) assess the feasibility and potential benefits of personalized digital mobile health solutions. METHODS The MyFatigue project adopts a patient-centered approach within the participatory health informatics domain. Patient representatives will be actively involved in decision-making processes. This study combines inductive and deductive research approaches, using qualitative studies to generate new knowledge and quantitative methods to test hypotheses regarding the relationship between factors like physical activity, sleep behaviors, and perceived fatigue in ME/CFS and long COVID. Co-design methods will be used to develop a personalized digital solution for fatigue self-management based on the generated knowledge. Finally, a pilot study will evaluate the feasibility, acceptance, and potential benefits of the digital health solution. RESULTS The MyFatigue project opened to enrollment in November 2023. Initial results are expected to be published by the end of 2024. CONCLUSIONS This study protocol holds the potential to expand understanding, create personalized self-management approaches, engage stakeholders, and ultimately improve the well-being of individuals with ME/CFS and long COVID. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/50157.
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Affiliation(s)
| | - Jesús Castro-Marrero
- Research Unit in ME/CFS and Long COVID, Division of Rheumatology, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Jorge Ropero
- Electronic Technology Department, Universidad de Sevilla, Sevilla, Spain
| | | | | | - Ramon Sanmartin Sentañes
- Research Unit in ME/CFS and Long COVID, Division of Rheumatology, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
- Division of Rheumatology, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Jose Alegre-Martin
- Research Unit in ME/CFS and Long COVID, Division of Rheumatology, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain
- Division of Rheumatology, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Patricia Launois-Obregón
- Physical Medicine and Rehabilitation Department, Vall d'Hebron University Hospital, Barcelona, Spain
- Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Isabel Martin-Garrido
- Unidad de Enfermedades Autoinmunes y Minoritarias, Servicio de Medicina Interna, Virgen del Rocio University Hospital, Sevilla, Spain
| | - Asuncion Luque Budia
- Salud Mental, Unidad de Gestión Clínica, Virgen del Rocio University Hospital, Sevilla, Spain
| | - Juan R Lacalle-Remigio
- Preventive Medicine and Public Health Department, Universidad de Sevilla, Sevilla, Spain
| | - Luis Béjar Prado
- Preventive Medicine and Public Health Department, Universidad de Sevilla, Sevilla, Spain
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Giner-Galvañ V, Asensio-Tomás M, Díez-Herrero D, Wikman-Jorgensen P. Another way to approach post-COVID syndrome. From functionality to the symptoms. Rev Clin Esp 2023; 223:62-64. [PMID: 35821001 PMCID: PMC9270685 DOI: 10.1016/j.rceng.2022.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Accepted: 03/22/2022] [Indexed: 02/01/2023]
Affiliation(s)
- V. Giner-Galvañ
- Servicio de Medicina Interna, Hospital Clínico Universitario San Juan, San Juan de Alicante, Alicante, Spain,Departamento de Medicina Clínica, Facultad de Medicina, Universidad Miguel Hernández, Elche, Alicante, Spain,Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain,Corresponding author
| | - M.L. Asensio-Tomás
- Servicio de Medicina Interna, Hospital Clínico Universitario San Juan, San Juan de Alicante, Alicante, Spain,Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain
| | - D. Díez-Herrero
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain,Centro de Salud Cabo de las Huertas, Departamento de Salud de San Juan, San Juan de Alicante, Alicante, Spain
| | - P. Wikman-Jorgensen
- Servicio de Medicina Interna, Hospital Clínico Universitario San Juan, San Juan de Alicante, Alicante, Spain,Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, Spain
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Giner-Galvañ V, Asensio-Tomás M, Díez-Herrero D, Wikman-Jorgensen P. [Another way to approach post-COVID syndrome. From functionality to the symptoms]. Rev Clin Esp 2023; 223:62-64. [PMID: 35757101 PMCID: PMC9212534 DOI: 10.1016/j.rce.2022.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- V. Giner-Galvañ
- Servicio de Medicina Interna, Hospital Clínico Universitario San Juan, San Juan de Alicante, Alicante, España,Departamento de Medicina Clínica, Facultad de Medicina, Universidad Miguel Hernández, Elche, Alicante, España,Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, España,Autor para correspondencia
| | - M.L. Asensio-Tomás
- Servicio de Medicina Interna, Hospital Clínico Universitario San Juan, San Juan de Alicante, Alicante, España,Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, España
| | - D. Díez-Herrero
- Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, España,Centro de Salud Cabo de las Huertas, Departamento de Salud de San Juan, San Juan de Alicante, Alicante, España
| | - P. Wikman-Jorgensen
- Servicio de Medicina Interna, Hospital Clínico Universitario San Juan, San Juan de Alicante, Alicante, España,Fundación para el Fomento de la Investigación Sanitaria y Biomédica (FISABIO), Valencia, España
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Tortola D, Magnani E, Giorgini E, Zani MC, Pazzaglini C, Sambo P, Montaguti L. Managing Complexity: The Experience of an Italian Internal Medicine Unit During the SARS-CoV-2 Pandemic, Looking to the Future. SN COMPREHENSIVE CLINICAL MEDICINE 2022; 4:233. [PMID: 36320815 PMCID: PMC9610320 DOI: 10.1007/s42399-022-01320-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/19/2022] [Indexed: 12/28/2022]
Abstract
The impact of COVID-19 pandemic put the Italian health system into a test. In the period between September 2020 and June 2021, a weekly average of 114 SARS-CoV-2 infections were recorded in Forlì-Cesena province (north of Italy), with a maximum of 330 cases per week in March 2021; in the same months, the Internal Medicine Unit of Cesena M. Bufalini Hospital managed 954 COVID-19 patients. To allow the management of these patients, the ward was divided into areas at different intensity of care, with a maximum of 39-47 beds and 19-24 in ordinary and sub-intensive area, respectively. Patients had an average age of 66 years, and 62% of the total was female; prevalent comorbidities were arterial hypertension (53%), smoking habit (28.7%), obesity (27.9%), uncomplicated (10%), and complicated diabetes (9%). On the total, 339 patients were hospitalized in sub-intensive area, subjected to non-invasive ventilatory support. Hospitalization lasted about 7 days in the ordinary ward and 13 days in the sub-intensive area. One hundred six patients died. In the considered period, the mean percentage of deaths compared to hospitalizations in Italy was equal to 22.21%; in our experience, the overall mortality rate was 11%. Our organizational model, which included different intensity areas in the same ward and various specialist skills, as the ability to manage non-invasive ventilation and bedside ultrasound, allowed flexible management of the "complex" COVID patient. Even the mortality rate may be the result of this model. These features mark what modern Internal Medicine should be like.
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Affiliation(s)
- Daniela Tortola
- Internal Medicine Unit, Cesena M. Bufalini Hospital, AUSL Della Romagna: Azienda Unità Sanitaria Della Romagna, Cesena, Italy
| | - Elena Magnani
- Internal Medicine Unit, Cesena M. Bufalini Hospital, AUSL Della Romagna: Azienda Unità Sanitaria Della Romagna, Cesena, Italy
| | - Enrico Giorgini
- Internal Medicine Unit, Cesena M. Bufalini Hospital, AUSL Della Romagna: Azienda Unità Sanitaria Della Romagna, Cesena, Italy
| | - Maria Cristina Zani
- Internal Medicine Unit, Cesena M. Bufalini Hospital, AUSL Della Romagna: Azienda Unità Sanitaria Della Romagna, Cesena, Italy
| | - Chiara Pazzaglini
- Internal Medicine Unit, Cesena M. Bufalini Hospital, AUSL Della Romagna: Azienda Unità Sanitaria Della Romagna, Cesena, Italy
| | - Paola Sambo
- Internal Medicine Unit, Cesena M. Bufalini Hospital, AUSL Della Romagna: Azienda Unità Sanitaria Della Romagna, Cesena, Italy
| | - Luca Montaguti
- Internal Medicine Unit, Cesena M. Bufalini Hospital, AUSL Della Romagna: Azienda Unità Sanitaria Della Romagna, Cesena, Italy
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