Table 1 Healthy at home intervention components: This multimodal intervention included a study app, smartwatch, access to acute care through a mobile integrated health program and virtual pulmonary support services

MyDataHelps App (main study app)

Houses all participant-facing forms and questionnaires including screening and consent. Prompts participants to complete scheduled assessments. Receives information from biosensors and is linked to participants’ EHR and claims data to aggregate all data streams. Generates momentary assessments triggered by participant responses or biometric data

All participant-level MyDataHelps data is visible to the Wellinks and MIH team on the study dashboard. Clinical data can trigger alert to participants through the app suggesting a home assessment from the MIH team and connect participants directly with the MIH visit request line

All

Fitbit Smartwatch

Collects biometric data. All data is visible to participants, study team, MIH clinicians, and Wellinks coaches through the MyDataHelps

Biometric patterns trigger alert to patients suggesting MIH visits. Biometric data is visible to clinical and research teams

All

Mobile Integrated Health Program (community paramedics and MIH physicians)

Community paramedics are available on-demand to perform home visits to evaluate and treat participants experiencing acute symptoms with support from a supervising physician. The program is specifically equipped to initiate treatment for COPD exacerbation

MIH team can view participant-level data in MyDataHelps. MIH visits offered to participants reporting worsening symptoms or exhibiting concerning biometric data through the study app. Research and Wellinks team refer participants to MIH team for all acute clinical concerns

All

Wellinks Virtual Pulmonary Rehabilitation Program

Coaching program to support participant education, treatment adherence, and goal setting, as well as a virtual pulmonary rehabilitation. Hosted on a separate program-specific app

Wellinks team can view participant-level data in MyDataHelps to support coaching plans. Wellinks can contact MIH team with any acute concerns requiring clinical evaluation

Opt-In

Wellinks equipment kit (spirometer, pulse oximeter, exercise equipment

Used with the Wellinks team to support pulmonary coaching plan and collect additional relevant biometric data

Spirometry and pulse oximetry data is integrated with the MyDataHelps app and is visible to the study and clinical teams

Opt-In