Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure

Abstract

Patients with a diagnosis of heart failure, registered at the study practice, were recruited into the study. First, they had a cardiologist's assessment. They were then randomised into telemonitored patients who measured pulse, BP, weight and video consulted, and controls. Aim: To examine the acceptability, effectiveness and reliability of home telemonitoring. Results: A Ž . high proportion of those invited took part n s 20r24 . Compliance with measuring weight, pulse and BP remained high throughout the study. The data collection system and secure web-server were reliable. The telemonitoring group complied better with collecting prescriptions for their cardiac drugs. Video consulting started with enthusiasm, but became less useful. Ž . Ž . There were no significant differences in the quality of life GHQ and Chronic Heart Failure Guyatt questionnaire scores between the telemonitored group and the controls. Conclusions: Home telemonitoring is an acceptable reliable intervention. Baseline rates for compliance with self-monitoring are set out in this study. Benefit in terms of compliance with medication and self-monitoring is still seen after 1 year. Video consulting over ordinary telephone lines did not show sustained benefit, and was not complied with. ᮊ

What to teach to patients with heart failure and why: the role of nurses in heart failure clinics

“…Adherence to instructions about weight monitoring vary in the literature from 12 (11) to 75% (12) . According to national and international guidelines (13)(14) , patients are advised to monitor weight daily and, in the event of a sudden weight increase, to contact the medical team or adjust the diuretic dose.…”

Financial Incentives for Home-Based Health Monitoring: A Randomized Controlled Trial

“…Ongoing home-based monitoring of health using wireless devices is a promising approach to using technology to augment the capabilities of providers, but its potential as a tool to improve population health is likely to be limited by low patient adherence. [1][2][3][4][5][6][7] For example, surveys of large employers typically report rates of employee participation in disease management programs of 20 % or lower. 8 Given low rates of adherence among many patients with poorly controlled disease, approaches to improve care based on self-monitoring are unlikely to result in substantial improvements in health unless they are accompanied by efforts to enhance patient engagement.…”

Avaliação Do Uso Da Telessaúde Aplicada a Reabilitação Cardíaca: Revisão Sistemática

“…A aderência ao treinamento foi semelhante entre os grupos 15 , no entanto alguns estudos 16,18 indicam que a RC Home-based com orientação por telemonitorização tem efeitos que proporcionam melhor aderência a RC, já Lusignan et al 19 apontam que a telemonitorização aumenta a aderência a medicação.…”

“…Artigos localizados nas bases de dados Pubmed, PEDro, BVS sobre o uso da telessaúde aplicada a reabilitação cardíaca (continuação) Baker et al 17 que ao observar o efeito progressivo na RC, reforçado pela educação por telefone e aconselhamento versus uma intervenção educacional breve, ficou evidente a melhora no auto-cuidado, proporcionando um melhor conhecimento da doença, no comportamento de saúde e ainda a redução de custos como visto em outros estudos 5,10,11 . Em contrapartida, Lusignan et al 19 , ao examinar a aceitabilidade, eficácia e fiabilidade da telemonitorização domiciliar, concluiu que a telemonitorização é uma intervenção de confiança aceitável. No entanto afirmam que a vídeo consultoria através de linhas telefônicas comuns não mostraram benefícios eficazes.…”