Technologies for Ageing in Place to Support Home Monitoring of Patients with Chronic Diseases

Home telemonitoring for chronic disease management: Perceptions of users and factors influencing adoption

“…Patients' increased sense of security from being monitored and sense of reassurance with improved access to telemonitoring care coordinators have been reported as the perceived benefits of telemonitoring. 2 Our study patients reported a positive experience in terms of the support and contacts they received from CCCs and POs. They appreciated the connection with CCCs and POs and did not feel telemonitoring made them worry or anxious.…”

“…7,8 While the effectiveness of home telemonitoring on clinical outcomes and health care costs have been widely explored, the evaluation of home telemonitoring has been expanded to include user experience, 9,10 perceived impact and organizational analysis. 2,11 Telemonitoring does not just "work" or "not work" 12 as the success of telemonitoring depends on many factors, including organization of the telemonitoring program, technology complexity, patients' compliance, and how clinicians and patients are engaged. 11,[13][14][15] Positive user experience of telemonitoring systems and experience of patient-clinician interaction and communication are essential to ensure the adoption of this new care modality.…”

“…To evaluate the benefit of home telemonitoring, researchers have indicated the need to understand patients' perceptions of the impact services have on their choronic disesase knowledge and their ability to self-care of their chronic diseases. 2,10,15,16 It is also important to explore patients' experience in interacting with clinicians in the telemonitoring journey, as developing a shared understanding of self-management between patients and clinicians can help to facilitate telemonitoring. 15,17 Researchers have called for trials and studies with improved evaluation designs that investigate the effect on patients' self-care and their acceptance of telemonitoring, in particular adoption factors.…”

“…More precisely, home telemonitoring, a sub-category of telehealth and defined as an automated process for the transmission of data on a patient's health status from home to the respective health care setting, 1 is increasingly implemented to capture patients' clinical parameters easily in a continuous or intermittent pace to support patient care. Various studies have reported the effectiveness of telemonitoring in reducing mortality, [2][3][4] hospitalizations and emergency department visits, 4,5 as well as improving patient perceived quality of life, 6 evidence-based prescribing and overall management of disease. 7,8 While the effectiveness of home telemonitoring on clinical outcomes and health care costs have been widely explored, the evaluation of home telemonitoring has been expanded to include user experience, 9,10 perceived impact and organizational analysis.…”