What influences patients&amp;rsquo; acceptance of a blood pressure telemonitoring service in primary care? A qualitative study

Abdullah, Adina; Liew, Su May; Hanafi, Nik Sherina; Ng, Chirk Jenn; Lai, Pauline Siew Mei; Chia, Yook Chin; Loo, Chu Kiong

doi:10.2147/ppa.s94687

Cited by 34 publications

(58 citation statements)

References 28 publications

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“…In studies evaluating the use of telemonitoring to monitor blood pressure, blood glucose, and weight, patients found telemonitoring to be useful and cited the potential of their health providers to view the information as a motivating factor for behavior change. 20, 21 In another study of the views of 17 seniors using a monitoring device to collect and transmit “activity data” to providers, 16 of the 17 participants had positive views and did not feel that it invaded their privacy. 22 …”

Section: Discussionmentioning

confidence: 99%

Smartphone-Based Geofencing to Ascertain Hospitalizations

Nguyen

Olgin

Pletcher

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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Background Ascertainment of hospitalizations is critical to assess quality of care and the effectiveness and adverse effects of various therapies. Smartphones, mobile geo-locators that are ubiquitous, have not been leveraged to ascertain hospitalizations. Therefore, we evaluated the use of smartphone-based “geofencing” to track hospitalizations. Methods and Results Participants ages ≥ 18 years installed a mobile application programmed to “geofence” all hospitals using global positioning systems and cell phone tower triangulation and to trigger a smartphone-based questionnaire when located in a hospital for ≥ 4 hours. An “in-person” study included consecutive consenting patients scheduled for electrophysiology and cardiac catheterization procedures. A “remote” arm invited Health eHeart Study participants that consented and engaged with the study via the internet only. The accuracy of application-detected hospitalizations was confirmed by medical record review as the reference standard. Of 22 eligible “in-person” patients, 17 hospitalizations were detected (sensitivity 77%; 95% confidence interval [CI] 55-92%). The length of stay according to the application was positively correlated with the length of stay ascertained via the electronic medical record (r=0.53, p=0.03). In the remote arm, the application was downloaded by 3,443 participants residing in all 50 U.S. states; 243 hospital visits at 119 different hospitals were detected through the application. The positive predictive value for an application-reported hospitalization was 65% (95% CI 57-72%). Conclusions Mobile application-based ascertainment of hospitalizations can be achieved with modest accuracy. This first proof of concept may ultimately be applicable to “geofencing” other types of prespecified locations to facilitate healthcare research and patient care.

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Section: Discussionmentioning

confidence: 99%

Smartphone-Based Geofencing to Ascertain Hospitalizations

Nguyen

Olgin

Pletcher

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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“…A qualitative study explored the influence of self‐owned HBPM devices in primary care patients with hypertension and found that patients who self‐initiated HBPM reported a higher level of self‐efficacy in the management of hypertension . Furthermore, a small study at a primary care clinic in Kuala Lumpur assessed patient acceptance of a home BP telemonitoring service and found that patients needed help to interpret the meaning of monitored BP readings, suggesting that the implementation of HBPM requires a degree of patient education to optimize uptake …”

Section: Current Status Of Hbpm In Asiamentioning

confidence: 99%

Current status of home blood pressure monitoring in Asia: Statement from the HOPE Asia Network

Chia

Buranakitjaroen

Chen

et al. 2017

J of Clinical Hypertension

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“…25 Various observation, intervention and qualitative studies conducted in primary care and community settings with elderly patients reported a high level of patient satisfaction 26,27 and acceptance of telemonitoring applications (TMAs). 26,28 TMA use was rated as simple [29][30][31] and showed a reduction in the patients' fear of new technologies, 23 and patients were adherent in the use of home-based telemedical measures. 27 Additionally, patients noted a subjective improvement, more detailed knowledge of their own health, as well as an increasing adherence to the treatment process.…”

Section: Introductionmentioning

confidence: 99%

Adherence and acceptance of a home-based telemonitoring application used by multi-morbid patients aged 65 years and older

et al. 2020

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Introduction Currently, there are only a small number of comprehensive study results on adherence and acceptance of telemonitoring applications (TMAs) regarding multi-morbid older patients. The ATMoSPHAERE study aimed to develop an information and communication platform for an intersectoral networking of, for example, general practitioners, therapists, social services and the multi-morbid older patient. Methods The study presented was designed as a longitudinal bicentric intervention study which focused on multi-morbid patients aged ≥65 years using home-based telemedical measurement and input devices. The development and testing of this TMA aimed to optimise patients’ health care through intersectoral networking of all treating actors. Quantitative methods of data collection and analysis were used. Results Patients who completed the study were significantly younger than drop-outs and non-participants. The mental health of study patients significantly improved between the beginning and end of TMA use. The main reason for non-participation in the study was the high time expenditure when participating in the study. No perceived (information) benefits for health and insufficient content variety were the main reasons for drop-out. Appropriateness and handling of TMAs must be aligned with the needs of the heterogeneous user group of multi-morbid patients in order to increase acceptance and the added value of TMAs. Telemonitoring hardware should be oriented on functional capabilities of the older target group. Telemonitoring software content requires an individual, disease-specific approach for patients. The TMA should be unobtrusively integrated into usual daily life and be used to an appropriate extent according to the underlying disease in order to avoid stressing patients. With regard to adherence concerning TMAs, it is crucial to provide a contact person who is always available for patients having problems handling TMAs. Health concerns and questions can thus be addressed early, providing a feeling of safety in the care process. Discussion User acceptance of TMAs is an essential indicator and driver for use and for future implementation efforts in health care. In order to achieve maximum user centricity in development processes, patients must be involved as experts, co-designers and future users, considering their needs and perceptions.

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What influences patients’ acceptance of a blood pressure telemonitoring service in primary care? A qualitative study

Cited by 34 publications

References 28 publications

Smartphone-Based Geofencing to Ascertain Hospitalizations

Smartphone-Based Geofencing to Ascertain Hospitalizations

Current status of home blood pressure monitoring in Asia: Statement from the HOPE Asia Network

Adherence and acceptance of a home-based telemonitoring application used by multi-morbid patients aged 65 years and older

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