What is the clinical evidence from this study?

Study design: Observational. Population: Chronic conditions (COPD, coronary artery disease, hypertensive diseases, CHF, diabetes, or asthma) (n=113). Intervention: Home telemonitoring of vital signs. Primary outcome: Overall adherence rate for all scheduled vital signs measurements.

What does this research mean for the field?

Chronically ill patients can maintain moderate adherence (64.1%) to daily home telemonitoring of vital signs over prolonged periods, with adherence being significantly higher in males and in patients supervised by hospital-based care coordinators compared to those in community settings. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

April 9, 2018JMIR Medical InformaticsOpen Access

Patient Adherence to Scheduled Vital Sign Measurements During Home Telemonitoring: Analysis of the Intervention Arm in a Before and After Trial

View Full Paper

Ask AI

Bookmark

Key result

Home telemonitoring for chronic conditions achieves ~64% adherence to scheduled vital sign measurements.

n=113

Study Design

Type

Observational (n=113)

Blinding

Open-label

Multicenter

Yes

Structured PICO

Population

113 patients with chronic conditions (COPD, coronary artery disease, hypertensive diseases, congestive heart failure, diabetes, or asthma), mean age 70.5 years, 63.7% male, based in Australia. Key inclusion criteria: age 50 years and older; 2 or more unplanned acute admissions during the last 12 months or 4 or more unplanned acute admissions during the previous 5 years.

Intervention

Home telemonitoring of vital signs (noninvasive blood pressure, pulse oximetry, spirometry, single channel ECG, blood glucose, body temperature, and body weight) on a daily basis using the TeleMedCare system.

Outcome

Patient adherence with scheduled vital signs measurements, calculated as the number of days during which at least 1 measurement was taken over all days where measurements were scheduled.

Chronically ill patients can maintain moderate adherence (64.1%) to daily home telemonitoring of vital signs over prolonged periods, with higher adherence observed in males and those supervised by hospital-based coordinators.

Limitations

Reduced numbers of patients who were monitored for the full 12 months due to staggered start dates
The ability of clinical care coordinators to support and encourage patients was not rigorously evaluated and was probably quite variable
Did not analyze and compare adherence based on the primary diagnosis

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Moderate adherence seen over ~10 months in this cohort; leaves open clinical impact and requires randomized outcome trials before practice change.

Cite This Study

Celler et al. (2018) conducted an observational in Chronic conditions (COPD, coronary artery disease, hypertensive diseases, CHF, diabetes, or asthma) (n=113). Home telemonitoring of vital signs was evaluated on Overall adherence rate for all scheduled vital signs measurements. Patients with chronic conditions using home telemonitoring achieved an overall adherence rate of 64.1% for scheduled vital sign measurements over an average of 302 days.

synapsesocial.com/papers/6a0c007fe28175e95a232092 https://doi.org/10.2196/medinform.9200

View Full Paper

Ask AI

Bookmark

Implication

Moderate adherence seen over ~10 months in this cohort; leaves open clinical impact and requires randomized outcome trials before practice change.

Patient Adherence to Scheduled Vital Sign Measurements During Home Telemonitoring: Analysis of the Intervention Arm in a Before and After Trial

Study Design

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Patient Adherence to Scheduled Vital Sign Measurements During Home Telemonitoring: Analysis of the Intervention Arm in a Before and After Trial

Study Design

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Also Consider