Why the study?
The study evaluated a pilot project implementing remote monitoring for patients with heart failure to improve quality of life, promote self-management, and facilitate recognition of deteriorating symptoms.
Does remote monitoring improve quality of life, self-management, and clinic capacity in patients with heart failure?
Does remote monitoring improve quality of life, self-management, and clinic capacity in patients with heart failure?
A 6-month remote monitoring pilot for heart failure patients improved quality of life, NYHA class, and self-management confidence while increasing clinic capacity and reducing patient travel.
May support remote monitoring in heart failure; leaves open efficacy in randomized trials.
Background/Aims The service described in this study took part in NHS England's ‘managing heart failure @home’ initiative, with a pilot project that implemented remote monitoring for patients with heart failure. The project aimed to improve quality of life, promote self-management and facilitate recognition of deteriorating symptoms. This study described and evaluated the 6-month pilot project. Methods A total of 44 patients attending the heart failure service were recruited into the project and provided with the required technology for remote monitoring. Data were collected at baseline, 3 months and 6 months regarding patients' New York Heart Association classifications and clinic capacity. Quality of life was assessed using the EQ-5D and Kansas City Cardiomyopathy Questionnaire. Patient confidence in self-managing their condition was assessed using the Person-Centered Coordinated Care Experience Questionnaire. Data regarding the distance between local services and patients' homes and number of in-person visits avoided were used to estimate the environmental impact. Results Improvements in overall quality of life, New York Heart Association classifications and patient confidence in self-management were observed across the sample. Daily clinic capacity increased by 45% and an estimated 3808 miles of patient travel were prevented. A case study illustrated the utility of remote monitoring for patients who live far away from services. Conclusions The remote monitoring project had several benefits for patients and the service. Challenges and considerations for other trusts that may wish to implement remote monitoring for patients with heart failure are discussed.
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Hyland et al. (2025) studied this question.
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