Key result
Nurse education on high-risk drugs is linked to ~80% higher odds of telehealth initiation in HF.
Why the study?
What patient factors are associated with the initiation of telehealth services among home care patients with heart failure?
Cohort (n=2,832)
No
What patient factors are associated with the initiation of telehealth services among home care patients with heart failure?
Odds Ratio: 1.8 (95% CI 1.03–3.16)
p-value: p=<0.05
High-risk drug education by visiting nurses and daily caregiver assistance are strongly associated with increased initiation of telehealth services in home care heart failure patients.
High-risk drug education may support telehealth uptake in home HF care; leaves open whether targeted interventions improve initiation rates.
Telehealth is an intervention that can assist patients with heart failure to manage their symptoms at home. However, it is reported that between 24-70% of eligible patients do not receive telehealth. This study aimed to explore factors associated with the initiation of telehealth among home care patients with heart failure using the Outcome and Assessment Information Set data (N = 2,832). The findings indicate patients who received high-risk drugs education by visiting nurses had an 80% increase in the odds of receiving telehealth, and patients who received no assistance from caregivers had a 46% decrease in odds compared to those who were assisted at least daily.
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Woo et al. (2018) conducted a cohort in Heart failure (n=2,832). High-risk drugs education by visiting nurses vs. No high-risk drugs education was evaluated on Initiation of telehealth services (OR 1.80, 95% CI 1.03-3.16, p=<0.05). Receiving high-risk drugs education by visiting nurses was associated with an 80% increase in the odds of initiating telehealth services among home care patients with heart failure (OR 1.80).
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