Remote therapeutic support in heart failure telemonitoring frequently addressed program use (63.5%) and weight monitoring (43.8%), though 30.6% of patients lacked knowledge of warning signs.
Observational (n=903)
Remote therapeutic support in heart failure telemonitoring is feasible and focuses on high-impact self-care competencies, though persistent gaps in patient recognition of warning signs highlight the need for multimodal educational pathways.
Abstract Background Therapeutic support/education is a required component of heart failure (HF) telemonitoring in France, yet the content effectively delivered in routine practice and the needs most frequently identified remain poorly described. Aim To describe the patient profile, the format of therapeutic support sessions, the topics addressed, and the strengths, difficulties, and actionable goals documented during routine remote HF telemonitoring. Methods Retrospective descriptive study based on structured therapeutic support reports entered by the Satelia care team between October 2025 and January 2026. All available reports were analysed (demographics, session type, living situation, themes covered, strengths, difficulties, and goals). Results A total of 903 therapeutic support session reports were analysed. Mean age was 76.7 ± 12.7 years (median 79 69–86, range 27–103; age available for n=901). Men represented 59.8% (539/901) and women 40.2% (362/901). Sessions were mostly follow-up (63.4%, n=571), with first sessions accounting for 34.6% (n=312), and other formats 2.0% (n=18). Regarding living situation, 47.1% lived as a couple (n=424), 26.7% lived alone (n=241), and 31.3% had home help and/or community nursing mentioned (n=282). Most frequent topics were: telemonitoring programme use (63.5%, n=572), weight monitoring (in-depth) (43.8%, n=395), adherence to recommended medical follow-up (32.2%, n=290), adapted physical activity (30.0%, n=270), HF-adapted diet (28.6%, n=258), disease knowledge (23.8%, n=214), seasonal vaccination (13.4%, n=121), and medications (12.4%, n=112). Documented strengths included good understanding of telemonitoring (54.7%, n=493), satisfaction/adherence (48.4%, n=436), awareness of regular weighing (45.8%, n=413), and knowing emergency contacts (41.1%, n=370). Key difficulties were lack of knowledge of warning signs (30.6%, n=276), limited understanding of regular weighing (17.3%, n=156), and inability to link weight gain with fluid retention (15.3%, n=138). Common goals were enrolment in group sessions (35.1%, n=316), ability to name warning signs (27.4%, n=247), and skills reinforcement (25.1%, n=226). Conclusion Remote structured therapeutic support within HF telemonitoring is feasible in an elderly, frequently supported population and largely focuses on "high-impact" self-care competencies (weight, warning signs, actions to take, lifestyle). However, persistent gaps—especially in recognizing deterioration and interpreting weight changes, support a multimodal pathway combining individual reminders, periodic "booster" sessions, and referral to group education.
Green et al. (Wed,) conducted a observational in Heart failure (n=903). Remote therapeutic support in heart failure telemonitoring was evaluated on Patient profile, session format, topics addressed, strengths, difficulties, and actionable goals. Remote therapeutic support in heart failure telemonitoring frequently addressed program use (63.5%) and weight monitoring (43.8%), though 30.6% of patients lacked knowledge of warning signs.