Key result
Loss of human contact and privacy fears were primary reasons for declining remote monitoring, though 50% of patients stated they would likely proceed after learning its evidence-based benefits.
Why the study?
Does education on the benefits and limitations of remote monitoring improve patient acceptance in patients with cardiac implantable electronic devices who initially declined it?
Cross-Sectional
Does education on the benefits and limitations of remote monitoring improve patient acceptance in patients with cardiac implantable electronic devices who initially declined it?
Educating patients on the benefits of remote monitoring for cardiac devices can improve acceptance among those who initially decline, addressing concerns like loss of human contact and privacy.
Patient education on benefits may increase remote monitoring acceptance; leaves open optimal strategies to address privacy and contact concerns.
Objective: To understand patient’s reasoning for declining remote monitoring of their cardiac device. Is a patient more likely to proceed with remote monitoring if they are aware of the benefits and limitations of remote monitoring?Background: It is now possible to assess pacemakers and defibrillators remotely through the use of personal monitors. Remote monitoring has many evidence based benefits for the patient and device clinic, and is now an integral part of the standard of medical care for CIED patients in Canada. Despite this, a minority of patients decline remote monitoring. We have a poor understanding as to why this might be, with little research in contemporary literature looking at this area.Methods: A descriptive survey, questionnaire study was used having both quantitative and qualitative features. This allowed for the primary reasons for patients declining remote monitoring to be concisely identified, using thematic analysis. It assessed a patient’s knowledge of the benefits of remote monitoring, looking for a relationship between this and likelihood to proceed with remote monitoring.Results: Loss of human contact appears to be a predominant concern, confirming patient’s reported experiences in Ottenberg’s study and as suggested in the 2015 HRS statement. Privacy and security fears were also highlighted. Surprisingly fear of technology, in a mainly elderly population, was rarely mentioned. Half of the participants in this study stated that they would be likely to proceed with remote monitoring after having read the evidence based benefits for its use.Conclusions and Recommendations: Patient acceptance of remote monitoring can be improved by educating them to its benefits and limitations. To alleviate privacy concerns, device companies should look at the feasibility of having their remote monitoring servers physically based in Canada.
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Paul McLoughlin (2018) conducted a cross-sectional in Cardiac Implantable Electronic Devices (CIED). Education on benefits of remote monitoring was evaluated on Likelihood to proceed with remote monitoring after reading evidence-based benefits. Loss of human contact and privacy fears were primary reasons for declining remote monitoring, though 50% of patients stated they would likely proceed after learning its evidence-based benefits.
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