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Patterns in the Use...
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Brons, MaaikeDepartment of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands
(author)
Patterns in the Use of Heart Failure Telemonitoring: Post Hoc Analysis of the e-Vita Heart Failure Trial
- Article/chapterEnglish2023
Publisher, publication year, extent ...
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2023-01-31
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JMIR Publications,2023
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-202607
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-202607URI
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https://doi.org/10.2196/41248DOI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding agencies: University College London (UCL) Hospitals National Institute of Health Research (NIHR) Biomedical Research Centre, the foundation “Care Within Reach” (in Dutch: Stichting Zorg Binnen Bereik).
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Background: Research on the use of home telemonitoring data and adherence to it can provide new insights into telemonitoring for the daily management of patients with heart failure (HF). Objective: We described the use of a telemonitoring platform—including remote patient monitoring of blood pressure, pulse, and weight—and the use of the electronic personal health record. Patient characteristics were assessed in both adherent and nonadherent patients to weight transmissions. Methods: We used the data of the e-Vita HF study, a 3-arm parallel randomized trial performed in stable patients with HF managed in outpatient clinics in the Netherlands. In this study, data were analyzed from the participants in the intervention arm (ie, e-Vita HF platform). Adherence to weight transmissions was defined as transmitting weight ≥3 times per week for at least 42 weeks during a year. Results: Data from 150 patients (mean age 67, SD 11 years; n=37, 25% female; n=123, 82% self-assessed New York Heart Association class I-II) were analyzed. One-year adherence to weight transmissions was 74% (n=111). Patients adherent to weight transmissions were less often hospitalized for HF in the 6 months before enrollment in the study compared to those who were nonadherent (n=9, 8% vs n=9, 23%; P=.02). The percentage of patients visiting the personal health record dropped steadily over time (n=140, 93% vs n=59, 39% at one year). With univariable analyses, there was no significant correlation between patient characteristics and adherence to weight transmissions. Conclusions: Adherence to remote patient monitoring was high among stable patients with HF and best for weighing; however, adherence decreased over time. Clinical and demographic variables seem not related to adherence to transmitting weight.Trial Registration: ClinicalTrials.gov NCT01755988; https://clinicaltrials.gov/ct2/show/NCT01755988
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Ten Klooster, IrisDepartment of Psychology, Health and Technology, Center for eHealth Research and Disease Management, University of Twente, Enschede, Netherlands
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van Gemert-Pijnen, LisetteDepartment of Psychology, Health and Technology, Center for eHealth Research and Disease Management, University of Twente, Enschede, Netherlands
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Jaarsma, Tiny,Professor,1964-Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Department of Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands(Swepub:liu)tinja77
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Asselbergs, Folkert WDepartment of Cardiology, University of Amsterdam, Amsterdam University Medical Centers, Amsterdam, Netherlands; Health Data Research UK and Institute of Health Informatics, University College London, London, United Kingdom
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Oerlemans, Marish I F JDepartment of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands
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Koudstaal, StefanDepartment of Cardiology, University Medical Center Utrecht, Utrecht, Netherlands
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Rutten, Frans HDepartment of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
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Department of Cardiology, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Psychology, Health and Technology, Center for eHealth Research and Disease Management, University of Twente, Enschede, Netherlands
(creator_code:org_t)
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In:JMIR cardio: JMIR Publications72561-1011
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