Patient Adherence to a Mobile Phone-Based Heart Failure Telemonitoring Program: A Longitudinal Mixed-Methods Study

JMIR MHealth and UHealth
Patrick WareEmily Seto

Abstract

Telemonitoring (TM) can improve heart failure (HF) outcomes by facilitating patient self-care and clinical decision support. However, these outcomes are only possible if patients consistently adhere to taking prescribed home readings. The objectives of this study were to (1) quantify the degree to which patients adhered to taking prescribed home readings in the context of a mobile phone-based TM program and (2) explain longitudinal adherence rates based on the duration of program enrollment, patient characteristics, and patient perceptions of the TM program. A mixed-methods explanatory sequential design was used to meet the 2 research objectives, and all explanatory methods were guided by the unified theory of acceptance and use of technology 2 (UTAUT2). Overall adherence rates were calculated as the proportion of days patients took weight, blood pressure, heart rate, and symptom readings over the total number of days they were enrolled in the program up to 1 year. Monthly adherence rates were also calculated as the proportion of days patients took the same 4 readings over each 30-day period following program enrollment. Next, simple and multivariate regressions were performed to determine the influence of time, age, sex, and d...Continue Reading

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Citations

Apr 28, 2020·Heart Failure Reviews·A FaragliAlessio Alogna
Jul 1, 2020·Journal of Gerontological Nursing·Jenice Guzman-ClarkTheodore J Hahn
Feb 12, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Victoria Vaughan Dickson, Shayleigh Dickson Page
Dec 17, 2020·Patient Preference and Adherence·Eleanna MakrisJustin M Wright
Jan 24, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Chin-Yuan Huang, Ming-Chin Yang
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Apr 2, 2021·JMIR MHealth and UHealth·Lida Anna ApergiNawar Shara
Jul 14, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Rhiannon Berry, Philip Keeling
Jul 11, 2021·Journal of Clinical Nursing·Antonia ArnaertSebastian Demyttenaere

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Software Mentioned

NVivo
SPSS
Medly
Excel
UTAUT2
RStudio
plm

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