Patient Demographics and Clinic Type Are Associated With Patient Engagement Within a Remote Monitoring Program.

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Elizabeth KirklandWilliam P Moran

Abstract

Background: Remote physiological monitoring (RPM) is accessible, convenient, relatively inexpensive, and can improve clinical outcomes. Yet, it is unclear in which clinical setting or target population RPM is maximally effective. Objective: To determine whether patients' demographic characteristics or clinical settings are associated with data transmission and engagement. Methods: This is a prospective cohort study of adults enrolled in a diabetes RPM program for a minimum of 12 months as of April 2020. We developed a multivariable logistic regression model for engagement with age, gender, race, income, and primary care clinic type as variables and a second model to include first-order interactions for all demographic variables by time. The participants included 549 adults (mean age 53 years, 63% female, 54% Black, and 75% very low income) with baseline hemoglobin A1c ≥8.0% and enrolled in a statewide diabetes RPM program. The main measure was the transmission engagement over time, where engagement is defined as a minimum of three distinct days per week in which remote data are transmitted. Results: Significant predictors of transmission engagement included increasing age, academic clinic type, higher annual household income, a...Continue Reading

References

May 11, 2016·JAMA : the Journal of the American Medical Association·Ateev MehrotraBruce E Landon
May 4, 2017·Journal of Telemedicine and Telecare·Chi F So, Joanne Wy Chung
Aug 21, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Huidi TcheroEmmanuel Rusch
Oct 30, 2018·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Dejun SuMohammad Siahpush
May 28, 2020·The New England Journal of Medicine·Eboni G Price-HaywoodLeonardo Seoane
Jun 20, 2020·MMWR. Morbidity and Mortality Weekly Report·Erin K StokesKathleen E Fullerton
Jan 30, 2021·Primary Care Diabetes·Elizabeth B KirklandWilliam P Moran

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Citations

Nov 11, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Valeria CaponnettoSimona Sacco

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Software Mentioned

Research Electronic Data Capture ( REDCap )
SAS

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