Dec 28, 2012

Predictors and outcomes of early adherence to the use of a home telehealth device by older veterans with heart failure

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Jenice Ria S Guzman-ClarkTheodore Hahn

Abstract

The present study examined home telehealth (HT) adherence, and its potential predictors and outcomes, in older Veterans with heart failure (HF) using the Health Buddy (Bosch Healthcare, Palo Alto, CA) device. This was a retrospective study using secondary data from the Department of Veterans Affairs (VA) databases, describing adherence rates and patterns in the first 90 days after enrollment in 248 older Veterans with HF enrolled in the VA HT Programs using the Health Buddy at five medical centers in Southern California and Nevada, between June 1, 2006 and June 1, 2008. Adherence to the use of Health Buddy was defined as the number of days the patient completed an HT session over different time frames during the study period. Significant differences occurred between average adherence across all three 30-day time frame increments, with adherence decreasing over time. Despite the use of standardized VA HT protocols and equipment, the department in which the HT program was embedded was a consistent significant predictor of patient adherence in all time frames, with odds ratios of 2.2-4.0 for the department with the consistent best adherence versus that with the worse adherence (confidence intervals varying with the time frame, p<0...Continue Reading

  • References32
  • Citations10

References

  • References32
  • Citations10

Citations

Mentioned in this Paper

Patient Non-Compliance
Health Status
Morbidity Aspects
Health Services
Mental Health
Veterans
Day Time brand of APAP/dextromethorphan/pseudoephedrine
Comorbidity
Myocardial Failure
Retrospective Studies

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