The Effects of Telemonitoring on Patient Compliance With Self-Management Recommendations and Outcomes of the Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure: Randomized Controlled Trial

Journal of Medical Internet Research
Hang DingIain Edwards

Abstract

Telemonitoring enables care providers to remotely support outpatients in self-managing chronic heart failure (CHF), but the objective assessment of patient compliance with self-management recommendations has seldom been studied. This study aimed to evaluate patient compliance with self-management recommendations of an innovative telemonitoring enhanced care program for CHF (ITEC-CHF). We conducted a multicenter randomized controlled trial with a 6-month follow-up. The ITEC-CHF program comprised the provision of Bluetooth-enabled scales linked to a call center and nurse care services to assist participants with weight monitoring compliance. Compliance was defined a priori as weighing at least 4 days per week, analyzed objectively from weight recordings on the scales. The intention-to-treat principle was used to perform the analysis. A total of 184 participants (141/184, 76.6% male), with a mean age of 70.1 (SD 12.3) years, were randomized to receive either ITEC-CHF (n=91) or usual care (control; n=93), of which 67 ITEC-CHF and 81 control participants completed the intervention. For the compliance criterion of weighing at least 4 days per week, the proportion of compliant participants in the ITEC-CHF group was not significantly h...Continue Reading

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Citations

Mar 6, 2021·The Canadian Journal of Cardiology·Spyros KitsiouRuth M Masterson Creber
Jun 10, 2021·Heart & Lung : the Journal of Critical Care·Kathryn M Ledwin, Rebecca Lorenz
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

Galaxy
CHF
Manage
MMH
ITEC
RStudio
R package of survival

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