TY - JOUR
T1 - Patterns in the Use of Heart Failure Telemonitoring
T2 - Post Hoc Analysis of the e-Vita Heart Failure Trial
AU - Brons, Maaike
AU - Klooster, Iris ten
AU - Gemert-Pijnen, Lisette van
AU - Jaarsma, Tiny
AU - Asselbergs, Folkert W.
AU - Oerlemans, Marish I. F. J.
AU - Koudstaal, Stefan
AU - Rutten, Frans H.
N1 - Funding Information: FWA is supported by University College London (UCL) Hospitals National Institute of Health Research (NIHR) Biomedical Research Centre. Funding Information: The e-Vita HF study was supported by an unrestricted grant of the Foundation “Care Within Reach” (in Dutch: Stichting Zorg Binnen Bereik). Publisher Copyright: ©Maaike Brons, Iris ten Klooster, Lisette van Gemert-Pijnen, Tiny Jaarsma, Folkert W Asselbergs, Marish I F J Oerlemans, Stefan Koudstaal, Frans H Rutten.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - adherence
KW - eHealth
KW - electronic personal health record
KW - heart failure
KW - patient monitoring
KW - remote monitoring
KW - telemonitoring
UR - http://www.scopus.com/inward/record.url?scp=85149995067&partnerID=8YFLogxK
U2 - https://doi.org/10.2196/41248
DO - https://doi.org/10.2196/41248
M3 - Article
C2 - 36719715
SN - 2561-1011
VL - 7
JO - JMIR Cardio
JF - JMIR Cardio
M1 - e41248
ER -