Acceptance of telemonitoring to enhance medication compliance in patients with chronic heart failure

TY - JOUR

T1 - Acceptance of telemonitoring to enhance medication compliance in patients with chronic heart failure

AU - Schmidt, Silke

AU - Sheikzadeh, Sarah

AU - Beil, Britta

AU - Patten, Monica

AU - Stettin, Jürgen

PY - 2008/6

Y1 - 2008/6

N2 - Noncompliance with medication often leads to a deterioration of health status in patients with chronic heart failure (CHF). The aim of this pilot study was to test a telemonitoring intervention that can increase compliance and prevent readmissions in order to improve patients' quality of life. The study's purpose was to identify processes and outcomes of telemonitoring as well as factors associated with its acceptance. Sixty-two (n = 62) CHF patients participated in a controlled, longitudinal study. Medication intake was monitored with a medication box transferring data to an electronic health record. Physicians, nurses, or pharmacists monitored signals and, in case of absence of signal transfers, initiated interventions. Patients were assessed regarding their medication intake, clinical status, and health status, as well as acceptance of medication monitoring. There was a significant improvement in mental and physical health status from study intake to 1-month follow-up. Self-reported noncompliance and mental health were significantly lower in study patients. Mental health of controls did not improve in the course of the study. The acceptance of the tool was high, however, 47% of patients did not consider it necessary to continue monitoring after study termination. Medication telemonitoring might prove an effective method to improve medication intake and health in home care in a subset of patients with self-reported noncompliance.

AB - Noncompliance with medication often leads to a deterioration of health status in patients with chronic heart failure (CHF). The aim of this pilot study was to test a telemonitoring intervention that can increase compliance and prevent readmissions in order to improve patients' quality of life. The study's purpose was to identify processes and outcomes of telemonitoring as well as factors associated with its acceptance. Sixty-two (n = 62) CHF patients participated in a controlled, longitudinal study. Medication intake was monitored with a medication box transferring data to an electronic health record. Physicians, nurses, or pharmacists monitored signals and, in case of absence of signal transfers, initiated interventions. Patients were assessed regarding their medication intake, clinical status, and health status, as well as acceptance of medication monitoring. There was a significant improvement in mental and physical health status from study intake to 1-month follow-up. Self-reported noncompliance and mental health were significantly lower in study patients. Mental health of controls did not improve in the course of the study. The acceptance of the tool was high, however, 47% of patients did not consider it necessary to continue monitoring after study termination. Medication telemonitoring might prove an effective method to improve medication intake and health in home care in a subset of patients with self-reported noncompliance.

KW - Aged

KW - Female

KW - Germany

KW - Heart Failure/drug therapy

KW - Humans

KW - Longitudinal Studies

KW - Male

KW - Outcome Assessment, Health Care

KW - Patient Compliance

KW - Telemetry/methods

UR - https://pubmed.ncbi.nlm.nih.gov/18578676/

UR - http://www.ncbi.nlm.nih.gov/pubmed/18578676?dopt=Citation

U2 - 10.1089/tmj.2007.0076

DO - 10.1089/tmj.2007.0076

M3 - SCORING: Journal article

C2 - 18578676

VL - 14

SP - 426

EP - 433

JO - TELEMED E-HEALTH

JF - TELEMED E-HEALTH

SN - 1530-5627

IS - 5

ER -