Telemonitoring Adherence to Medications in Heart Failure Patients (TEAM-HF): A Pilot Randomized Clinical Trial
Open accessAbstract
Background Medication nonadherence contributes to hospitalizations in recently discharged patients with heart failure (HF). We aimed to test the feasibility of telemonitoring medication adherence in patients with HF.Methods and results We randomized 40 patients (1:1) hospitalized for HF to 30 days of loop diuretic adherence monitoring with telephonic support or to passive adherence monitoring alone. Eighty-three percent of eligible patients agreed to participate. The median age of patients was 64 years, 25% were female, and 45% were Hispanic. Overall, 67% of patients were nonadherent (percentage of days that the correct number of doses were taken <88%). There were no differences between intervention and passive monitoring group patients, respectively, in adherence (median correct dosing adherence 82% vs 73%; P = .41) or in the proportion readmitted within 30 days (30% vs 20%; P = .72). Eighty-eight percent of patients rated the wireless electronic adherence device as somewhat or very easy to use, and 88% agreed to use it again.Conclusions Adherence telemonitoring was acceptable to most patients with HF. Diuretic nonadherence was common even when patients knew they were being monitored. Future studies should assess whether adherence telemonitoring can improve adherence and reduce readmissions among patients with HF.
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4 (33%) of the 12 studies showed no difference in adherence when compared with a comparator.
“whereas 4 (33%) [30,51,66,84] showed no difference when compared with a comparator.”
From Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-analysis (2022) · cites this paper as [51]
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- Authors
- Gallagher, B. D., Moise, N., Haerizadeh, M., Ye, S., Medina, V., & Kronish, I. M.
- Affiliations
- Columbia University Irving Medical Center (US)
- Corresponding author
- Kronish, Ian M.
- Venue
- Journal of Cardiac Failure
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 23
- Issue
- 4
- Pages
- 345-349
- ISSN
- 1071-9164 (ISSN-L)
- PMC
- PMC5380538
- OpenAlex
- W2548033631
- Cited by
- 40
- References
- 14
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 7 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 2
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Cardiac Failure (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (K23 HL121144)
- National Heart, Lung, and Blood Institute (K23 098359)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- heart failure, medication adherence, remote patient monitoring, loop diuretics, hospital readmission, feasibility
- MeSH terms
- Female, Heart Failure, Humans, Male, Middle Aged, Pilot Projects, Self Care, Drug Monitoring, Outcome Assessment, Health Care, Telemedicine, Sodium Potassium Chloride Symporter Inhibitors, Medication Adherence
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