Evaluation of a telemedicine system for heart failure patients: feasibility, acceptance rate, satisfaction and changes in patient behavior: results from the CARME (CAtalan Remote Management Evaluation) study
Abstract
BACKGROUND: Telemedicine can be useful for managing heart failure (HF), but patient acceptance of telemedicine and its impact on patient behavior are unclear. AIMS: To assess a telemedicine program in a HF Unit. METHODS AND RESULTS: This sub-analysis of the CARME study assessed the use of an interactive telemedicine platform. This prospective intervention study had a before/after design with HF patients randomized 1:1 into two groups: (A) Motiva system (educational videos, motivational messages, and questionnaires); and (B) Motiva system + telemonitoring of blood pressure, heart rate and weight. Of 211 patients screened, 44 were excluded, 62 did not consent to participate and 8 withdrew consent prior to installation of the system. The final study population included 97 patients. During 1 year of follow-up, 22 patients voluntarily discontinued use of the system, 5 died (three after early discontinuation) and 5 withdrew consent before the last evaluation. A total of 15,017 questionnaires were sent to patients, with a median response rate of 88%. Satisfaction with the system and tools was high (median score 8.4/10), especially with the self-monitoring chart, scale and sphygmomanometer. Positive changes were observed in patient behavior, especially for blood pressure and weight control (p < 0.001). After the study, 65% of the patients wished to continue with telemonitoring, particularly those in group B (p = 0.004). CONCLUSION: Less than half of our patients participated in the telemedicine study. However, those who completed the study had confidence in the system, a high degree of satisfaction with the tools and positive behavioral changes.
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Of the 12 studies, 7 (58%) demonstrated a benefit of telemonitoring on patient adherence when compared with a comparator.
“Of the 12 studies, 7 (58%) [13,36,42,48,58,59,92] demonstrated a benefit of telemonitoring on patient adherence 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 [42]
5 (56%) of the 9 studies demonstrated a benefit of telemonitoring on patient satisfaction when compared with a comparator.
“A total of 56% (5/9) of the studies [22,28,42,78,91] demonstrated a benefit of telemonitoring on patient satisfaction 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 [42]
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- Authors
- Domingo, M., Lupón, J., González, B., Crespo, E., López, R., Ramos, A., Urrutia, A., Pera, G., Verdú, J. M., & Bayes-Genis, A.
- Affiliations
- Institut Universitari d'Investigació en Atenció Primària Jordi Gol (ES)
- Universitat Autònoma de Barcelona (ES)
- Unitat d’Insuficiència Cardíaca, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
- Hospital Universitari Germans Trias i Pujol (ES)
- Departament de Medicina de la Universitat Autònoma de Barcelona, Barcelona, Spain
- Corresponding author
- Lupón, Josep
- Venue
- European Journal of Cardiovascular Nursing
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-03-12
- Volume
- 11
- Issue
- 4
- Pages
- 410-418
- ISSN
- 1474-5151 (ISSN-L)
- 1873-1953
- OpenAlex
- W2116044567
- Cited by
- 36
- References
- 25
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 2 · 2012: 4
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Cardiovascular Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- telemedicine, heart failure, remote patient monitoring, patient acceptance, patient satisfaction, patient behavior change, self-monitoring, blood pressure monitoring, weight monitoring, remote patient care, feasibility
- MeSH terms
- Adult, Aged, Feasibility Studies, Female, Heart Failure, Hospitals, University, Humans, Male, Middle Aged, Monitoring, Physiologic, Patient Acceptance of Health Care, Prospective Studies, Spain, Health Behavior, Patient Satisfaction, Telemedicine, Statistics, Nonparametric
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