Compliance and Effectiveness of 1 Year's Home Telemonitoring. The Report of a Pilot Study of Patients with Chronic Heart Failure
Open accessAbstract
Patients with a diagnosis of heart failure, registered at the study practice, were recruited into the study. First, they had a cardiologist's assessment. They were then randomised into telemonitored patients who measured pulse, BP, weight and video consulted, and controls. Aim: To examine the acceptability, effectiveness and reliability of home telemonitoring. Results: A high proportion of those invited took part (n-20/24). Compliance with measuring weight, pulse and BP remained high throughout the study. The data collection system and secure web-server were reliable. The telemonitoring group complied better with collecting prescriptions for their cardiac drugs. Video consulting started with enthusiasm, but became less useful. There were no significant differences in the quality of life (GHQ) and Chronic Heart Failure (Guyatt) questionnaire scores between the telemonitored group and the controls. Conclusions: Home telemonitoring is an acceptable reliable intervention. Baseline rates for compliance with self-monitoring are set out in this study. Benefit in terms of compliance with medication and self-monitoring is still seen after 1 year. Video consulting over ordinary telephone lines did not show sustained benefit, and was not complied with.
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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 [36]
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References 11 · Cited by 195
- Authors
- de Lusignan, S., Wells, S., Johnson, P., Meredith, K., & Leatham, E.
- Affiliations
- Department of General Practice and Primary Care, Hunter Wing, St George's Hospital Medical School , London, SW17 0RE ,
- Woodbridge Hill Surgery , Guildford ,
- John Radcliffe Hospital (GB)
- Surrey and Hampshire Borders NHS Trust Woodbridge Hill Surgery , Guildford ,
- Royal Surrey County Hospital (GB)
- ORCID
- Johnson, Paul
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-12-01
- Volume
- 3
- Issue
- 6
- Pages
- 723-730
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- OpenAlex
- W2004864869
- Cited by
- 195
- References
- 11
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 8 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 8 · 2016: 7 · 2015: 9 · 2014: 10 · 2013: 11 · 2012: 4
- FWCI
- 8.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Heart Failure (publishedVersion)
- PubMed (publishedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Funders
- MSD K.K.
- 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
- home health monitoring, chronic heart failure, blood pressure measurement, pulse measurement, weight measurement, video consultation, medication adherence, quality of life, remote patient monitoring
- MeSH terms
- Aged, Blood Pressure, Body Weight, Chronic Disease, Equipment Failure, Follow-Up Studies, United Kingdom, Heart Failure, Home Nursing, Humans, Medical Records, Patient Compliance, Pilot Projects, Pulse, Quality of Life, Surveys and Questionnaires, Self Care, Time Factors, Cardiology Service, Hospital, Treatment Outcome, Telemedicine
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