Clinical Effects of Home Telemonitoring in the Context of Diabetes, Asthma, Heart Failure and Hypertension: A Systematic Review
Open accessAbstract
BACKGROUND: Home telemonitoring figures among the various solutions that could help attenuate some of the problems associated with aging populations, rates of chronic illness, and shortages of health professionals. OBJECTIVE: The primary aim of this study was to further our understanding of the clinical effects associated with home telemonitoring programs in the context of chronic diseases. METHODS: We conducted a systematic review which covered studies published between January 1966 and December 2008. MEDLINE, The Cochrane Library, and the INAHTA (International Network of Agencies for Health Technology Assessment) database were consulted. Our inclusion criteria consisted of: (1) English language publications in peer-reviewed journals or conference proceedings and (2) studies involving patients with diabetes, asthma, heart failure, or hypertension, and presenting results on the clinical effects of home telemonitoring. RESULTS: In all, 62 empirical studies were analyzed. The results from studies involving patients with diabetes indicated a trend toward patients with home telemonitoring achieving better glycemic control. In most trials in which patients with asthma were enrolled, results showed significant improvements in patients' peak expiratory flows, significant reductions in the symptoms associated with this illness, and improvements in perceived quality of life. Virtually all studies involving patients with hypertension demonstrated the ability of home telemonitoring to reduce systolic and/or diastolic blood pressure. Lastly, due to the equivocal nature of current findings of home telemonitoring involving patients with heart failure, larger trials are still needed to confirm the clinical effects of this technology for these patients. CONCLUSIONS: Although home telemonitoring appears to be a promising approach to patient management, designers of future studies should consider ways to make this technology more effective as well as controlling possible mediating variables.
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In five reviews, the description of the intervention extracted from the trials was reduced into just a few words presented in a summary table or within the text.
“In five reviews [37,38,45-47], the description of the intervention extracted from the trials was reduced into just a few words presented in a summary table or within the text”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [45]
Most reviews (8/15, 53%) did not provide sufficient details about the technology used in each of the included primary studies.
“most reviews (8/15, 53%) did not provide sufficient details about the technology used in each of the included primary studies [33,34,36-40,45-47]”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [45]
The remaining six summarized the available evidence narratively using various qualitative or semi-quantitative techniques.
“The remaining six summarized the available evidence narratively using various qualitative or semi-quantitative techniques [38,39,41,43,45].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [45]
Reviews that incorporated observational studies in their analysis and a broader set of interventional studies with various comparator groups (eg, home visits and nurse telephone support) concluded that HT reduces length of stay.
“Reviews that incorporated observational studies in their analysis and a broader set of interventional studies with various comparator groups (eg, home visits and nurse telephone support) concluded that HT reduces length of stay [39,40,45].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [45]
The remaining systematic reviews reached different conclusions about the impact of HT on length of stay.
“However, the remaining systematic reviews reached different conclusions [35,39,40,43,45].”
From Effects of Home Telemonitoring Interventions on Patients With Chronic Heart Failure: An Overview of Systematic Reviews (2015) · cites this paper as [45]
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References 80 · Cited by 261
Research works printed but not linked: 7
- [7]Roine R Ohinmaa A Hailey D Assessing telemedicine: a systematic review of the literature CMAJ 2001 9 18 165 6 765 71 11584564 PMC81454 11584564
- [21]Montori Victor M Helgemoe Pamela K Guyatt Gordon H Dean Diana S Leung Teresa W Smith Steven A Kudva Yogish C Telecare for patients with type 1 diabetes and inadequate glycemic control: a randomized controlled trial and meta-analysis Diabetes Care 2004 5 27 5 1088 94 15111526 10.2337/diacare.27.5.1088 15111526 · DOI · Paper page
- [46]Cleland John G F Louis Amala A Rigby Alan S Janssens Uwe Balk Aggie H M M TEN-HMS Investigators Noninvasive home telemonitoring for patients with heart failure at high risk of recurrent admission and death: the Trans-European Network-Home-Care Management System (TEN-HMS) study J Am Coll Cardiol 2005 5 17 45 10 1654 64 15893183 S0735-1097(05)00484-5 10.1016/j.jacc.2005.01.050 15893183 · DOI · Paper page
- [57]Bondmass M Bolger N Castro G Avitall B The effect of physiologic home monitoring and telemanagement on chronic heart failure outcomes The Internet Journal of Advanced Nursing Practice 1999 3 2
- [75]Stone Roslyn A Rao R Harsha Sevick Mary Ann Cheng Chunrong Hough Linda J Macpherson David S Franko Carol M Anglin Rebecca A Obrosky D Scott Derubertis Frederick R Active care management supported by home telemonitoring in veterans with type 2 diabetes: the DiaTel randomized controlled trial Diabetes Care 2010 3 33 3 478 84 20009091 dc09-1012 10.2337/dc09-1012 PMC2827492 20009091 · DOI
- [78]Jaana M Paré G Sicotte C Hypertension home telemonitoring: current evidence and recommendations for future studies Disease Management and Health Outcomes 2007 15 1 19 31 10.2165/00115677-200715010-00004 · DOI
- [82]Trappenburg JCA Niesink A de Weert-van Oene GH, van der Zeijden H, van Snippenburg R, Peters A, Lammers JW, Schrijvers AJ. Effects of telemonitoring in patients with chronic obstructive pulmonary disease Telemed J E Health 2008 14 2 138 46 18361703 10.1089/tmj.2007.0037 18361703 · DOI
- Authors
- Paré, G., Moqadem, K., Pineau, G., & St-Hilaire, C.
- Affiliations
- HEC Montréal (CA)
- Santé Québec (CA)
- Corresponding author
- Paré, Guy
- ORCID
- Paré, Guy
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2010-06-16
- Volume
- 12
- Issue
- 2
- Pages
- e21
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC2956232
- OpenAlex
- W2066612869
- Cited by
- 261
- References
- 80
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 7 · 2023: 10 · 2022: 10 · 2021: 17 · 2020: 9 · 2019: 15 · 2018: 27 · 2017: 23 · 2016: 21 · 2015: 18 · 2014: 34 · 2013: 26 · 2012: 14
- FWCI
- 2.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Canada Research Chairs
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- home health monitoring, telemedicine, diabetes mellitus, asthma, heart failure, hypertension, glycemic control, peak expiratory flow, blood pressure reduction, quality of life, chronic disease management
- MeSH terms
- Aged, Asthma, Chronic Disease, Diabetes Mellitus, Forecasting, Heart Failure, Home Care Services, Humans, Hypertension, Middle Aged, Monitoring, Physiologic, Self Care, Telemedicine
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