Old-and With Severe Heart Failure: Telemonitoring by Using Digital Pen Technology in Specialized Homecare: System Description, Implementation, and Early Results
2016 (English)In: Computers, Informatics, Nursing, ISSN 1538-2931, E-ISSN 1538-9774, Vol. 34, no 8, 360-368 p.Article in journal (Refereed) Published
Telehealth programs for heart failure have been studied using a variety of techniques. Because currently a majority of the elderly are nonusers of computers and Internet, we developed a home telehealth system based on digital pen technology. Fourteen patients (mean age, 84 years [median, 83 years]) with severe heart failure participated in a 13-month pilot study in specialized homecare. Participants communicated patient-reported outcome measures daily using the digital pen and health diary forms, submitting a total of 3 520 reports. The reports generated a total of 632 notifications when reports indicated worsening health. Healthcare professionals reviewed reports frequently, more than 4700 times throughout the study, and acted on the information provided. Patients answered questionnaires and were observed in their home environment when using the system. Results showed that the technology was accepted by participants: patients experienced an improved contact with clinicians; they felt more compliant with healthcare professionals advice, and they felt more secure and more involved in their own care. Via the system, the healthcare professionals detected heart failure-related deteriorations at an earlier stage, and as a consequence, none of the patients were admitted into hospital care during the study.
Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2016. Vol. 34, no 8, 360-368 p.
Heart failure, Hospital-based homecare services, Self-report, Telemedicine
Health Care Service and Management, Health Policy and Services and Health Economy
IdentifiersURN: urn:nbn:se:liu:diva-131694DOI: 10.1097/CIN.0000000000000252ISI: 000382325400005PubMedID: 27223309OAI: oai:DiVA.org:liu-131694DiVA: diva2:1012830
Funding Agencies|European Regional Development Fund through the NovaMedTech venture, Swedish ICT Research; New Tools for Health Programme2016-10-032016-09-302016-10-10Bibliographically approved