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

作者：Domingo Mar; Lupon Josep^*; Gonzalez Beatriz; Crespo Eva; Lopez Raul; Ramos Anna; Urrutia Agustan; Pera Guillem; Verdu Jose Ma; Bayes Genis Antoni

来源：European Journal of Cardiovascular Nursing, 2012, 11(4): 410-418.

DOI：10.1016/j.ejcnurse.2011.02.003

• Heart failure
• information and communication technologies
• disease management
• telemonitoring
• telemedicine
• behavior
• satisfaction

Background: Telemedicine can be useful for managing heart failure (HF), but patient acceptance of telemedicine and its impact on patient behavior are unclear. %26lt;br%26gt;Aims: To assess a telemedicine program in a HF Unit. %26lt;br%26gt;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 %26lt; 0.001). After the study, 65% of the patients wished to continue with telemonitoring, particularly those in Group B (p = 0.004). %26lt;br%26gt;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.

• 出版日期2012-12