Display options
Cite
Rahimi K, Velardo C, Triantafyllidis A, et al. A user-centred home monitoring and self-management system for patients with heart failure: a multicentre cohort study. Eur Heart J Qual Care Clin Outcomes. 2015;1(2):66-71doi: 10.1093/ehjqcco/qcv013.
Rahimi, K., Velardo, C., Triantafyllidis, A., Conrad, N., Shah, S. A., Chantler, T., Mohseni, H., Stoppani, E., Moore, F., Paton, C., Emdin, C. A., Ernst, J., Tarassenko, L., Rahimi, K., Velardo, C., Triantafyllidis, A., Conrad, N., Ahmar Shah, S., Chantler, T., Mohseni, H., Stoppani, E., Moore, F., Paton, C., Tarassenko, L., Cleland, J., Emptage, F., Chantler, T., Farmer, A., Fitzpatrick, R., Hobbs, R., MacMahon, S., Perkins, A., Rahimi, K., Tarassenko, L., Altmann, P., Chandrasekaran, B., Emdin, C. A., Ernst, J., Foley, P., Hersch, F., Salimi-Khorshidi, G., Noble, J., & Woodward, M. (2015). A user-centred home monitoring and self-management system for patients with heart failure: a multicentre cohort study. European heart journal. Quality of care & clinical outcomes, 1(2), 66-71. https://doi.org/10.1093/ehjqcco/qcv013
Rahimi, Kazem, et al. "A user-centred home monitoring and self-management system for patients with heart failure: a multicentre cohort study." European heart journal. Quality of care & clinical outcomes vol. 1,2 (2015): 66-71. doi: https://doi.org/10.1093/ehjqcco/qcv013
Rahimi K, Velardo C, Triantafyllidis A, Conrad N, Shah SA, Chantler T, Mohseni H, Stoppani E, Moore F, Paton C, Emdin CA, Ernst J, Tarassenko L, Rahimi K, Velardo C, Triantafyllidis A, Conrad N, Ahmar Shah S, Chantler T, Mohseni H, Stoppani E, Moore F, Paton C, Tarassenko L, Cleland J, Emptage F, Chantler T, Farmer A, Fitzpatrick R, Hobbs R, MacMahon S, Perkins A, Rahimi K, Tarassenko L, Altmann P, Chandrasekaran B, Emdin CA, Ernst J, Foley P, Hersch F, Salimi-Khorshidi G, Noble J, Woodward M. A user-centred home monitoring and self-management system for patients with heart failure: a multicentre cohort study. Eur Heart J Qual Care Clin Outcomes. 2015 Nov 01;1(2):66-71. doi: 10.1093/ehjqcco/qcv013. PMID: 29474596; PMCID: PMC5805110.
Copy Download .nbib Format: NLM
Share it on

Eur Heart J Qual Care Clin Outcomes. 2015 Nov 01;1(2):66-71. doi: 10.1093/ehjqcco/qcv013.

A user-centred home monitoring and self-management system for patients with heart failure: a multicentre cohort study.

European heart journal. Quality of care & clinical outcomes

Kazem Rahimi, Carmelo Velardo, Andreas Triantafyllidis, Nathalie Conrad, Syed Ahmar Shah, Tracey Chantler, Hamid Mohseni, Emma Stoppani, Francesca Moore, Chris Paton, Connor A Emdin, Johanna Ernst, Lionel Tarassenko, Kazem Rahimi, Carmelo Velardo, Andreas Triantafyllidis, Nathalie Conrad, Syed Ahmar Shah, Tracey Chantler, Hamid Mohseni, Emma Stoppani, Francesca Moore, Chris Paton, Lionel Tarassenko, John Cleland, Felicity Emptage, Tracey Chantler, Andrew Farmer, Raymond Fitzpatrick, Richard Hobbs, Stephen MacMahon, Alan Perkins, Kazem Rahimi, Lionel Tarassenko, Paul Altmann, Badri Chandrasekaran, Connor A Emdin, Johanna Ernst, Paul Foley, Fred Hersch, Gholamreza Salimi-Khorshidi, Joanne Noble, Mark Woodward

Affiliations

  1. Division of Cardiovascular Medicine, George Institute for Global Health, University of Oxford, Broad Street 34, Oxford OX1 3DB, UK.
  2. Institute of Biomedical Engineering, University of Oxford, Oxford, UK.

PMID: 29474596 PMCID: PMC5805110 DOI: 10.1093/ehjqcco/qcv013

Abstract

AIMS: Previous generations of home monitoring systems have had limited usability. We aimed to develop and evaluate a user-centred and adaptive system for health monitoring and self-management support in patients with heart failure.

METHODS AND RESULTS: Patients with heart failure were recruited from three UK centres and provided with Internet-enabled tablet computers that were wirelessly linked with sensor devices for blood pressure, heart rate, and weight monitoring. Patient observations, interviews, and concurrent analyses of the automatically collected data from their monitoring devices were used to increase the usability of the system. Of the 52 participants (median age 77 years, median follow-up 6 months [interquartile range, IQR, 3.6-9.2]), 24 (46%) had no, or very limited prior, experience with digital technologies. It took participants about 1.5 min to complete the daily monitoring tasks, and the rate of failed attempts in completing tasks was <5%. After 45 weeks of observation, participants still used the system on 4.5 days per week (confidence interval 3.2-5.7 days). Of the 46 patients who could complete the final survey, 93% considered the monitoring system as easy to use and 38% asked to keep the system for self-management support after the study was completed.

CONCLUSION: We developed a user-centred home monitoring system that enabled a wide range of heart failure patients, with differing degrees of IT literacy, to monitor their health status regularly. Despite no active medical intervention, patients felt that they benefited from the reassurance and sense of connectivity that the monitoring system provided.

References

  1. PLoS Med. 2007 Oct 16;4(10):e297 - PubMed
  2. Lancet. 2011 Aug 20;378(9792):731-9 - PubMed
  3. Arch Iran Med. 2012 Jul;15(7):439-45 - PubMed
  4. J Card Fail. 2010 Feb;16(2):150-6 - PubMed
  5. PLoS Med. 2009 Aug;6(8):e1000126 - PubMed
  6. N Engl J Med. 2010 Dec 9;363(24):2301-9 - PubMed
  7. N Engl J Med. 2010 Dec 9;363(24):2364-7 - PubMed
  8. Int J Med Inform. 2015 Oct;84(10):743-53 - PubMed
  9. JACC Heart Fail. 2014 Oct;2(5):440-6 - PubMed
  10. PLoS Med. 2009 Nov;6(11):e1000186 - PubMed
  11. J Clin Monit Comput. 2007 Oct;21(5):323-30 - PubMed
  12. BMJ Open. 2014 Apr 01;4(3):e003866 - PubMed
  13. Health Technol Assess. 2013 Aug;17(32):1-207, v-vi - PubMed
  14. Am Heart J. 2011 Nov;162(5):900-6 - PubMed
  15. PLoS Med. 2014 Aug 12;11(8):e1001699 - PubMed

Publication Types