© 2001 European Society of Cardiology
Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure
a Department of General Practice and Primary Care, Hunter Wing, St George's Hospital Medical School London SW17 0RE, UK
b Woodbridge Hill Surgery Guildford, UK
c Maternal and Neonatal Monitoring Unit, John Radcliffe Hospital Oxford, UK
d Surrey and Hampshire Borders NHS Trust Woodbridge Hill Surgery Guildford, UK
e Royal Surrey County Hospital Guildford, UK
* Corresponding author. Tel.: +44-20-8725-5661; fax: +44-20-8767-7697. E-mail address: slusignan{at}sghms.ac.uk (S. de Lusignan).
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Abstract |
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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.
Key Words: Heart Failure • Telemedicine • Telemonitoring • General practice • Community care • Compliance
Received November 13, 2000; Revised January 30, 2001; Accepted April 26, 2001
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