TY  - JOUR
AU  - Ding, Hang
AU  - Jayasena, Rajiv
AU  - Chen, Sheau Huey
AU  - Maiorana, Andrew
AU  - Dowling, Alison
AU  - Layland, Jamie
AU  - Good, Norm
AU  - Karunanithi, Mohanraj
AU  - Edwards, Iain
PY  - 2020
DA  - 2020/7/8
TI  - The Effects of Telemonitoring on Patient Compliance With Self-Management Recommendations and Outcomes of the Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure: Randomized Controlled Trial
JO  - J Med Internet Res
SP  - e17559
VL  - 22
IS  - 7
KW  - heart failure
KW  - digital health
KW  - telemonitoring
KW  - remote monitoring
KW  - patient compliance
KW  - randomized controlled trial
AB  - Background: Telemonitoring enables care providers to remotely support outpatients in self-managing chronic heart failure (CHF), but the objective assessment of patient compliance with self-management recommendations has seldom been studied. Objective: This study aimed to evaluate patient compliance with self-management recommendations of an innovative telemonitoring enhanced care program for CHF (ITEC-CHF). Methods: We conducted a multicenter randomized controlled trial with a 6-month follow-up. The ITEC-CHF program comprised the provision of Bluetooth-enabled scales linked to a call center and nurse care services to assist participants with weight monitoring compliance. Compliance was defined a priori as weighing at least 4 days per week, analyzed objectively from weight recordings on the scales. The intention-to-treat principle was used to perform the analysis. Results: A total of 184 participants (141/184, 76.6% male), with a mean age of 70.1 (SD 12.3) years, were randomized to receive either ITEC-CHF (n=91) or usual care (control; n=93), of which 67 ITEC-CHF and 81 control participants completed the intervention. For the compliance criterion of weighing at least 4 days per week, the proportion of compliant participants in the ITEC-CHF group was not significantly higher than that in the control group (ITEC-CHF: 67/91, 74% vs control: 56/91, 60%; P=.06). However, the proportion of ITEC-CHF participants achieving the stricter compliance standard of at least 6 days a week was significantly higher than that in the control group (ITEC-CHF: 41/91, 45% vs control: 23/93, 25%; P=.005). Conclusions: ITEC-CHF improved participant compliance with weight monitoring, although the withdrawal rate was high. Telemonitoring is a promising method for supporting both patients and clinicians in the management of CHF. However, further refinements are required to optimize this model of care. Trial Registration: Australian New Zealand Clinical Trial Registry ACTRN12614000916640; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366691 
SN  - 1438-8871
UR  - https://www.jmir.org/2020/7/e17559
UR  - https://doi.org/10.2196/17559
UR  - http://www.ncbi.nlm.nih.gov/pubmed/32673222
DO  - 10.2196/17559
ID  - info:doi/10.2196/17559
ER  -