Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure

Lorraine Evangelista, Jung Ah Lee, Alison A. Moore, Marjan Motie, Hassan Ghasemzadeh, Majid Sarrafzadeh, Carol M. Mangione

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: The use of remote monitoring systems (RMSs) in healthcare has grown exponentially and has improved the accessibility to and ability of patients to engage in treatment intensification. However, research describing the effects of RMSs on activation, self-care, and quality of life (QOL) in older patients with heart failure (HF) is limited.

Objective: The aim of this study was to compare the effects of a 3-month RMS intervention on activation, self-care, and QOL of older patients versus a reference group matched on age, gender, race, and functional status (ie, New York Heart Association classification) who received standard discharge instructions after an acute episode of HF exacerbation requiring hospitalization.

Methods: A total of 21 patients (mean age, 72.7 ± 8.9 years; range, 58-83 years; 52.4% women) provided consent and were trained to measure their weight, blood pressure, and heart rate at home with an RMS device and transmit this information every day for 3 months to a centralized information system. The system gathered all data and dispatched alerts when certain clinical conditions were met.

Results: The baseline sociodemographic and clinical characteristics of the 2 groups were comparable. Over time, participants in the RMS group showed greater improvements in activation, self-care, and QOL compared with their counterparts. Data showed moderately strong associations between increased activation, self-care, and QOL.

Conclusion: Our preliminary data show that the use of an RMS is feasible and effective in promoting activation, self-care, and QOL. A larger-scale randomized clinical trial is warranted to show that the RMS is a new and effective method for improving clinical management of older adults with chronic HF.

Original languageEnglish (US)
Pages (from-to)51-57
Number of pages7
JournalJournal of Cardiovascular Nursing
Volume30
Issue number1
DOIs
StatePublished - Dec 14 2015
Externally publishedYes

Fingerprint

Self Care
Heart Failure
Quality of Life
Information Systems
Hospitalization
Research Design
Randomized Controlled Trials
Heart Rate
Blood Pressure
Delivery of Health Care
Weights and Measures
Equipment and Supplies
Research
Therapeutics

Keywords

  • activation
  • heart failure
  • quality of life
  • remote monitoring systems
  • self-care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

Cite this

Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure. / Evangelista, Lorraine; Lee, Jung Ah; Moore, Alison A.; Motie, Marjan; Ghasemzadeh, Hassan; Sarrafzadeh, Majid; Mangione, Carol M.

In: Journal of Cardiovascular Nursing, Vol. 30, No. 1, 14.12.2015, p. 51-57.

Research output: Contribution to journalArticle

Evangelista, Lorraine ; Lee, Jung Ah ; Moore, Alison A. ; Motie, Marjan ; Ghasemzadeh, Hassan ; Sarrafzadeh, Majid ; Mangione, Carol M. / Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure. In: Journal of Cardiovascular Nursing. 2015 ; Vol. 30, No. 1. pp. 51-57.
@article{560d455efd624c05a44c2f328d80efae,
title = "Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure",
abstract = "Background: The use of remote monitoring systems (RMSs) in healthcare has grown exponentially and has improved the accessibility to and ability of patients to engage in treatment intensification. However, research describing the effects of RMSs on activation, self-care, and quality of life (QOL) in older patients with heart failure (HF) is limited.Objective: The aim of this study was to compare the effects of a 3-month RMS intervention on activation, self-care, and QOL of older patients versus a reference group matched on age, gender, race, and functional status (ie, New York Heart Association classification) who received standard discharge instructions after an acute episode of HF exacerbation requiring hospitalization.Methods: A total of 21 patients (mean age, 72.7 ± 8.9 years; range, 58-83 years; 52.4{\%} women) provided consent and were trained to measure their weight, blood pressure, and heart rate at home with an RMS device and transmit this information every day for 3 months to a centralized information system. The system gathered all data and dispatched alerts when certain clinical conditions were met.Results: The baseline sociodemographic and clinical characteristics of the 2 groups were comparable. Over time, participants in the RMS group showed greater improvements in activation, self-care, and QOL compared with their counterparts. Data showed moderately strong associations between increased activation, self-care, and QOL.Conclusion: Our preliminary data show that the use of an RMS is feasible and effective in promoting activation, self-care, and QOL. A larger-scale randomized clinical trial is warranted to show that the RMS is a new and effective method for improving clinical management of older adults with chronic HF.",
keywords = "activation, heart failure, quality of life, remote monitoring systems, self-care",
author = "Lorraine Evangelista and Lee, {Jung Ah} and Moore, {Alison A.} and Marjan Motie and Hassan Ghasemzadeh and Majid Sarrafzadeh and Mangione, {Carol M.}",
year = "2015",
month = "12",
day = "14",
doi = "10.1097/JCN.0000000000000110",
language = "English (US)",
volume = "30",
pages = "51--57",
journal = "Journal of Cardiovascular Nursing",
issn = "0889-4655",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure

AU - Evangelista, Lorraine

AU - Lee, Jung Ah

AU - Moore, Alison A.

AU - Motie, Marjan

AU - Ghasemzadeh, Hassan

AU - Sarrafzadeh, Majid

AU - Mangione, Carol M.

PY - 2015/12/14

Y1 - 2015/12/14

N2 - Background: The use of remote monitoring systems (RMSs) in healthcare has grown exponentially and has improved the accessibility to and ability of patients to engage in treatment intensification. However, research describing the effects of RMSs on activation, self-care, and quality of life (QOL) in older patients with heart failure (HF) is limited.Objective: The aim of this study was to compare the effects of a 3-month RMS intervention on activation, self-care, and QOL of older patients versus a reference group matched on age, gender, race, and functional status (ie, New York Heart Association classification) who received standard discharge instructions after an acute episode of HF exacerbation requiring hospitalization.Methods: A total of 21 patients (mean age, 72.7 ± 8.9 years; range, 58-83 years; 52.4% women) provided consent and were trained to measure their weight, blood pressure, and heart rate at home with an RMS device and transmit this information every day for 3 months to a centralized information system. The system gathered all data and dispatched alerts when certain clinical conditions were met.Results: The baseline sociodemographic and clinical characteristics of the 2 groups were comparable. Over time, participants in the RMS group showed greater improvements in activation, self-care, and QOL compared with their counterparts. Data showed moderately strong associations between increased activation, self-care, and QOL.Conclusion: Our preliminary data show that the use of an RMS is feasible and effective in promoting activation, self-care, and QOL. A larger-scale randomized clinical trial is warranted to show that the RMS is a new and effective method for improving clinical management of older adults with chronic HF.

AB - Background: The use of remote monitoring systems (RMSs) in healthcare has grown exponentially and has improved the accessibility to and ability of patients to engage in treatment intensification. However, research describing the effects of RMSs on activation, self-care, and quality of life (QOL) in older patients with heart failure (HF) is limited.Objective: The aim of this study was to compare the effects of a 3-month RMS intervention on activation, self-care, and QOL of older patients versus a reference group matched on age, gender, race, and functional status (ie, New York Heart Association classification) who received standard discharge instructions after an acute episode of HF exacerbation requiring hospitalization.Methods: A total of 21 patients (mean age, 72.7 ± 8.9 years; range, 58-83 years; 52.4% women) provided consent and were trained to measure their weight, blood pressure, and heart rate at home with an RMS device and transmit this information every day for 3 months to a centralized information system. The system gathered all data and dispatched alerts when certain clinical conditions were met.Results: The baseline sociodemographic and clinical characteristics of the 2 groups were comparable. Over time, participants in the RMS group showed greater improvements in activation, self-care, and QOL compared with their counterparts. Data showed moderately strong associations between increased activation, self-care, and QOL.Conclusion: Our preliminary data show that the use of an RMS is feasible and effective in promoting activation, self-care, and QOL. A larger-scale randomized clinical trial is warranted to show that the RMS is a new and effective method for improving clinical management of older adults with chronic HF.

KW - activation

KW - heart failure

KW - quality of life

KW - remote monitoring systems

KW - self-care

UR - http://www.scopus.com/inward/record.url?scp=84918795388&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84918795388&partnerID=8YFLogxK

U2 - 10.1097/JCN.0000000000000110

DO - 10.1097/JCN.0000000000000110

M3 - Article

VL - 30

SP - 51

EP - 57

JO - Journal of Cardiovascular Nursing

JF - Journal of Cardiovascular Nursing

SN - 0889-4655

IS - 1

ER -