Mobile health and implantable cardiac devices: Patients' expectations
| Autor: | Massimo F Piepoli, Giovanni Quinto Villani, Luca Rossi, Andrea Villani, Maria Sole Pisati, Diego Penela Maceda, Alessia Zanni, Concetta Sticozzi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Epidemiology Health Status media_common.quotation_subject Electric Countershock Physical activity Health Promotion Likert scale Health services Predictive Value of Tests Surveys and Questionnaires medicine Humans Healthy Lifestyle Empowerment mHealth Aged media_common Aged 80 and over Heart Failure Self-management business.industry Cardiac arrhythmia Middle Aged medicine.disease Telemedicine Defibrillators Implantable Treatment Outcome Patient Satisfaction Heart failure Remote Sensing Technology Female Medical emergency Patient Participation Cardiology and Cardiovascular Medicine business Risk Reduction Behavior |
| Zdroj: | European Journal of Preventive Cardiology. 26:920-927 |
| ISSN: | 2047-4881 2047-4873 |
| Popis: | Background Mobile computing and communication technologies in health services and information (so-called mHealth) have modified the traditional approach in the follow-up of patients with implantable cardiac devices, increased patient engagement and empowerment, reduced healthcare costs and improved patients' outcome. Recent developments in mobile technology, with the introduction of smartphone-compatible devices that can measure various health parameters and transfer automatically generated data, have increased the potential application of remote monitoring and the interest towards mHealth. However, little is known about the patients' interest and expectations of this new technology. Objective The patients' interest in the possibility of receiving data from their implantable cardiac device, clinical and health advice via remote monitoring on their smartphones were investigated. Methods A questionnaire entitled ‘Expectations for future possibility of self-management of device data’ (Likert scale scored) was submitted to 300 consecutive implantable cardiac device outpatients. The questionnaire was focused on collecting patients’ expectations in receiving direct information regarding their implantable cardiac device status (item 1, five questions), their own clinical status (item 2, seven questions) and advice on healthy lifestyle promotion (item 3, nine questions). Patient characteristics associated with greater interest towards mHealth were also investigated. Results Questionnaires were completed by 268 patients (221 men, aged 69 ± 14 years). The Cronbach test reported an alpha value of 0.98 for item 1, 0.94 for item 2 and 0.97 for item 3. Patients declared to be mainly interested in the device interventions (62%) and in severe arrhythmia occurrence (61%), followed by data on heart failure severity (54%) and their performed physical activity (48%). Patients showed very little interest in ECG tracing (37%), but the lowest interest was expressed towards healthy lifestyle promotion advice (Conclusions The patients' interests were mainly directed at receiving information related to technical data of the implantable cardiac device and not to the overall management of the disease, underlying the insufficient awareness of patients towards the key role of self-control health status and the promotion of a healthy lifestyle. |
| Databáze: | OpenAIRE |
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