03212nam a2200589   4500000000100000008004100001100001800042700002000060700002000080700002800100700002800128700002000156700002000176700001400196700002000210700002000230700002000250700001800270700001800288700001800306700001800324700002000342700002000362700001600382700001600398700001700414700001700431700001800448700001800466700002200484700002200506700002200528700001400550700001700564700002100581700001800602700002400620700001800644700001700662700001700679700002500696700001500721700001600736700003200752700001700784700001500801700001300816700001300829700001300842245012300855520164400978       2015                            d1 aWoodward Mark1 aVelardo Carmelo1 aVelardo Carmelo1 aTriantafyllidis Andreas1 aTriantafyllidis Andreas1 aConrad Nathalie1 aConrad Nathalie1 aShah Syed1 aChantler Tracey1 aChantler Tracey1 aChantler Tracey1 aMohseni Hamid1 aMohseni Hamid1 aStoppani Emma1 aStoppani Emma1 aMoore Francesca1 aMoore Francesca1 aPaton Chris1 aPaton Chris1 aEmdin Connor1 aEmdin Connor1 aErnst Johanna1 aErnst Johanna1 aTarassenko Lionel1 aTarassenko Lionel1 aTarassenko Lionel1 aShah Syed1 aCleland John1 aEmptage Felicity1 aFarmer Andrew1 aFitzpatrick Raymond1 aHobbs Richard1 aPerkins Alan1 aAltmann Paul1 aChandrasekaran Badri1 aFoley Paul1 aHersch Fred1 aSalimi-Khorshidi Gholamreza1 aNoble Joanne1 aMacmahon S1 aRahimi K1 aRahimi K1 aRahimi K00aA user-centred home monitoring and self-management system for patients with heart failure: A multi-centre cohort study3 a<p>
Background 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 [IQR 3.6 to 9.2]), 24 (46%) had no, or very limited prior experience with digital technologies. It took participants about 1.5 minutes to complete the daily monitoring tasks and the rate of failed attempts in completing tasks was less than 5%. After 45 weeks of observation, participants still used the system on 4.5 days per week (CI 3.2 to 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.Conclusions 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.
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