@Article{info:doi/10.2196/24611,
author="Chen, Sheau Huey
and Edwards, Iain
and Jayasena, Rajiv
and Ding, Hang
and Karunanithi, Mohanraj
and Dowling, Alison
and Layland, Jamie
and Maiorana, Andrew",
title="Patient Perspectives on Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure (ITEC-CHF): Usability Study",
journal="JMIR Cardio",
year="2021",
month="Sep",
day="14",
volume="5",
number="2",
pages="e24611",
keywords="chronic heart failure; telemonitoring; usability; acceptance; patient perspectives",
abstract="Background: Telemonitoring enables care providers to remotely support outpatients in self-managing chronic heart failure (CHF), but little is known about the usability and patients' willingness to engage with this technology. Objective: This study aims to evaluate feedback from patients with CHF following participation in the Innovative Telemonitoring Enhanced Care program for CHF (ITEC-CHF) study. Methods: The telemonitoring intervention consisted of three components: remote weight monitoring, structured telephone support, andnurse-led collaborative care. Participants were provided with electronic weighing scales (W550; ForaCare), and a computer tablet (Galaxy Tab A; Samsung). They were asked to weigh themselves on the provided scales daily. Telemonitoring was integrated with a personal assistance call service and a nurse care service according to their workflows in usual care. Feedback on the usability of ITEC-CHF was collected via survey from study participants following 6 months of receiving telemonitoring care for their body weight. Survey responses were provided on a 5-point Likert scale and through open-ended questions to determine participants' perceived benefits and barriers to using ITEC-CHF. Results: A total of 67 participants (49/67, 73{\%} male), with a mean age of 69.8 (SD 12.4) years completed the survey. The majority of participants agreed or strongly agreed that the ITEC-CHF program was easy to use (61/67, 91{\%}), easy to navigate (51/65, 78{\%}), useful (59/65, 91{\%}), and made them feel more confident in managing their weight (57/67, 85{\%}). Themes related to participants' perceptions of telemonitoring included increased support for early intervention of clinical deterioration, improved compliance to daily weighing, a sense of reassurance, and improved self-care and accountability, among others. Conclusions: ITEC-CHF was rated highly on usability and was well accepted by users as part of their routine self-management activities. Participants were willing to use telemonitoring because they perceived a broad spectrum of benefits for CHF management. Trial Registration: Australian New Zealand Clinical Trial Registry ID ACTRN 12614000916640; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366691. ",
issn="2561-1011",
doi="10.2196/24611",
url="https://cardio.jmir.org/2021/2/e24611",
url="https://doi.org/10.2196/24611",
url="http://www.ncbi.nlm.nih.gov/pubmed/34519663"
}