TY  - JOUR
AU  - Chen, Sheau Huey
AU  - Edwards, Iain
AU  - Jayasena, Rajiv
AU  - Ding, Hang
AU  - Karunanithi, Mohanraj
AU  - Dowling, Alison
AU  - Layland, Jamie
AU  - Maiorana, Andrew
PY  - 2021
DA  - 2021/9/14
TI  - Patient Perspectives on Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure (ITEC-CHF): Usability Study
JO  - JMIR Cardio
SP  - e24611
VL  - 5
IS  - 2
KW  - chronic heart failure
KW  - telemonitoring
KW  - usability
KW  - acceptance
KW  - patient perspectives
AB  - 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. 
SN  - 2561-1011
UR  - https://cardio.jmir.org/2021/2/e24611
UR  - https://doi.org/10.2196/24611
UR  - http://www.ncbi.nlm.nih.gov/pubmed/34519663
DO  - 10.2196/24611
ID  - info:doi/10.2196/24611
ER  -