A systematic Review of the Mediating Role of Knowledge, Self-efficacy and Self-care Behaviour in Telehealth Patients with Heart Failure

Ciere, Yvette; Cartwright, Martin; Newman, Stanton

doi:10.1258/jtt.2012.111009

Cited by 41 publications

(52 citation statements)

References 46 publications

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“…19,40,45 However, little is known about the processes by which telehealth may do this. 22 The present study provides insights into the mechanisms by which patients can be more engaged with their health care and self-management, which can lead to a better understanding of their condition, improved health behaviours and improved self-management, as perceived by the patient.…”

Section: Discussionmentioning

confidence: 89%

“…[18][19][20][21] However, a review investigating the role of knowledge, self-efficacy and self-care behaviour in Telehealth patients with heart failure concluded that there was insufficient evidence to support or disprove that clinical outcomes and quality of life are affected by these factors. 22 This paper reports the findings from the evaluation of an NBN Telehealth trial of Feros Care's My Health Clinic at Home (MHCAH) system. The aim of the evaluation was to explore the extent to which the NBN could enable health services to be delivered in the home and affect patients' chronic disease management.…”

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confidence: 99%

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Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Nancarrow¹,

Banbury²,

Buckley³

2016

Aust. Health Review

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Objective. The aim of the present study was to evaluate the effect of a high-speed telemonitoring project for older people with chronic disease in a regional Australian town. Participants' vital signs were monitored and triaged daily by a telehealth nurse.Methods. A prospective, uncontrolled study design evaluated the effect of home-based telemonitoring on older people with chronic disease. Evaluation included surveys (including the Stanford Chronic Disease Self-Efficacy tool and the Self-Rated Health Questionnaire), self-reported health service use and interviews and focus groups exploring client experiences.Results. Participants reported an improved understanding of their vital signs monitoring (48%) and consequently better self-management of health (48%) and that they were better informed (44%) and more confident (25%) to discuss health with their doctor. Patients also reported making medication changes (17%), positive dietary changes (34%) and increasing their physical activity (33%). Overall, patients' self-rated general health improved (mean (AE s.d.) improvement 0.30 AE 0.80; 95% confidence interval (CI) 0.16-0.45; 118 d.f.; P < 0.001), with more participants reporting that their health is 'excellent' or 'very good' at the end of the trial. Patients also reported fewer doctor visits (P < 0.001), fewer visits to the local hospital emergency department (P = 0.021) and fewer non-local hospital admissions (P < 0.001) compared with the preceding year. There was no significant reduction in local hospital admissions (P = 0.171).Conclusions. The findings of the present study suggest that telemonitoring with videoconferencing empowers older people to better understand and manage their own health, and is associated with improved health outcomes and reduced service use. Having regular, daily access to a Telehealth nurse reassured participants, and triggered changes to services and behaviour that are likely to have positively affected patient outcomes.What is known about this topic? Telehealth is increasingly being used in the care of older people with chronic conditions and can reduce health service use. Previous research has indicated that telehealth has the potential to provide patients with greater knowledge and understanding of their condition. What this paper adds? Our research demonstrates that older people with limited experience of technology can be taught to successfully use telehealth equipment. We observed regular contact with telehealth nurses enables health promoting behaviour messages to be tailored to patients' needs. What are the implications for practitioners? Providing older people with tailored health support alongside an understanding of vital signs readings can enhance self-efficacy.

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Section: Discussionmentioning

confidence: 89%

mentioning

confidence: 99%

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Nancarrow¹,

Banbury²,

Buckley³

2016

Aust. Health Review

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“…Nine of the 51 retrieved articles reported on studies related to congestive heart failure [8][9][10]14,17,25,35,36,38]. The typical clinical parameters being measured (usually in a daily basis) were blood pressure, weight, heart rate, and oxygen saturation.…”

Section: Congestive Heart Failurementioning

confidence: 99%

Remote Care Technology: A Systematic Review of Reviews and Meta-Analyses

et al. 2018

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Objectives-To identify the technologies that are being used in the remote care of patients with chronic conditions, and their most relevant outcomes. Methods-A systematic review of reviews and meta-analyses. Results-Fifty-one systematic reviews and meta-analyses related to diabetes, congestive heart failure, chronic obstructive pulmonary disease, mental and behavioral diseases, cancer, hypertension, asthma, multiple sclerosis, chronic renal disease, and obesity were retrieved; these studies compared the use of remote care technology with usual care. Conclusion-Remote care technology has positive effects in various health-related outcomes, but further research is required to allow its use in clinical practice.

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“…46 It has been shown that up to 64% of HF hospitalizations could be prevented by adherence to the prescribed medication and diet, but up to 90% of HF patients do not fully adhere to their recommended regimens. 47 Self-efficacy is defined as the confidence one has in performing a specific behavior and is essential to making sustained behavioral changes. Weaker self-efficacy beliefs are associated with nonadherence to self-care recommendations for HF.…”

Section: Clinical Perspectives: Benefits and Disadvantagesmentioning

confidence: 99%

“…Weaker self-efficacy beliefs are associated with nonadherence to self-care recommendations for HF. 47 The positive effect of such an intervention was seen in two studies: one study tested a sliding scale diuretic titration protocol in HF patients where patients using this self-management strategy had increases in their exercise tolerance, quality of life, and fewer emergency department visits; 48 and the other study admitted HF patients randomized to an HF management group and taught self-management skills compared with usual care. 49 Unfortunately, the majority of patients with HF are not followed in an HF disease management program but by primary care physicians.…”

Section: Clinical Perspectives: Benefits and Disadvantagesmentioning

confidence: 99%

Role of telephone monitoring in patients with chronic heart failure: theory and practical implications

Host¹,

Hasan²

2014

SHTT

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Abstract:With the aging of the world's population and the rise of chronic illness such as heart failure (HF), the economic burden, number of hospitalizations, and penalties imposed for failure to meet hospital readmission expectations will continue to rise, thus increasing pressure on clinicians to utilize successful HF monitoring interventions to improve these measures. Telephone monitoring in patients with chronic HF utilizes a proactive approach in the care of such patients, and for this review is grouped into three categories, ie, structured telephone support, telemonitoring, and remote implantable device monitoring. Earlier studies on structured telephone support and telemonitoring suggested a clear benefit on mortality and HF admissions, although several recent large, randomized controlled studies have been neutral. Optimizing medical therapy requires an accurate assessment of volume status by the clinician; therefore, symptom report and weight monitoring alone are often challenging in the identification of true HF decompensation because they are not very sensitive markers. The use of remote monitoring technology for follow-up of patients with implantable devices, including implantable cardiac defibrillators and cardiac resynchronization therapy devices, can aid in identifying HF decompensation. Self-care or self-management is an essential component of a chronic illness such as HF, and it is important for such patients to be engaged in their health care to best utilize the telephone monitoring intervention. System design, adequate staffing, patient satisfaction, and treatment adherence are important for success of the telemonitoring system. Telephone monitoring seems to be an effective approach in the chronic HF population. In the future, large-scale telemonitoring programs may come into place as well as additional remote implantable monitoring devices.

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A systematic Review of the Mediating Role of Knowledge, Self-efficacy and Self-care Behaviour in Telehealth Patients with Heart Failure

Cited by 41 publications

References 46 publications

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Remote Care Technology: A Systematic Review of Reviews and Meta-Analyses

Role of telephone monitoring in patients with chronic heart failure: theory and practical implications

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