Designing an eHealth Coaching Solution to Improve Transitional Care of Seniors’ with Heart Failure: End-User Needs

Rochat, Jessica; Villaverde, Alexandra; Klitzing, Helge; Larsen, Tore Langemyr; Vogel, Martin; Rime, Jacques; Anghel, Ionut; Cioara, Tudor; Lovis, Christian

doi:10.3233/shti210227

Cited by 3 publications

(5 citation statements)

References 19 publications

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“…93–96 Components of telehealth that HF caregivers value include clinician communication, care coordination, record centralization, and information specifically tailored toward their loved one’s changing disease status and health care needs. 93,97,98…”

Section: Barriers To Access and Use Of Telehealth Servicesmentioning

confidence: 99%

“…[93][94][95][96] Components of telehealth that HF caregivers value include clinician communication, care coordination, record centralization, and information specifically tailored toward their loved one's changing disease status and health care needs. 93,97,98 Caregivers also facilitate telehealth and remote monitoring in concrete ways. Patients with referrals are less likely to initiate HF telehealth without caregiver support, 99 and those with cognitive impairment, in particular, may benefit from the assistance of others.…”

Section: Caregiversmentioning

confidence: 99%

“…114,115 Considering caregivers' perspectives, both jointly and independently of patients, can identify needs specific to caregivers. 98 Overall, these considerations highlight the importance of developing technologies alongside patients, their family caregivers, and clinicians to create tools with actionable feedback to promote the sustainability of ambulatory care management. In addition to the need to design telehealth solutions jointly, and the need for individual patients to be motivated and supported to use telehealth platforms, there are additional digital equity considerations that extend beyond platform-specific and individual-level influences: infrastructure, technological capability, and health literacy.…”

Section: Caregiversmentioning

confidence: 99%

“…114,115 Considering caregivers’ perspectives, both jointly and independently of patients, can identify needs specific to caregivers. 98…”

Section: Barriers To Access and Use Of Telehealth Servicesmentioning

confidence: 99%

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Telehealth and Health Equity in Older Adults With Heart Failure: A Scientific Statement From the American Heart Association

Masterson Creber,

Dodson,

Bidwell

et al. 2023

Circ: Cardiovascular Quality and Outcomes

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Enhancing access to care using telehealth is a priority for improving outcomes among older adults with heart failure, increasing quality of care, and decreasing costs. Telehealth has the potential to increase access to care for patients who live in underresourced geographic regions, have physical disabilities or poor access to transportation, and may not otherwise have access to cardiologists with expertise in heart failure. During the COVID-19 pandemic, access to telehealth expanded, and yet barriers to access, including broadband inequality, low digital literacy, and structural barriers, prevented many of the disadvantaged patients from getting equitable access. Using a health equity lens, this scientific statement reviews the literature on telehealth for older adults with heart failure; provides an overview of structural, organizational, and personal barriers to telehealth; and presents novel interventions that pair telemedicine with in-person services to mitigate existing barriers and structural inequities.

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Section: Barriers To Access and Use Of Telehealth Servicesmentioning

confidence: 99%

Section: Caregiversmentioning

confidence: 99%

Section: Caregiversmentioning

confidence: 99%

“…114,115 Considering caregivers’ perspectives, both jointly and independently of patients, can identify needs specific to caregivers. 98…”

Section: Barriers To Access and Use Of Telehealth Servicesmentioning

confidence: 99%

See 2 more Smart Citations

Telehealth and Health Equity in Older Adults With Heart Failure: A Scientific Statement From the American Heart Association

Masterson Creber,

Dodson,

Bidwell

et al. 2023

Circ: Cardiovascular Quality and Outcomes

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“…Critical gaps remain in the design and evaluation of self-management interventions, with a lack of patient and clinician involvement [ 43 ]. Rochat et al [ 44 ] emphasized the importance of iterative involvement of end users in the design and evaluation process of a coaching solution to support the postdischarge needs of patients with HF. Furthermore, the results of Fairbrother et al [ 45 ] showed that telemonitoring enhanced patients’ knowledge and understanding of their condition but that further work is required by patients and professionals to develop a shared understanding of self-management and the role and function of telemonitoring as an enabling intervention within this context.…”

Section: Introductionmentioning

confidence: 99%

Designing a Future eHealth Service for Posthospitalization Self-management Support in Long-term Illness: Qualitative Interview Study

Wathne¹,

Morken²,

Storm³

et al. 2023

JMIR Hum Factors

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Background For patients with noncommunicable diseases (NCDs; eg, heart failure [HF] and colorectal cancer [CRC]), eHealth interventions could meet their posthospital discharge needs and strengthen their ability to self-manage. However, inconclusive evidence exists regarding how to design eHealth services to meet the complex needs of patients. To foster patient acceptability and ensure the successful development and implementation of eHealth solutions, it is beneficial to include different stakeholders (ie, patients and health care professionals) in the design and development phase of such services. The involvement of different stakeholders could contribute to ensuring feasible, acceptable, and usable solutions and that eHealth services are developed in response to users’ supportive care needs when transitioning to home after hospitalization. This study is the first step of a larger complex intervention study aimed at meeting the postdischarge needs of 2 NCD populations. Objective This study aimed to explore the perspectives of patients with HF and CRC and health care professionals on patient self-management needs following hospital discharge and investigate how a future nurse-assisted eHealth service could be best designed to foster patient acceptability, support self-management, and smooth the transition from hospital to home. Methods A qualitative, explorative, and descriptive approach was used. We conducted 38 semistructured interviews with 10 patients with HF, 9 patients surgically treated for CRC with curative intent, 6 registered nurses recruited as nurse navigators of a planned eHealth service, and 13 general practitioners experienced in HF and CRC treatment and follow-up care. Patients were recruited conveniently from HF and CRC outpatient clinics, and the nurses were recruited from the cardiology and gastro-surgical departments at a university hospital in the southwest of Norway. The general practitioners were recruited from primary care in surrounding municipalities. Semistructured interview guides were used for data collection, and the data were analyzed using thematic analysis. Results In total, 3 main themes were derived from the data analysis: expecting information, reassurance, and guidance when using eHealth for HF and CRC self-management; expecting eHealth to be comprehensible, supportive, and knowledge promoting; and recognizing both the advantages and disadvantages of eHealth for HF and CRC self-management. The data generated from this interview study depicted the diverse needs for self-management support of patients with CRC and HF after hospital discharge. In addition, valuable suggestions were identified regarding the design and content of the eHealth service. However, participants described both possible advantages and disadvantages of a remote eHealth service. Conclusions This study is the first step in the development of an eHealth service for posthospitalization self-management support for long-term illnesses. It concerns patients’ supportive care needs and user requirements of an eHealth service. The findings of this study may add value to the planning and development of eHealth interventions for patients with NCDs.

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A Review of Blockchain Technology Applications in Ambient Assisted Living

2022

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The adoption of remote assisted care was accelerated by the COVID-19 pandemic. This type of system acquires data from various sensors, runs analytics to understand people’s activities, behavior, and living problems, and disseminates information with healthcare stakeholders to support timely follow-up and intervention. Blockchain technology may offer good technical solutions for tackling Internet of Things monitoring, data management, interventions, and privacy concerns in ambient assisted living applications. Even though the integration of blockchain technology with assisted care is still at the beginning, it has the potential to change the health and care processes through a secure transfer of patient data, better integration of care services, or by increasing coordination and awareness across the continuum of care. The motivation of this paper is to systematically review and organize these elements according to the main problems addressed. To the best of our knowledge, there are no studies conducted that address the solutions for integrating blockchain technology with ambient assisted living systems. To conduct the review, we have followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology with clear criteria for including and excluding papers, allowing the reader to effortlessly gain insights into the current state-of-the-art research in the field. The results highlight the advantages and open issues that would require increased attention from the research community in the coming years. As for directions for further research, we have identified data sharing and integration of care paths with blockchain, storage, and transactional costs, personalization of data disclosure paths, interoperability with legacy care systems, legal issues, and digital rights management.

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Designing an eHealth Coaching Solution to Improve Transitional Care of Seniors’ with Heart Failure: End-User Needs

Cited by 3 publications

References 19 publications

Telehealth and Health Equity in Older Adults With Heart Failure: A Scientific Statement From the American Heart Association

Telehealth and Health Equity in Older Adults With Heart Failure: A Scientific Statement From the American Heart Association

Designing a Future eHealth Service for Posthospitalization Self-management Support in Long-term Illness: Qualitative Interview Study

A Review of Blockchain Technology Applications in Ambient Assisted Living

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