Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies

Walker, Rachael; Tong, Allison; Howard, Kirsten; Palmer, Suetonia C.

doi:10.1016/j.ijmedinf.2019.01.013

Cited by 175 publications

(176 citation statements)

References 31 publications

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“…In our study, OA and FC tended to be more enthusiastic than nurses regarding new in-home technologies. These results are consistent with other studies ( 29 – 34 ) showing that OA perceived in-home technologies as a viable home care solution, which can prolong their time living at home, whereas nurses had concerns that such technology could weaken their relationship with OA and worsen their work conditions.…”

Section: Discussionsupporting

confidence: 91%

“…Our findings suggested a variety of benefits and positive potential impacts of in-home monitoring on quality of life of OA and nursing home care services. As described by previous studies ( 29 – 34 ), the majority of OA, FC, and nurses were not familiar with in-home monitoring technologies. However, they considered that such technologies can be relevant in the future by improving the quality of care among OA living independently at home.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of 1-Year in-Home Monitoring Technology by Home-Dwelling Older Adults, Family Caregivers, and Nurses

Pais

Buluschek²,

DuPasquier³

et al. 2020

Front. Public Health

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Introduction: Population aging is increasing the needs and costs of healthcare. Both frailty and the chronic diseases affecting older people reduce their ability to live independently. However, most older people prefer to age in their own homes. New development of in-home monitoring can play a role in staying independent, active, and healthy for older people. This 12-month observational study aimed to evaluate a new in-home monitoring system among home-dwelling older adults (OA), their family caregivers (FC), and nurses for the support of home care. Methods: The in-home monitoring system evaluated in this study continuously monitored OA's daily activities (e.g., mobility, sleep habits, fridge visits, door events) by ambient sensor system (DomoCare®) and health-related events by wearable sensors (Activity tracker, ECG). In the case of deviations in daily activities, alerts were transmitted to nurses via email. Using specific questionnaires, the opinions of 13 OA, 13 FC, and 20 nurses were collected at the end of 12-months follow-up focusing on user experience and the impact of in-home monitoring on home care services. Results: The majority of OA, FC, and nurses considered that in-home sensors can help with staying at home, improving home care and quality of life, preventing domestic accidents, and reducing family stress. The opinion tended to be more frequently favorable toward ambient sensors (76%; 95% CI: 61–87%) than toward wearable sensors (Activity tracker: 65%; 95% CI: 50–79%); ECG: 60%; 95% CI: 45–75%). On average, OA (74%; 95% CI: 46–95%) and FC (70%; 95% CI: 39–91%) tended to be more enthusiastic than nurses (60%; 95% CI: 36–81%). Some barriers reported by nurses were a fear of weakening of the relationship with OA and lack of time. Discussion/Conclusion: Overall, the opinions of OA, FC, and nurses were positively related to in-home sensors, with nurses being less enthusiastic about their use in clinical practice.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Evaluation of 1-Year in-Home Monitoring Technology by Home-Dwelling Older Adults, Family Caregivers, and Nurses

Pais

Buluschek²,

DuPasquier³

et al. 2020

Front. Public Health

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“…Several methods have been used to prevent, reduce, and treat various life-threatening diseases such as diabetes, cancer, atherosclerosis, cardiomyopathy, stroke, and heart attack [ 85 , 86 ]. Early diagnosis, coupled with efficient and effective monitoring of glucose levels in the body, is vital to keep diabetes under control [ 87 , 88 ].…”

Section: Multifunctional Applications Of Graphitic Carbon Nitride mentioning

confidence: 99%

Graphitic Carbon Nitride: A Highly Electroactive Nanomaterial for Environmental and Clinical Sensing

Idris

Oseghe

Msagati

et al. 2020

Sensors

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Graphitic carbon nitride (g-C3N4) is a two-dimensional conjugated polymer that has attracted the interest of researchers and industrial communities owing to its outstanding analytical merits such as low-cost synthesis, high stability, unique electronic properties, catalytic ability, high quantum yield, nontoxicity, metal-free, low bandgap energy, and electron-rich properties. Notably, graphitic carbon nitride (g-C3N4) is the most stable allotrope of carbon nitrides. It has been explored in various analytical fields due to its excellent biocompatibility properties, including ease of surface functionalization and hydrogen-bonding. Graphitic carbon nitride (g-C3N4) acts as a nanomediator and serves as an immobilization layer to detect various biomolecules. Numerous reports have been presented in the literature on applying graphitic carbon nitride (g-C3N4) for the construction of electrochemical sensors and biosensors. Different electrochemical techniques such as cyclic voltammetry, electrochemiluminescence, electrochemical impedance spectroscopy, square wave anodic stripping voltammetry, and amperometry techniques have been extensively used for the detection of biologic molecules and heavy metals, with high sensitivity and good selectivity. For this reason, the leading drive of this review is to stress the importance of employing graphitic carbon nitride (g-C3N4) for the fabrication of electrochemical sensors and biosensors.

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“…This approach could reduce health system burden, while offering convenience for clinician–patient engagement. 3 There is growing interest in the use of technologies to support children and young people (CYP) with LTCs. 4 …”

Section: Introductionmentioning

confidence: 99%

Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

et al. 2020

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BackgroundThe use of patient-facing health technologies to manage long-term conditions is increasing; however, children and young people may have particular concerns or needs before deciding to use different health technologies.AimsTo identify children and young people’s reported concerns or needs in relation to using health technologies to self-manage long-term conditions.MethodsA scoping review was conducted. We searched MEDLINE, PsycINFO and CINAHL in February 2019. Searches were limited to papers published between January 2008 and February 2019. We included any health technology used to manage long-term conditions. A thematic synthesis of the data from the included studies was undertaken. We engaged children with long-term conditions (and parents) to support review design, interpretation of findings and development of recommendations.ResultsThirty-eight journal articles were included, describing concerns or needs expressed by n=970 children and/or young people aged 5–18 years. Most included studies were undertaken in high-income countries with children aged 11 years and older. Studies examined concerns with mobile applications (n=14), internet (n=9), social media (n=3), interactive online treatment programmes (n=3), telehealth (n=1), devices (n=3) or a combination (n=5). Children and young people’s main concerns were labelling and identity; accessibility; privacy and reliability; and trustworthiness of information.DiscussionThis review highlights important concerns that children and young people may have before using technology to self-manage their long-term condition. In future, research should involve children and young people throughout the development of technology, from identifying their unmet needs through to design and evaluation of interventions.

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Patient expectations and experiences of remote monitoring for chronic diseases: Systematic review and thematic synthesis of qualitative studies

Cited by 175 publications

References 31 publications

Evaluation of 1-Year in-Home Monitoring Technology by Home-Dwelling Older Adults, Family Caregivers, and Nurses

Evaluation of 1-Year in-Home Monitoring Technology by Home-Dwelling Older Adults, Family Caregivers, and Nurses

Graphitic Carbon Nitride: A Highly Electroactive Nanomaterial for Environmental and Clinical Sensing

Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

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