Remote Health Monitoring for Older Adults and Those with Heart Failure: Adherence and System Usability

Abstract

The findings indicate that a health monitoring system designed for older adults can and will be used for an extended period of time and may help older adults with chronic conditions reside longer in their own homes in partnership with the healthcare system.

Supportive home health care technology for older adults: Attitudes and implementation

“…Two regression equations (subscales for Time 1 and Time 2 CRS ratings) predicted percentage of time the watch was worn (recorded skin temperatures above 24.4°C generally indicate the watch was being worn 24 ), excluding times when the network was down or participants were away, by HF, age, and CRS ratings. The benchmark of 24.4°C was decided upon after extensive testing from the biomedical engineers who designed the FDA-cleared watch device.…”

“…Models of technology acceptance and use often show that attitudes play somewhat different roles for affirmations of willingness to use and actual use 25 and the studies presented here are no exception despite some evidence that comfort can be related to the actual use of wearable devices. Hence, a caveat is that we still know too little about the factors influencing adherence 24 . Finally, we have growing but still limited information about the reliability of such systems in the home 6,24 , which may affect trust in their efficacy.…”

“…Hence, a caveat is that we still know too little about the factors influencing adherence 24 . Finally, we have growing but still limited information about the reliability of such systems in the home 6,24 , which may affect trust in their efficacy.…”

“…Older persons with and without Heart Failure (HF) were asked to wear a working model of the watch device used in Study 2 for a period of six months as part of a larger randomized field trial 24 . Responses for the modified version of the CRS 19 were recorded at the initial session and after six months.…”

Using Information Technology in the Assessment and Monitoring of Geriatric Oncology Patients

“…The adherence rate to the technology devices was at least 75%. A number of issues were identified including a small power button that was difficult for older adults to find and unreliable Wi-Fi hotspots that made it difficult for older adults to connect the devices to the internet [74]. A systematic review that included 92 studies evaluating fall detection devices identified other challenges including subjects not remembering to use/wear the device, short battery power and intrusiveness [75].…”