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Adherence, adaptation and acceptance of elderly chronic heart failure patients to receiving healthcare via telephone-monitoring

Clark, R. A., Yallop, J. J. , Piterman, L. , Croucher, J. , Tonkin, A. , Stewart, S. , & Krum, H. (2007) Adherence, adaptation and acceptance of elderly chronic heart failure patients to receiving healthcare via telephone-monitoring. European Journal of Heart Failure, 9(11), pp. 1104-1111.

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Abstract

Background: Although the potential to reduce hospitalisation and mortality in chronic heart failure (CHF) is well reported, the feasibility of receiving healthcare by structured telephone support or telemonitoring is not.

Aims: To determine; adherence, adaptation and acceptability to a national nurse-coordinated telephone-monitoring CHF management strategy. The Chronic Heart Failure Assistance by Telephone Study (CHAT).

Methods: Triangulation of descriptive statistics, feedback surveys and qualitative analysis of clinical notes. Cohort comprised of standard care plus intervention (SC + I) participants who completed the first year of the study.

Results: 30 GPs (70% rural) randomised to SC + I recruited 79 eligible participants, of whom 60 (76%) completed the full 12 month follow-up period. During this time 3619 calls were made into the CHAT system (mean 45.81 SD ± 79.26, range 0-369), Overall there was an adherence to the study protocol of 65.8% (95% CI 0.54-0.75; p = 0.001) however, of the 60 participants who completed the 12 month follow-up period the adherence was significantly higher at 92.3% (95% CI 0.82-0.97, p ≤ 0.001). Only 3% of this elderly group (mean age 74.7 ±9.3 years) were unable to learn or competently use the technology. Participants rated CHAT with a total acceptability rate of 76.45%.

Conclusion: This study shows that elderly CHF patients can adapt quickly, find telephone-monitoring an acceptable part of their healthcare routine, and are able to maintain good adherence for a least 12 months. © 2007.

Impact and interest:

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14 citations in Web of Science®

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ID Code: 47342
Item Type: Journal Article
Keywords: Acceptance, Chronic heart failure, Telephone support, beta adrenergic receptor blocking agent, dipeptidyl carboxypeptidase inhibitor, loop diuretic agent, spironolactone, aged, article, clinical protocol, clinical trial, cluster analysis, cohort analysis, controlled clinical trial, controlled study, course evaluation, female, follow up, general practitioner, geriatric patient, health survey, heart failure, hospitalization, human, intervention study, major clinical study, male, nurse, outcome assessment, patient assessment, patient care, patient compliance, patient monitoring, patient participation, priority journal, qualitative analysis, randomized controlled trial, statistical analysis, telemonitoring, Adaptation, Psychological, Australia, Chi-Square Distribution, Chronic Disease, Humans, Patient Acceptance of Health Care, Rural Population, Telephone
DOI: 10.1016/j.ejheart.2007.07.018
ISSN: 13889842
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CARDIOVASCULAR MEDICINE AND HAEMATOLOGY (110200)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Elsevier
Deposited On: 30 Nov 2011 13:21
Last Modified: 19 Dec 2012 05:08

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