Is Home Telemonitoring Feasible in the Care of Chronic Diseases: Insights into Adherence to a Self-management Intervention in Renewing Health Finland Trial

Anna-Leena Vuorinen, Miikka Ermes, Tuula Karhula, Katja Rääpysjärvi, Jaakko Lähteenmäki

Research output: Chapter in Book/Report/Conference proceedingConference article in proceedingsScientificpeer-review

Abstract

eHealth studies typically suffer from high attrition rates. Objective To investigate type 2 diabetes and heart disease patients’ adherence to a self-management intervention that combined health coaching and telemonitoring. Methods Renewing Health Finland was a 12-month randomized controlled trial to improve quality of life (QoL) and/or HbA1c of 595 patients with chronic conditions. The intervention consisted of (1) weekly measurement of health parameters (2) health coaching every 4–6 weeks. Adherence to telemonitoring was defined as the percentage of weeks with at least one reported health measurement. Adherence to coaching was defined as the number of received calls. Results The median percentage of monitored weeks was 65 % without time-dependent attrition. 66 % of participants received 7–11 calls that corresponds to the predefined coaching schedule. Adherence did not correlate with QoL or HbA1c. Discussion Our results indicate that the intervention in the Renewing Health Finland trial was delivered almost with planned intensity.
Original languageEnglish
Title of host publicationBuilding Sustainable Health Ecosystems
Subtitle of host publicationWIS 2016
PublisherSpringer
Pages57-66
ISBN (Electronic)978-3-319-44672-1
ISBN (Print)978-3-319-44671-4
DOIs
Publication statusPublished - 3 Sep 2016
MoE publication typeA4 Article in a conference publication
Event6th International Conference on Well-Being in the Information Society, WIS 2016: Building Sustainable Health Ecosystems - Tampere, Finland
Duration: 16 Sep 201618 Sep 2016
Conference number: 6

Publication series

SeriesCommunications in Computer and Information Science
Volume636

Conference

Conference6th International Conference on Well-Being in the Information Society, WIS 2016
Abbreviated titleWIS 2016
CountryFinland
CityTampere
Period16/09/1618/09/16

Keywords

  • adherence
  • telemonitoring
  • health coaching
  • QoL
  • HbA1c
  • type 2 diabetes
  • heart disease

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    Vuorinen, A-L., Ermes, M., Karhula, T., Rääpysjärvi, K., & Lähteenmäki, J. (2016). Is Home Telemonitoring Feasible in the Care of Chronic Diseases: Insights into Adherence to a Self-management Intervention in Renewing Health Finland Trial. In Building Sustainable Health Ecosystems: WIS 2016 (pp. 57-66). Springer. Communications in Computer and Information Science, Vol.. 636 https://doi.org/10.1007/978-3-319-44672-1_6