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
    Country/TerritoryFinland
    CityTampere
    Period16/09/1618/09/16

    Keywords

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

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