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

doi:10.1007/978-3-319-44672-1_6

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

South Karelia Social and Health Care District (Eksote)

Research output: Chapter in Book/Report/Conference proceeding › Conference article in proceedings › Scientific › peer-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 language	English
Title of host publication	Building Sustainable Health Ecosystems
Subtitle of host publication	WIS 2016
Publisher	Springer
Pages	57-66
ISBN (Electronic)	978-3-319-44672-1
ISBN (Print)	978-3-319-44671-4
DOIs	https://doi.org/10.1007/978-3-319-44672-1_6
Publication status	Published - 3 Sept 2016
MoE publication type	A4 Article in a conference publication
Event	6th International Conference on Well-Being in the Information Society, WIS 2016: Building Sustainable Health Ecosystems - Tampere, Finland Duration: 16 Sept 2016 → 18 Sept 2016 Conference number: 6

Publication series

Series	Communications in Computer and Information Science
Volume	636

Conference

Conference	6th International Conference on Well-Being in the Information Society, WIS 2016
Abbreviated title	WIS 2016
Country/Territory	Finland
City	Tampere
Period	16/09/16 → 18/09/16

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

adherence
telemonitoring
health coaching
QoL
HbA1c
type 2 diabetes
heart disease

Access to Document

10.1007/978-3-319-44672-1_6

Cite this

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

abstract = "eHealth studies typically suffer from high attrition rates. Objective To investigate type 2 diabetes and heart disease patients{\textquoteright} 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.",

keywords = "adherence, telemonitoring, health coaching, QoL, HbA1c, type 2 diabetes, heart disease",

author = "Anna-Leena Vuorinen and Miikka Ermes and Tuula Karhula and Katja R{\"a}{\"a}pysj{\"a}rvi and Jaakko L{\"a}hteenm{\"a}ki",

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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. Springer, Communications in Computer and Information Science, vol. 636, pp. 57-66, 6th International Conference on Well-Being in the Information Society, WIS 2016, Tampere, Finland, 16/09/16. https://doi.org/10.1007/978-3-319-44672-1_6

Is Home Telemonitoring Feasible in the Care of Chronic Diseases: Insights into Adherence to a Self-management Intervention in Renewing Health Finland Trial. / Vuorinen, Anna-Leena; Ermes, Miikka; Karhula, Tuula et al.
Building Sustainable Health Ecosystems: WIS 2016. Springer, 2016. p. 57-66 (Communications in Computer and Information Science, Vol. 636).

Research output: Chapter in Book/Report/Conference proceeding › Conference article in proceedings › Scientific › peer-review

TY - GEN

T1 - Is Home Telemonitoring Feasible in the Care of Chronic Diseases

T2 - 6th International Conference on Well-Being in the Information Society, WIS 2016

AU - Vuorinen, Anna-Leena

AU - Ermes, Miikka

AU - Karhula, Tuula

AU - Rääpysjärvi, Katja

AU - Lähteenmäki, Jaakko

N1 - Conference code: 6

PY - 2016/9/3

Y1 - 2016/9/3

N2 - 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.

AB - 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.

KW - adherence

KW - telemonitoring

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KW - QoL

KW - HbA1c

KW - type 2 diabetes

KW - heart disease

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M3 - Conference article in proceedings

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BT - Building Sustainable Health Ecosystems

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Y2 - 16 September 2016 through 18 September 2016

ER -

Vuorinen AL, Ermes M, Karhula T, Rääpysjärvi K, Lähteenmäki J. 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. Springer. 2016. p. 57-66. (Communications in Computer and Information Science, Vol. 636). doi: 10.1007/978-3-319-44672-1_6

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

Abstract

Publication series

Conference

UN SDGs

Keywords

Access to Document

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Cite this