Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis
Abstract Background Telemonitoring for the remote patient self-management of chronic conditions can be a cost-effective method for delivering care in chronic disease; nonetheless, its implementation in clinical practice remains low. The aim of this meta-synthesis is to explore barriers and facilitat...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | BMC Cardiovascular Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12872-023-03486-3 |
| _version_ | 1827724887085547520 |
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| author | Anna Creber Donato Giuseppe Leo Benjamin J. R. Buckley Mahin Chowdhury Stephanie L. Harrison Masoud Isanejad Deirdre A. Lane on behalf of the TAILOR investigators |
| author_facet | Anna Creber Donato Giuseppe Leo Benjamin J. R. Buckley Mahin Chowdhury Stephanie L. Harrison Masoud Isanejad Deirdre A. Lane on behalf of the TAILOR investigators |
| author_sort | Anna Creber |
| collection | DOAJ |
| description | Abstract Background Telemonitoring for the remote patient self-management of chronic conditions can be a cost-effective method for delivering care in chronic disease; nonetheless, its implementation in clinical practice remains low. The aim of this meta-synthesis is to explore barriers and facilitators associated with the use of remote patient monitoring of chronic disease, drawing on qualitative research, and assessing participant interactions with this technology. Method A meta-synthesis of qualitative studies was performed. MEDLINE, SCOPUS and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched from database date of inception to 5 February 2021. The Critical Appraisal Skills Programme (CASP) was used to critically appraise each study. Thematic synthesis was performed to identify user (patients, carers and healthcare professionals) perspectives and experiences of patient remote monitoring of chronic disease (Type 2 diabetes mellitus, chronic obstructive pulmonary disease, and cardiovascular disease). Results Searches returned 10,401 studies and following independent screening by two reviewers, nine studies were included in this meta-synthesis. Data were synthesised and categorised into four key themes: (1) Improved care; (2) Communication; (3) Technology feasibility & acceptability; and (4) Intervention concerns. Most patients using patient remote devices felt motivated in managing their own lifestyles and felt reassured by the close monitoring and increased communication. Barriers identified involved generational differences and difficulties with the technology used. Conclusion Most studies showed a positive attitude to telemonitoring, with patients preferring the convenience of telemonitoring in comparison to attending regular clinics. Further research is required to assess the most effective technology for chronic disease management, how to maintain long-term patient adherence, and identify effective approaches to address generational variation in telemonitoring up-take. |
| first_indexed | 2024-03-10T22:20:49Z |
| format | Article |
| id | doaj.art-eee42e1403854901932873d5e98c3684 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-03-10T22:20:49Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-eee42e1403854901932873d5e98c36842023-11-19T12:18:25ZengBMCBMC Cardiovascular Disorders1471-22612023-09-0123111710.1186/s12872-023-03486-3Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesisAnna Creber0Donato Giuseppe Leo1Benjamin J. R. Buckley2Mahin Chowdhury3Stephanie L. Harrison4Masoud Isanejad5Deirdre A. Lane6on behalf of the TAILOR investigatorsSchool of Medicine, Faculty of Health and Life Sciences, University of LiverpoolDepartment of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, University of LiverpoolLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest HospitalSchool of Medicine, Faculty of Health and Life Sciences, University of LiverpoolDepartment of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, University of LiverpoolLiverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest HospitalDepartment of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, Faculty of Health and Life Sciences, University of LiverpoolAbstract Background Telemonitoring for the remote patient self-management of chronic conditions can be a cost-effective method for delivering care in chronic disease; nonetheless, its implementation in clinical practice remains low. The aim of this meta-synthesis is to explore barriers and facilitators associated with the use of remote patient monitoring of chronic disease, drawing on qualitative research, and assessing participant interactions with this technology. Method A meta-synthesis of qualitative studies was performed. MEDLINE, SCOPUS and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched from database date of inception to 5 February 2021. The Critical Appraisal Skills Programme (CASP) was used to critically appraise each study. Thematic synthesis was performed to identify user (patients, carers and healthcare professionals) perspectives and experiences of patient remote monitoring of chronic disease (Type 2 diabetes mellitus, chronic obstructive pulmonary disease, and cardiovascular disease). Results Searches returned 10,401 studies and following independent screening by two reviewers, nine studies were included in this meta-synthesis. Data were synthesised and categorised into four key themes: (1) Improved care; (2) Communication; (3) Technology feasibility & acceptability; and (4) Intervention concerns. Most patients using patient remote devices felt motivated in managing their own lifestyles and felt reassured by the close monitoring and increased communication. Barriers identified involved generational differences and difficulties with the technology used. Conclusion Most studies showed a positive attitude to telemonitoring, with patients preferring the convenience of telemonitoring in comparison to attending regular clinics. Further research is required to assess the most effective technology for chronic disease management, how to maintain long-term patient adherence, and identify effective approaches to address generational variation in telemonitoring up-take.https://doi.org/10.1186/s12872-023-03486-3Chronic diseasee-healthMeta-synthesisTelehealthTelemedicineTelemonitoring |
| spellingShingle | Anna Creber Donato Giuseppe Leo Benjamin J. R. Buckley Mahin Chowdhury Stephanie L. Harrison Masoud Isanejad Deirdre A. Lane on behalf of the TAILOR investigators Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis BMC Cardiovascular Disorders Chronic disease e-health Meta-synthesis Telehealth Telemedicine Telemonitoring |
| title | Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis |
| title_full | Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis |
| title_fullStr | Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis |
| title_full_unstemmed | Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis |
| title_short | Use of telemonitoring in patient self-management of chronic disease: a qualitative meta-synthesis |
| title_sort | use of telemonitoring in patient self management of chronic disease a qualitative meta synthesis |
| topic | Chronic disease e-health Meta-synthesis Telehealth Telemedicine Telemonitoring |
| url | https://doi.org/10.1186/s12872-023-03486-3 |
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