Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review
BackgroundAdult chronic heart failure mainly affects an elderly population with multiple comorbidities that often require frequent medical visits to prevent poor health outcomes. However, the heart failure disease process reduces their independence by reducing mobility, exerc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-04-01
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| Series: | JMIR Cardio |
| Online Access: | https://cardio.jmir.org/2022/1/e33366 |
| _version_ | 1797735236159668224 |
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| author | Ahmed Al-Naher Jennifer Downing Kathryn A Scott Munir Pirmohamed |
| author_facet | Ahmed Al-Naher Jennifer Downing Kathryn A Scott Munir Pirmohamed |
| author_sort | Ahmed Al-Naher |
| collection | DOAJ |
| description |
BackgroundAdult chronic heart failure mainly affects an elderly population with multiple comorbidities that often require frequent medical visits to prevent poor health outcomes. However, the heart failure disease process reduces their independence by reducing mobility, exercise tolerance, and cognitive decline. Remote care technologies can bridge the gap in care for these patients by allowing them to be followed up within the comfort of their home and encourage their self-care. However, patients, carers, and health care professionals need to engage with the technology for it to be useful.
ObjectiveThis systematic review explores qualitative primary studies of remote care technologies used in heart failure, to determine the factors that affect user engagement with the technology. This is explored from the perspective of patients, carers, and health care professionals.
MethodsRelevant studies published between January 1, 1990, and September 19, 2020, were identified from EMBASE, Ovid MEDLINE, PubMed, Cochrane Library, and Scopus. These studies were then synthesized using thematic analysis. Relevant user experiences with remote care were extracted using line-by-line coding. These codes were summarized into secondary codes and core concepts, which were further merged into overarching themes that encapsulate user experience with remote care.
ResultsThe review included 47 studies, which led to the generation of 5 overarching themes that affect engagement: (1) “Convenience” relates to time saved by the intervention; (2) “Clinical Care” relates to perceived quality of care and health outcomes; (3) “Communication” involves feedback and interaction between patients, staff, and carers; (4) “Education” concerns the tailored information provided; and (5) “Ease of Use” relates to accessibility and technical barriers to engagement. Each theme was applied to each user base of patient, carer, and health care professional in a different manner.
ConclusionsThe 5 themes identified highlight aspects of remote care that facilitate engagement, and should be considered in both future design and trials evaluating these technologies. |
| first_indexed | 2024-03-12T12:55:05Z |
| format | Article |
| id | doaj.art-f889633e500541e9badb67cd81c9fba5 |
| institution | Directory Open Access Journal |
| issn | 2561-1011 |
| language | English |
| last_indexed | 2024-03-12T12:55:05Z |
| publishDate | 2022-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Cardio |
| spelling | doaj.art-f889633e500541e9badb67cd81c9fba52023-08-28T21:20:25ZengJMIR PublicationsJMIR Cardio2561-10112022-04-0161e3336610.2196/33366Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic ReviewAhmed Al-Naherhttps://orcid.org/0000-0001-7057-0437Jennifer Downinghttps://orcid.org/0000-0001-7691-1167Kathryn A Scotthttps://orcid.org/0000-0003-3395-9210Munir Pirmohamedhttps://orcid.org/0000-0002-7534-7266 BackgroundAdult chronic heart failure mainly affects an elderly population with multiple comorbidities that often require frequent medical visits to prevent poor health outcomes. However, the heart failure disease process reduces their independence by reducing mobility, exercise tolerance, and cognitive decline. Remote care technologies can bridge the gap in care for these patients by allowing them to be followed up within the comfort of their home and encourage their self-care. However, patients, carers, and health care professionals need to engage with the technology for it to be useful. ObjectiveThis systematic review explores qualitative primary studies of remote care technologies used in heart failure, to determine the factors that affect user engagement with the technology. This is explored from the perspective of patients, carers, and health care professionals. MethodsRelevant studies published between January 1, 1990, and September 19, 2020, were identified from EMBASE, Ovid MEDLINE, PubMed, Cochrane Library, and Scopus. These studies were then synthesized using thematic analysis. Relevant user experiences with remote care were extracted using line-by-line coding. These codes were summarized into secondary codes and core concepts, which were further merged into overarching themes that encapsulate user experience with remote care. ResultsThe review included 47 studies, which led to the generation of 5 overarching themes that affect engagement: (1) “Convenience” relates to time saved by the intervention; (2) “Clinical Care” relates to perceived quality of care and health outcomes; (3) “Communication” involves feedback and interaction between patients, staff, and carers; (4) “Education” concerns the tailored information provided; and (5) “Ease of Use” relates to accessibility and technical barriers to engagement. Each theme was applied to each user base of patient, carer, and health care professional in a different manner. ConclusionsThe 5 themes identified highlight aspects of remote care that facilitate engagement, and should be considered in both future design and trials evaluating these technologies.https://cardio.jmir.org/2022/1/e33366 |
| spellingShingle | Ahmed Al-Naher Jennifer Downing Kathryn A Scott Munir Pirmohamed Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review JMIR Cardio |
| title | Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review |
| title_full | Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review |
| title_fullStr | Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review |
| title_full_unstemmed | Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review |
| title_short | Factors Affecting Patient and Physician Engagement in Remote Health Care for Heart Failure: Systematic Review |
| title_sort | factors affecting patient and physician engagement in remote health care for heart failure systematic review |
| url | https://cardio.jmir.org/2022/1/e33366 |
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