Patient Compliance in Home-Based Self-Care Telehealth Projects

Anthony Maeder, Nathan Poultney, Gary Morgan, Robert Lippiatt

    Research output: Contribution to journalArticlepeer-review

    27 Citations (Scopus)

    Abstract

    This paper presents the findings of a literature review on patient compliance in home-based self-care telehealth monitoring situations, intended to establish a knowledge base for this aspect which is often neglected alongside more conventional clinical, economic and service evaluations. A systematic search strategy led to 72 peer-reviewed published scientific papers being selected as most relevant to the topic, 58 of which appeared in the last 10 years. Patient conditions in which most evidence for compliance was found were blood pressure, heart failure and stroke, diabetes, asthma, chronic obstructive pulmonary disease and other respiratory diseases. In general, good compliance at the start of a study was found to drop off over time, most rapidly in the period immediately after the start. Success factors identified in the study included the extent of patient health education, telehealth system implementation style, user training and competence in system usage, active human support from the healthcare provider and maintaining strong participant motivation.

    Original languageEnglish
    Pages (from-to)439-442
    Number of pages4
    JournalJournal of Telemedicine and Telecare
    Volume21
    Issue number8
    DOIs
    Publication statusPublished - 2015

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