Impact of telemonitoring on older adults health-related quality of life: The Tele-ERA study

Jennifer L. Pecina, Gregory J. Hanson, Holly Van Houten, Paul Y Takahashi

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Purpose: Telemonitoring is being increasingly used for chronic disease monitoring. While the primary aim of telemonitoring is to improve chronic disease management and decrease hospitalizations, the potential impact on patient's health-related quality of life may be an additional benefit. Methods: Two hundred and five patients aged 60 years and older with multiple medical conditions were enrolled in a one-year randomized controlled trial of daily home telemonitoring. Health-related quality of life was measured with the 12-Item Short-Form at the beginning and at the completion of the study. Per protocol analysis of the 166 patients responding to the follow-up survey was performed. Results: Among the 166 responders, there were no significant differences at baseline in the physical component summary (PCS) scores (p value = 0.32), nor the mental component summary (MCS) scores (p value = 0.12) between the telemonitored group and the usual care group. There was also no difference in the 12-month PCS scores (p value = 0.39) or MCS scores (p value = 0.10) between groups. There was no difference in the change from baseline to 12-month MCS scores between groups (p value = 0.89); however, there was a significant difference in the baseline to 12-month change of PCS scores between groups, with the telemonitored group having a greater decrease in PCS scores (-4.3 ± 9.3), compared to the usual care group (-1.2 ± 8.5) over the course of the study (p value = 0.03). Conclusion: Home telemonitoring in older adults with multiple comorbidities does not significantly improve selfperception of mental well-being (as measured by MCS scores) and may worsen self-perception of physical health (as measured by PCS scores).

Original languageEnglish (US)
Pages (from-to)2315-2321
Number of pages7
JournalQuality of Life Research
Volume22
Issue number9
DOIs
StatePublished - Nov 2013

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Quality of Life
Chronic Disease
Disease Management
Self Concept
Comorbidity
Hospitalization
Randomized Controlled Trials
Health
Surveys and Questionnaires

Keywords

  • Geriatrics
  • Health-related quality of life
  • Home telemonitoring
  • Telemedicine

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Impact of telemonitoring on older adults health-related quality of life : The Tele-ERA study. / Pecina, Jennifer L.; Hanson, Gregory J.; Van Houten, Holly; Takahashi, Paul Y.

In: Quality of Life Research, Vol. 22, No. 9, 11.2013, p. 2315-2321.

Research output: Contribution to journalArticle

Pecina, Jennifer L. ; Hanson, Gregory J. ; Van Houten, Holly ; Takahashi, Paul Y. / Impact of telemonitoring on older adults health-related quality of life : The Tele-ERA study. In: Quality of Life Research. 2013 ; Vol. 22, No. 9. pp. 2315-2321.
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abstract = "Purpose: Telemonitoring is being increasingly used for chronic disease monitoring. While the primary aim of telemonitoring is to improve chronic disease management and decrease hospitalizations, the potential impact on patient's health-related quality of life may be an additional benefit. Methods: Two hundred and five patients aged 60 years and older with multiple medical conditions were enrolled in a one-year randomized controlled trial of daily home telemonitoring. Health-related quality of life was measured with the 12-Item Short-Form at the beginning and at the completion of the study. Per protocol analysis of the 166 patients responding to the follow-up survey was performed. Results: Among the 166 responders, there were no significant differences at baseline in the physical component summary (PCS) scores (p value = 0.32), nor the mental component summary (MCS) scores (p value = 0.12) between the telemonitored group and the usual care group. There was also no difference in the 12-month PCS scores (p value = 0.39) or MCS scores (p value = 0.10) between groups. There was no difference in the change from baseline to 12-month MCS scores between groups (p value = 0.89); however, there was a significant difference in the baseline to 12-month change of PCS scores between groups, with the telemonitored group having a greater decrease in PCS scores (-4.3 ± 9.3), compared to the usual care group (-1.2 ± 8.5) over the course of the study (p value = 0.03). Conclusion: Home telemonitoring in older adults with multiple comorbidities does not significantly improve selfperception of mental well-being (as measured by MCS scores) and may worsen self-perception of physical health (as measured by PCS scores).",
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AU - Takahashi, Paul Y

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