Evidence map›Paper›PMID 32673222›Full record

Trial reportJournal of medical Internet research2020

The Effects of Telemonitoring on Patient Compliance With Self-Management Recommendations and Outcomes of the Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure: Randomized Controlled Trial.

Hang Ding, Rajiv Jayasena, Sheau Huey Chen, Andrew Maiorana, Alison Dowling, Jamie Layland, Norm Good, Mohanraj Karunanithi, Iain Edwards

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 9 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 9 syntheses or guidelines pooled it, 113 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Hang DingRECOVER Injury Research Centre, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-0513-2876
Rajiv JayasenaThe Australian e-Health Research Centre, Commonwealth Scientific & Industrial Research Organisation Health & Biosecurity, Melbourne, Australia.ORCID 0000-0003-4943-8524
Sheau Huey ChenSchool of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.ORCID 0000-0003-2911-9550
Andrew MaioranaSchool of Physiotherapy and Exercise Science, Australia Faculty of Health Sciences, Curtin University, Perth, Australia.ORCID 0000-0002-0681-1707
Alison DowlingDepartment of Community Health, Peninsula Health, Melbourne, Australia.ORCID 0000-0002-7227-2844
Jamie LaylandDepartment of Cardiology, Peninsula Health, Melbourne, Australia.ORCID 0000-0003-2002-5785
Norm GoodRECOVER Injury Research Centre, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID 0000-0001-6446-7644
Mohanraj KarunanithiRECOVER Injury Research Centre, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.ORCID 0000-0002-9141-932X
Iain EdwardsDepartment of Community Health, Peninsula Health, Melbourne, Australia.ORCID 0000-0002-4157-2086
Peninsula Health · AUCommonwealth Scientific and Industrial Research Organisation · AUCurtin University · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemonitoring enables care providers to remotely support outpatients in self-managing chronic heart failure (CHF), but the objective assessment of patient compliance with self-management recommendations has seldom been studied.

objectiveThis study aimed to evaluate patient compliance with self-management recommendations of an innovative telemonitoring enhanced care program for CHF (ITEC-CHF).

methodsWe conducted a multicenter randomized controlled trial with a 6-month follow-up. The ITEC-CHF program comprised the provision of Bluetooth-enabled scales linked to a call center and nurse care services to assist participants with weight monitoring compliance. Compliance was defined a priori as weighing at least 4 days per week, analyzed objectively from weight recordings on the scales. The intention-to-treat principle was used to perform the analysis.

resultsA total of 184 participants (141/184, 76.6% male), with a mean age of 70.1 (SD 12.3) years, were randomized to receive either ITEC-CHF (n=91) or usual care (control; n=93), of which 67 ITEC-CHF and 81 control participants completed the intervention. For the compliance criterion of weighing at least 4 days per week, the proportion of compliant participants in the ITEC-CHF group was not significantly higher than that in the control group (ITEC-CHF: 67/91, 74% vs control: 56/91, 60%; P=.06). However, the proportion of ITEC-CHF participants achieving the stricter compliance standard of at least 6 days a week was significantly higher than that in the control group (ITEC-CHF: 41/91, 45% vs control: 23/93, 25%; P=.005).

conclusionsITEC-CHF improved participant compliance with weight monitoring, although the withdrawal rate was high. Telemonitoring is a promising method for supporting both patients and clinicians in the management of CHF. However, further refinements are required to optimize this model of care.

trial registrationAustralian New Zealand Clinical Trial Registry ACTRN12614000916640; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366691.

Indexed as

AgedChronic DiseaseFemaleHeart FailureHumansMalePatient ComplianceRemote ConsultationSelf-ManagementTelemedicineTreatment Outcomedigital healthheart failurepatient compliancerandomized controlled trialremote monitoringtelemonitoring

Identifiers

PMID32673222
PMCPMC7381046
OpenAlexW3041836277

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.