Evidence map›Paper›PMID 42294772›Full record

ArticlePrimary health care research & development2026

Acceptability and appropriateness of remote monitoring and self-administered pulse oximetry among COVID-19 patients in Honduras: a mixed-methods study.

Kathryn W Roberts, Berta Alvarez, Omar Diaz, Michael de St Aubin, Salome Garnier, Saul Cruz, Lorenzo Pavon, Angela Ochoa, Sogeiry Solis, Shiony Midence and 8 more

Abstract read
In one paragraph

Article in Primary health care research & development, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Kathryn W Robertshttps://ror.org/00za53h95Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.ORCID 0000-0002-3558-7644
Berta AlvarezHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.ORCID 0009-0004-3536-5189
Omar DiazHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.
Michael de St AubinHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.ORCID 0000-0003-4833-6200
Salome GarnierHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.ORCID 0000-0003-3802-115X
Saul CruzSecretaria de Salud de Honduras, Dirección General de Redes Integradas de Servicios de Salud.
Lorenzo PavonSecretaria de Salud de Honduras, Unidad de Vigilancia de la Salud.
Angela OchoaSecretaria de Salud de Honduras, Unidad de Vigilancia de la Salud.ORCID 0000-0002-2119-1470
Sogeiry SolisHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.
Shiony MidenceSecretaria de Salud de Honduras, Unidad de Vigilancia de la Salud.ORCID 0009-0003-8195-7145
Homer Mejía SantosSecretaria de Salud de Honduras, Unidad de Vigilancia de la Salud.
Jonatan OchoaSecretaria de Salud de Honduras, Dirección General de Redes Integradas de Servicios de Salud.
Devan DumasHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.
Margaret BaldwinHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.
C Daniel SchnorrHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.
Alcides MartinezSecretaria de Salud de Honduras, Dirección General de Redes Integradas de Servicios de Salud.
Ligia Painahttps://ror.org/00za53h95Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.ORCID 0000-0002-8403-7825
Eric NillesHarvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Cambridge, MA 02138, USA.ORCID 0000-0001-7044-5257

Funding

CDC HHS U01GH002238CGH CDC HHS U01 GH002238
6 · The paper itself

Abstract

aimTo assess the acceptability and appropriateness of remote patient monitoring and self-administered pulse oximetry among high-risk COVID-19 patients, triage centre staff, and study personnel in Tegucigalpa and Comayagüela, Honduras.

introductionDuring the COVID-19 pandemic, the Honduras Secretariat of Health and partners conducted a randomized trial to assess the impact of remote patient monitoring with versus without self-administered pulse oximetry in high-risk populations in urban Honduras. Acceptability and appropriateness were examined to inform future intervention adaptation.

methodsThis mixed-methods study included trial participants, study and triage centre staff. Data sources include trial data, computer-aided self-interviews, and in-depth interviews. The trial ran from March 2022 to January 2023.

findings1767 participants completed a disenrollment questionnaire. Thirty-four providers completed a self-interview, and 16 participated in an in-depth interview. Respondents understood interventions and expressed positive attitudes; SESAL staff attitudes were less positive. 94.9% of participants reported willingness to participate again. Some staff expressed concern over participant comprehension and pulse oximeter self-administration, but participants reported successful use. Providers were confident implementing the intervention, but some questioned its appropriateness given competing priorities. Overall, study participants and healthcare providers believed interventions were an acceptable way to monitor for deterioration during the acute phase of a COVID-19 infection. Findings showed that an intervention can be acceptable, but appropriateness may be less clear-cut due to competing priorities. The approach shows promise for adaptation to other settings experiencing health emergencies where technology penetration is high and healthcare availability does not align with demand; appropriateness considerations should be explored prior to implementation.

Indexed as

COVID-19OximetryPatient Acceptance of Health CareAdultFemaleHondurasHumansMaleMiddle AgedRemote Patient MonitoringSARS-CoV-2Self Administrationacceptability of healthcareCOVID-19Hondurasimplementation sciencemixed-methodsprogramme appropriatenesspulse oximeterremote patient monitoringtelehealth monitoring

Identifiers

PMID42294772
PMCPMC13280591

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.