Dataset Information

Patients' experiences of remote communication after pacemaker implant: The NORDLAND study.

ABSTRACT:

Background

The concept of 'patient experience' has become central to how to improve healthcare. Remote communication with patients is today a frequent practice in healthcare services, showing similar outcomes to standard outpatient care while enabling cost reduction in both formal and informal care. The purpose of this study was to analyse the experiences of people with telemonitoring pacemakers.

Methods

Patients were randomly allocated to either the telemonitoring or hospital monitoring follow-ups. Using the 'Generic Short Patient Experiences Questionnaire' (GS-PEQ), as well as an ad-hoc survey from the 'telehealth patient satisfaction survey' and 'costs survey', patients' experiences were measured six months after the pacemaker implant in a cohort of 50 consecutive patients. The mean age was 74.8 (± 11.75) years and 26 (52%) patients were male of which 1 was lost in follow-up. Finally, 24 patients were followed up with standard hospital monitoring, while 25 used the telemonitoring system. Differences in baseline characteristics between groups were not found.

Results

Findings showed overall positive and similar experiences in patients living with telemonitoring and hospital monitoring pacemakers. Significant differences were found in GS-PEQ concerning how telemonitoring patients received less information about their diagnosis/afflictions (p = 0.046). We did not find significant differences in other items such as 'confidence in the clinicians' professional skills', 'treatment perception adapted to their situation', 'involvement in decisions regarding the treatment', 'perception of hospital organisation', 'waiting before admission', 'satisfaction of help and treatment received', 'benefit received', and 'incorrect treatment'.

Conclusions

The remote communication of pacemakers was met with positive levels of patients' experiences similarly to patients in the hospital monitoring follow-up. However, telemonitoring patients received less information. Thus, improving the quality and timing of information is required in telemonitoring patients in the planning and organisation of future remote communication healthcare services for people living with a pacemaker implant.

SUBMITTER: Catalan-Matamoros D

PROVIDER: S-EPMC6586402 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Patients' experiences of remote communication after pacemaker implant: The NORDLAND study.

Catalan-Matamoros Daniel D Lopez-Villegas Antonio A Tore-Lappegard Knut K Lopez-Liria Remedios R

PloS one 20190620 6

<h4>Background</h4>The concept of 'patient experience' has become central to how to improve healthcare. Remote communication with patients is today a frequent practice in healthcare services, showing similar outcomes to standard outpatient care while enabling cost reduction in both formal and informal care. The purpose of this study was to analyse the experiences of people with telemonitoring pacemakers.<h4>Methods</h4>Patients were randomly allocated to either the telemonitoring or hospital mon ...[more]

PMID: 31220146

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Project description:BACKGROUND:With an ageing population and widening indications for pacemakers implantation, the number of persons carrying an implant is steadily increasing. The routine follow-up is thus a heavy burden for the respective NHS as well as for the patients and their relatives. Most of them of the studies have been performed in densely populated areas and nearby to the hospital. It is thus unknown whether these results could be applied also in rural areas such as Northern Norway with a more scattered population. The aim of this study was to assess the effectiveness of tele-monitoring (TM) in patients with pacemakers regarding reliability, safety and health-related quality of life, compared to traditional follow-up in outpatient clinic in a setting where geographical effects could possible influence the results. METHODS:The NORDLAND study is a controlled, randomized, non-masked clinical trial in pacemaker patients, with data collection carried out during the pre-implant stage and after 6 months. Between August of 2014 and November of 2015, 50 patients were assigned to either a tele-monitoring group (n =?25) or a conventional hospital monitoring (HM) group (n =?25). The EuroQol-5D (EQ-5D) utilities and visual analogue scale (VAS) and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) were used to measure Health-Related Quality of Life. Baseline characteristics and number of hospital visits were also analyzed. RESULTS:The baseline characteristics of the two study groups were similar for EQ-5D utilities (TM:0.81; HM:0.76; p =?0.47), EQ-5D VAS (TM: 64.00; HM:64.88; p =?0.86) and the MLHFQ (TM:20.20; HM:28.96; p =?0.07). At the 6 month follow-up, there were no significant differences between the groups in EQ-5D utilities (TM: 0.81; HM: 0.76; p =?0.54) and EQ-5D VAS scores (TM: 72.71; HM: 59.79; p =?0.08). The MLHFQ score was improved in both groups (TM: -4.40; HM: -15.13; p <? 0.001). The number of in-office visits was similar in both groups (TM: 1.24 vs HM: 1.12; P = 0.30). CONCLUSIONS:The NORDLAND trial shows that HRQoL is improved after implant in both groups. Without significant differences with regards to effectiveness and safety. In addition, provides a scientifically rigorous method to the field of HRQoL evaluations in patients with pacemakers. TRIAL REGISTRATION:ClinicalTrials.gov NCT02237404 , September 11, 2014.

Dataset Information

Patients' experiences of remote communication after pacemaker implant: The NORDLAND study.

Background

Methods

Results

Conclusions

Publications

Patients' experiences of remote communication after pacemaker implant: The NORDLAND study.

Similar Datasets

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