RT Journal Article
T1 A non-randomized clinical trial to examine patients' experiences and communication during telemonitoring of pacemakers after five years follow-up
A1 Catalan-Matamoros, Daniel
A1 Lopez-Villegas, Antonio
A1 Leal Costa, Cesar
A1 Bautista-Mesa, Rafael
A1 Robles-Musso, Emilio
A1 Rocamora Perez, Patricia
A1 Lopez-Liria, Remedios
K1 Quality-of-life
K1 Implantable cardioverter-defibrillators
K1 Electronic devices
K1 Care
K1 Workload
K1 Recipients
K1 Icd
AB Patients with pacemakers need regular follow-ups which are demanding. Telemonitoring for pacemaker can provide a new opportunity to avoid follow-up visits. On the other hand, in-person visits could help patients with pacemakers to cope better with the anxiety linked to their condition and maintain better communication with their doctors than simple remote control of their device status. Therefore, our objective was to analyze the experiences and communication comparing telemonitoring (TM) versus conventional monitoring (CM) of patients with pacemakers. A single-center, controlled, non-randomized, non-blinded clinical trial was designed. Data were collected five years after implantation in a cohort of 89 consecutive patients assigned to two different groups: TM and CM. The 'Generic Short Patient Experiences Questionnaire' (GS-PEQ) was used to assess patients' experiences, and the Healthcare Communication Questionnaire (HCCQ) was used to measure the communication of patients with healthcare professionals. Additionally, an ad-hoc survey including items from the 'Telehealth Patient Satisfaction Survey' and a 'costs survey' was used. After five years, 55 patients completed the study (TM = 21; CM = 34). Participants' mean (SD) age was 81 (+/- 6.47), and 31% were females. No differences in baseline characteristics between groups were found. The comparative analyses TM versus CM showed some significant differences. According to GS-PEQ, TM users received adequate information about their diagnosis or afflictions (p = .035) and the treatment was better adapted to their situation (p = .009). Both groups reported negative experiences regarding their involvement in their treatment decisions, the waiting time before admission, and perceived a low-benefit. According to HCCQ, the TM group experienced poorer consultation management by the healthcare provider (p = .041). Participants reported positive overall communication experiences. The study provides insights into the experiences and communication in PM monitoring services as well as specific areas where users reported negative experiences such as the consultation management by clinicians.
PB Public library science
SN 1932-6203
YR 2021
FD 2021-12-23
LK https://hdl.handle.net/10668/24838
UL https://hdl.handle.net/10668/24838
LA en
DS RISalud
RD Apr 18, 2025