Engineering for reliability in at-home chronic disease management
Related Experiment Video
Updated: Apr 12, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Logan Kendall1, Jordan Eschler1, Paula Lozano2
1University of Washington, Seattle, WA.
Abstract:
Individuals with chronic conditions face challenges with maintaining lifelong adherence to self-management activities. Although reminders can help support the cognitive demands of managing daily and future health tasks, we understand little of how they fit into people's daily lives. Utilizing a maximum variation sampling method, we interviewed and compared the experiences of 20 older adults with diabetes and 19 mothers of children with asthma to understand reminder use for at-home chronic disease management. Based on our participants' experiences, we contend that many self-management failures should be viewed as systems failures, rather than individual failures and non-compliance. Furthermore, we identify key principles from reliability engineering that both explain current behavior and suggest strategies to improve patient reminder systems.
More Related Videos
Related Concept Videos
Errors occurring during blood pressure monitoring
Several factors...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Chronic Kidney Disease IV: Nursing Management
Chronic Kidney Disease III: Interprofessional Care
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Heart Failure V: Medical Management

