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Evaluation of an Integrated Telemonitoring Surveillance System in Patients with Coronary Heart Disease

E Ammenwerth1, S Woess, C Baumgartner

  • 1Elske Ammenwerth, Institute of Biomedical Informatics, UMIT - University for Health Sciences, Medical Informatics and Technology, Eduard Wallnöfer Zentrum 1, 6060 Hall in Tirol, Austria,

Methods of Information in Medicine
|September 24, 2015
PubMed

Insights

The MyCor telemonitoring program for coronary heart disease patients showed high acceptance and improved quality of life. Long-term adherence and clinical outcomes require further investigation.

Area of Science:

  • Cardiology
  • Digital Health
  • Health Services Research

Background:

  • Cardiovascular diseases are a leading cause of death in industrialized nations.
  • Patient non-adherence to medication and lifestyle recommendations increases cardiovascular event risk.
  • Telemonitoring offers a potential solution for improving patient management.

Purpose of the Study:

  • To evaluate the MyCor telemonitoring program for coronary heart disease (CHD) patients.
  • Assess technical feasibility, user acceptance, and patient adherence.
  • Examine changes in health status and quality of life.

Main Methods:

  • A 4½-month study with two telemonitoring phases.
  • Included patient surveys and quality of life assessments (MacNew questionnaire).
  • Analyzed adherence to medication, physical activity, and goal achievement.

Main Results:

  • High patient acceptance of the MyCor program.
  • Significant improvements in self-reported quality of life (p<0.01).
  • High adherence rates to daily measurements (up to 86%) and medication (up to 87%).

Conclusions:

  • The MyCor telemonitoring program demonstrates high patient acceptance and subjective benefits.
  • High adherence to medication and lifestyle changes was observed.
  • Further research is needed to confirm long-term adherence and clinical outcomes.
Abstract

Keywords:
Medical informaticsblood pressure monitoringcardiovascular diseasesevaluation studiesmedication adherencemyocardial infarctionpatient empowerment

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