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Patient Preferences for Using Remote Care Technology in Heart Failure: Discrete Choice Experiment
Ahmed Al-Naher1, Jennifer Downing2, Dyfrig Hughes1,3
1Institute of Systems, Molecular and Integrative Biology (ISMIB), University of Liverpool, Liverpool, United Kingdom.
JMIR Cardio
|November 5, 2025
Summary
Patients with heart failure prefer remote care technologies prioritizing clinical care over communication. Understanding these preferences can improve engagement with remote health monitoring solutions.
Area of Science:
- Health Informatics
- Patient Engagement
- Chronic Disease Management
Background:
- Remote care technologies are crucial for bridging healthcare gaps, especially post-COVID.
- Patients with chronic conditions can benefit from continuous monitoring and self-management support.
- Low engagement with remote care technology hinders resource investment and quality of care.
Purpose of the Study:
- To identify patient preferences for remote care technologies in heart failure.
- To establish a hierarchy of factors influencing engagement with remote care.
- To inform the design of future remote care technologies for better patient uptake.
Main Methods:
- A discrete choice experiment survey was designed with patient input.
- The survey included attributes representing communication, clinical care, education, ease of use, and convenience.
- Online distribution to heart failure patients, analyzed using binary logit regression.
Main Results:
- Clinical care (coefficient 2.022) was the most preferred attribute.
- Education (1.252), convenience (1.245), and ease of use (1.155) were also significant factors.
- Communication (1.040) was the least preferred attribute among the studied factors.
Conclusions:
- Prioritizing clinical care in remote technology design offers the greatest potential for patient engagement.
- Understanding patient preferences is key to maximizing the benefits of remote care for heart failure management.
- Designers can leverage preference weights to enhance the perceived value and adoption of remote care solutions.
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