The Value Proposition of Remote Monitoring in Heart Failure: Pains and Gains Towards Patients’ Adoption

Speaker(s)

Menkveld R1, Hoekstra I2, van der Schans S3, Van der Pol S4, Boersma C5
1Open University, Department of Management Sciences, Haren, GR, Netherlands, 2Rijksuniversiteit Groningen, Department of Economics and Business, Groningen, GR, Netherlands, 3Health-Ecore, Groningen, GR, Netherlands, 4Health-Ecore Ltd, Zeist, UT, Netherlands; University of Groningen, Department of Health Sciences, UMCG, Groningen, GR, Netherlands, Groningen, GR, Netherlands, 5Open University, Department of Management Sciences, Heerlen, LI, Netherlands; Health-Ecore Ltd, Zeist, UT, Netherlands; University of Groningen, Department of Health Sciences, UMCG, Groningen, GR, Netherlands

OBJECTIVES: Although promising, initial implementation of remote monitoring in chronic diseases in the Netherlands increased rather than reduced healthcare professionals' workload. The aim of this study is to investigate the relationship between Heart Failure (HF) patients’ complementary remote monitoring adoption behaviour and attitude, and their attitude towards switching to telemonitoring as a substitute for routine appointments.

METHODS: This study tested hypotheses on pains and gains affecting remote monitoring. Data were collected via surveys (cross-sectional survey design) from 70 HF patients that are also experienced users of remote monitoring. The survey focused on information system adoption and substitution attitude. Analysis included exploratory factor analysis and thematic analysis of open-ended responses. Key constructs such as self-efficacy and mistrust-based resistance were validated. Reliability was confirmed with Cronbach’s alpha.

RESULTS: Quantitative analysis revealed weak positive correlations between substitution attitude and perceived ease of use, gender, and self-efficacy. A moderate relationship was found between mistrust-based resistance and the perceived usefulness of telemonitoring care. The regression model, though not significant, indicated that perceived ease of use significantly influenced substitution attitude (p=0.047). Qualitative insights highlighted that most participants saw telemonitoring as something add-on to regular care. Positive attitudes towards telemonitoring were associated with feelings of security and time-saving benefits, but social influence from family and friends was minimal, while care providers' positive attitudes were crucial for acceptance.

CONCLUSIONS: The adoption of telemonitoring has significant potential to improve chronic disease management and reduce healthcare workloads. Further research on successful strategies of telemonitoring into routine care is needed.

Code

HSD137

Topic

Patient-Centered Research

Topic Subcategory

Patient Behavior and Incentives

Disease

Cardiovascular Disorders (including MI, Stroke, Circulatory), Medical Devices