Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization
The purpose of this study was to determine the feasibility and acceptability of utilizing a smartphone based application to monitor compliance in patients with cardiac disease around discharge. For 60 days after discharge, patients’ medication compliance, physical activity, follow-up care, symptoms...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | International Journal of Telemedicine and Applications |
| Online Access: | http://dx.doi.org/10.1155/2014/415868 |
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| _version_ | 1832558781080272896 |
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| author | Aimee M. Layton James Whitworth James Peacock Matthew N. Bartels Patricia A. Jellen Byron M. Thomashow |
| author_facet | Aimee M. Layton James Whitworth James Peacock Matthew N. Bartels Patricia A. Jellen Byron M. Thomashow |
| author_sort | Aimee M. Layton |
| collection | DOAJ |
| description | The purpose of this study was to determine the feasibility and acceptability of utilizing a smartphone based application to monitor compliance in patients with cardiac disease around discharge. For 60 days after discharge, patients’ medication compliance, physical activity, follow-up care, symptoms, and reading of education material were monitored daily with the application. 16 patients were enrolled in the study (12 males, 4 females, age 55 ± 18 years) during their hospital stay. Five participants were rehospitalized during the study and did not use the application once discharged. Seven participants completed 1–30 days and four patients completed >31 days. For those 11 patients, medication reminders were utilized 37% (1–30-day group) and 53% (>31-day group) of the time, education material was read 44% (1–30) and 53% (>31) of the time, and physical activity was reported 25% (1–30) and 42% (>31) of the time. Findings demonstrated that patients with stable health utilized the application, even if only minimally. Patients with decreased breath sounds by physical exam and who reported their health as fair to poor on the day of discharge were less likely to utilize the application. Acceptability of the application to report health status varied among the stable patients. |
| format | Article |
| id | doaj-art-229b665eb1a6423daf3948ebde609169 |
| institution | Kabale University |
| issn | 1687-6415 1687-6423 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Telemedicine and Applications |
| spelling | doaj-art-229b665eb1a6423daf3948ebde6091692025-02-03T01:31:36ZengWileyInternational Journal of Telemedicine and Applications1687-64151687-64232014-01-01201410.1155/2014/415868415868Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from HospitalizationAimee M. Layton0James Whitworth1James Peacock2Matthew N. Bartels3Patricia A. Jellen4Byron M. Thomashow5Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Columbia University Medical Center, VC3-365 Center for Chest Disease NYPH-CUMC, 622 W. 168th Street, New York, NY 10032, USADepartment of Biobehavioral Sciences, Teachers College, Columbia University, 522 W. 120th Street, New York, NY 10027, USADivision of Cardiology, Department of Medicine, Columbia University Medical Center, 622 W. 168th Street, New York, NY 10032, USADepartment of Physical Medicine and Rehabilitation, Montefiore Medical Center, 111 E. 210th Street, Bronx, NY 10467, USACenter for Chest Disease, New York Presbyterian Hospital, 622 W. 168th Street, New York, NY 10032, USADivision of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Columbia University Medical Center, VC3-365 Center for Chest Disease NYPH-CUMC, 622 W. 168th Street, New York, NY 10032, USAThe purpose of this study was to determine the feasibility and acceptability of utilizing a smartphone based application to monitor compliance in patients with cardiac disease around discharge. For 60 days after discharge, patients’ medication compliance, physical activity, follow-up care, symptoms, and reading of education material were monitored daily with the application. 16 patients were enrolled in the study (12 males, 4 females, age 55 ± 18 years) during their hospital stay. Five participants were rehospitalized during the study and did not use the application once discharged. Seven participants completed 1–30 days and four patients completed >31 days. For those 11 patients, medication reminders were utilized 37% (1–30-day group) and 53% (>31-day group) of the time, education material was read 44% (1–30) and 53% (>31) of the time, and physical activity was reported 25% (1–30) and 42% (>31) of the time. Findings demonstrated that patients with stable health utilized the application, even if only minimally. Patients with decreased breath sounds by physical exam and who reported their health as fair to poor on the day of discharge were less likely to utilize the application. Acceptability of the application to report health status varied among the stable patients.http://dx.doi.org/10.1155/2014/415868 |
| spellingShingle | Aimee M. Layton James Whitworth James Peacock Matthew N. Bartels Patricia A. Jellen Byron M. Thomashow Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization International Journal of Telemedicine and Applications |
| title | Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization |
| title_full | Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization |
| title_fullStr | Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization |
| title_full_unstemmed | Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization |
| title_short | Feasibility and Acceptability of Utilizing a Smartphone Based Application to Monitor Outpatient Discharge Instruction Compliance in Cardiac Disease Patients around Discharge from Hospitalization |
| title_sort | feasibility and acceptability of utilizing a smartphone based application to monitor outpatient discharge instruction compliance in cardiac disease patients around discharge from hospitalization |
| url | http://dx.doi.org/10.1155/2014/415868 |
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