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Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum
BACKGROUND: Our aim was to conduct a post participation survey of respondent experiences with in-home remote patient monitoring via telehealth for blood pressure monitoring of women with postpartum hypertension. We hypothesized that the in-home remote patient monitoring application will be implement...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896378/ https://www.ncbi.nlm.nih.gov/pubmed/33607957 http://dx.doi.org/10.1186/s12884-021-03632-9 |
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author | Thomas, Nicole A. Drewry, Anna Racine Passmore, Susan Assad, Nadia Hoppe, Kara K. |
author_facet | Thomas, Nicole A. Drewry, Anna Racine Passmore, Susan Assad, Nadia Hoppe, Kara K. |
author_sort | Thomas, Nicole A. |
collection | PubMed |
description | BACKGROUND: Our aim was to conduct a post participation survey of respondent experiences with in-home remote patient monitoring via telehealth for blood pressure monitoring of women with postpartum hypertension. We hypothesized that the in-home remote patient monitoring application will be implemented with strong fidelity and have positive patient acceptability. METHODS: This analysis was a planned secondary analysis of a non-randomized controlled trial of telehealth with remote blood pressure patient monitoring for postpartum hypertension compared to standard outpatient monitoring in women with a hypertension-related diagnosis during pregnancy. In collaboration with survey experts, we developed a 41-item web-based survey to assess 1) perception of quality of care received, 2) ease of use/ease to learn the telehealth program, 3) effective orientation of equipment, 4) level of perceived security/privacy utilizing telehealth and 5) problems encountered. The survey included multiple question formats including Likert scale responses, dichotomous Yes/No responses, and free text. We performed a descriptive analysis on all responses and then performed regression analysis on a subset of questions most relevant to the domains of interest. The qualitative data collected through open ended responses was analyzed to determine relevant categories. Intervention participants who completed the study received the survey at the 6-week study endpoint. RESULTS: Sixty six percent of respondents completed the survey. The majority of women found the technology fit easily into their lifestyle. Privacy concerns were minimal and factors that influenced this included age, BMI, marital status, and readmissions. 95% of women preferred remote care for postpartum follow-up, in which hypertensive type, medication use and ethnicity were found to be significant factors in influencing location of follow-up. Most women were satisfied with the devices, but rates varied by hypertensive type, infant discharge rates and BMI. CONCLUSIONS: Postpartum women perceived the telehealth remote intervention was a safe, easy to use method that represented an acceptable burden of care and an overall satisfying method for postpartum blood pressure monitoring. TRIAL REGISTRATION: ClinicalTrials.gov identification number: NCT03111095 Date of registration: April 12, 2017. |
format | Online Article Text |
id | pubmed-7896378 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78963782021-02-22 Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum Thomas, Nicole A. Drewry, Anna Racine Passmore, Susan Assad, Nadia Hoppe, Kara K. BMC Pregnancy Childbirth Original Research BACKGROUND: Our aim was to conduct a post participation survey of respondent experiences with in-home remote patient monitoring via telehealth for blood pressure monitoring of women with postpartum hypertension. We hypothesized that the in-home remote patient monitoring application will be implemented with strong fidelity and have positive patient acceptability. METHODS: This analysis was a planned secondary analysis of a non-randomized controlled trial of telehealth with remote blood pressure patient monitoring for postpartum hypertension compared to standard outpatient monitoring in women with a hypertension-related diagnosis during pregnancy. In collaboration with survey experts, we developed a 41-item web-based survey to assess 1) perception of quality of care received, 2) ease of use/ease to learn the telehealth program, 3) effective orientation of equipment, 4) level of perceived security/privacy utilizing telehealth and 5) problems encountered. The survey included multiple question formats including Likert scale responses, dichotomous Yes/No responses, and free text. We performed a descriptive analysis on all responses and then performed regression analysis on a subset of questions most relevant to the domains of interest. The qualitative data collected through open ended responses was analyzed to determine relevant categories. Intervention participants who completed the study received the survey at the 6-week study endpoint. RESULTS: Sixty six percent of respondents completed the survey. The majority of women found the technology fit easily into their lifestyle. Privacy concerns were minimal and factors that influenced this included age, BMI, marital status, and readmissions. 95% of women preferred remote care for postpartum follow-up, in which hypertensive type, medication use and ethnicity were found to be significant factors in influencing location of follow-up. Most women were satisfied with the devices, but rates varied by hypertensive type, infant discharge rates and BMI. CONCLUSIONS: Postpartum women perceived the telehealth remote intervention was a safe, easy to use method that represented an acceptable burden of care and an overall satisfying method for postpartum blood pressure monitoring. TRIAL REGISTRATION: ClinicalTrials.gov identification number: NCT03111095 Date of registration: April 12, 2017. BioMed Central 2021-02-19 /pmc/articles/PMC7896378/ /pubmed/33607957 http://dx.doi.org/10.1186/s12884-021-03632-9 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Research Thomas, Nicole A. Drewry, Anna Racine Passmore, Susan Assad, Nadia Hoppe, Kara K. Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum |
title | Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum |
title_full | Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum |
title_fullStr | Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum |
title_full_unstemmed | Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum |
title_short | Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum |
title_sort | patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7896378/ https://www.ncbi.nlm.nih.gov/pubmed/33607957 http://dx.doi.org/10.1186/s12884-021-03632-9 |
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