Back to Search
Start Over
The Effect of Rehospitalization and Emergency Department Visits on Subsequent Adherence to Weight Telemonitoring
- Source :
- J Cardiovasc Nurs
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- BACKGROUND: Weight telemonitoring may be an effective way to improve patients' ability to manage heart failure and prevent unnecessary utilization of health services. However, the effectiveness of such interventions is dependent upon patient adherence. OBJECTIVE: The purpose of this study was to determine how adherence to weight telemonitoring changes in response to 2 types of events: hospital readmissions and emergency department visits. METHODS: The Better Effectiveness After Transition–Heart Failure trial examined the effectiveness of a remote telemonitoring intervention compared with usual care for patients discharged to home after hospitalization for decompensated heart failure. Participants were followed for 180 days and were instructed to transmit weight readings daily. We used Poisson regression to determine the within-person effects of events on subsequent adherence. RESULTS: A total of 625 events took place during the study period. Most of these events were rehospitalizations (78.7%). After controlling for the number of previous events and discharge to a skilled nursing facility, the rate for adherence decreased by nearly 20% in the 2 weeks after a hospitalization compared with the 2 weeks before (adjusted rate ratio, 0.81; 95% confidence interval: 0.77–0.86; P < .001). CONCLUSIONS: Experiencing a rehospitalization had the effect of diminishing adherence to daily weighing. Providers using telemonitoring to monitor decompensation and manage medications should take advantage of the potential “teachable moment” during hospitalization to reinforce the importance of adherence.
- Subjects :
- Teachable moment
medicine.medical_specialty
Psychological intervention
030204 cardiovascular system & hematology
Rate ratio
Patient Readmission
Article
03 medical and health sciences
symbols.namesake
0302 clinical medicine
medicine
Humans
Decompensation
030212 general & internal medicine
Poisson regression
Monitoring, Physiologic
Heart Failure
Advanced and Specialized Nursing
business.industry
Emergency department
medicine.disease
Telemedicine
Confidence interval
Hospitalization
Heart failure
Emergency medicine
symbols
Emergency Service, Hospital
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15505049 and 08894655
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiovascular Nursing
- Accession number :
- edsair.doi.dedup.....4fa9b65335ff15fa26e8eea68ae11124
- Full Text :
- https://doi.org/10.1097/jcn.0000000000000689