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Person-centred e-health in patients with coronary heart disease

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Andreas Fors
Axel Wolf
Kerstin Dudas
Jörgen Thorn
Inger Ekman
Publicerad i Sixth Geneva conference on person-centered medicine. April 29 – May 1, 2013
Publiceringsår 2013
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Språk en
Länkar www.personcenteredmedicine.org/docs...
Ämneskategorier Hälsovetenskaper

Sammanfattning

Background

Remote monitoring of patients with coronary heart disease (CHD) has yielded mixed and often disappointing results [1]. One reason could be that remote monitoring mirrors a disease focused of looking at the patient [2], hence only promoting a one-way communication between the patient and health care professionals.

Purpose

To investigate the feasibility and effect of an e-health application aimed for self-monitoring of signs and symptoms in patients with CHD.

Design

This study is part of an ongoing randomized controlled trial in Sweden for patients with CHD. Patients are trained at the hospital to use a smartphone application and a web-site for the following 12 months where they are able to 1) write a health diary 2) rate their current state of fatigue, motivation and concentration 3) obtain daily trend graphs of physical activity, measured via a built-in accelerometer 4) establish chat-contact with other patients in the study 5) establish contact with staff at e.g. their study clinic.

Expected results

To our knowledge, this is the first study that will evaluate a combined smartphone and web-based person-centred diary for patients with CHD. Tentative findings indicate a feasibility of a smartphone application for patients. Further findings will be presented at the conference.

References

1. Anker, S.D., F. Koehler, and W.T. Abraham. Telemedicine and remote management of patients with heart failure. Lancet, 2011. 378(9792): p. 731-9.

2. Swedberg, K., A. Wolf, and I. Ekman. Telemonitoring in patients with heart failure. New England Journal of Medicine, 2011. 364(11): p. 1078; author reply 1079-80.

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