title: Home telecare for COPD/CHF patients: outcomes and perceptions.
abstract: We evaluated the use of home telehealth for patients with chronic obstructive pulmonary disease (COPD) and/or congestive heart failure (CHF). Patients diagnosed with COPD and/or CHF who were prescribed home health-care services were randomly assigned to an experimental group where they received home health care through a combination of traditional face-to-face and telemedicine visits (n = 83), and a control group where only conventional home care was employed (n = 78). Data were collected via the Short Form 36 (SF-36), Outcome and Assessment Information Set (OASIS) and patient charts. In the experimental group, patient perceptions of the home telecare services were collected via telephone interviews. Overall, the addition of telehealth to COPD/CHF patient care was not a significant predictor of health and wellbeing, either positively or negatively. Although those receiving telehealth had worse ratings on the SF-36 general health subscale after the intervention, this measure was only significant when controlling for a number of key variables in the model. In regard to patient perceptions of home telecare, patients were satisfied with the technology and the way that care was delivered via this modality.
authors.affiliation: Department of Telecommunication, Michigan State University, East Lansing, MI 48824-1212, USA. pwhitten@msu.edu
authors.forename: Pamela
authors.initials: P
authors.lastname: Whitten
authors.forename: Maureen
authors.initials: M
authors.lastname: Mickus
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003152:Community Health Nursing / Q000379:methods; D003695:Delivery of Health Care / Q000379:methods*; D005260:Female; D006333:Heart Failure / Q000628:therapy*; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome