title: Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients.
abstract: OBJECTIVE
  The value of home telehealth self-monitoring with nurse oversight has been demonstrated; however, there is a dearth of objective documentation of patients' experiences with such a model. We used a mixed methods approach to examine the value of home telehealth monitoring with remote care nurse (RCN) support from the perspective of participants in our study.
  
  
  METHODS
  Thirty-three patients who used remote technology to self-monitor their health at home participated in a semistructured interview. The instrument was designed to help identify facilitators and barriers and to evaluate patient satisfaction with and effectiveness of home telehealth self-monitoring.
  
  
  RESULTS
  Overall, patients reported high levels of satisfaction with RCN support as they received efficient feedback, were better able to identify changes in their health status, and experienced enhanced accountability, self-efficacy, and motivation to make health behavior changes. The most frequently cited barriers related to malfunctioning equipment or trouble with Internet connections, forgetfulness, and feeling poorly.
  
  
  CONCLUSIONS
  The results suggest that home telehealth self-monitoring with RCN support is effective in empowering patients to take a more active role in their healthcare and indirectly improve quality of life for those living with chronic illness.
authors.affiliation: St. Francis Healthcare Foundation, Honolulu, HI 96822, USA. dayna@hopehawaii.org
authors.forename: Dayna E
authors.initials: DE
authors.lastname: Minatodani
authors.forename: Puihan J
authors.initials: PJ
authors.lastname: Chao
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Berman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006254:Hawaii; D006437:Hemodialysis, Home / Q000523:psychology*; D006701:Home Nursing; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D010358:Patient Participation; D017060:Patient Satisfaction; D036301:Qualitative Research; D011788:Quality of Life; D012648:Self Care; D017216:Telemedicine