title: Patient Compliance in Home-Based Self-Care Telehealth Projects.
abstract: This paper presents the findings of a literature review on patient compliance in home-based self-care telehealth monitoring situations, intended to establish a knowledge base for this aspect which is often neglected alongside more conventional clinical, economic and service evaluations. A systematic search strategy led to 72 peer-reviewed published scientific papers being selected as most relevant to the topic, 58 of which appeared in the last 10 years. Patient conditions in which most evidence for compliance was found were blood pressure, heart failure and stroke, diabetes, asthma, chronic obstructive pulmonary disease and other respiratory diseases. In general, good compliance at the start of a study was found to drop off over time, most rapidly in the period immediately after the start. Success factors identified in the study included the extent of patient health education, telehealth system implementation style, user training and competence in system usage, active human support from the healthcare provider and maintaining strong participant motivation.
authors.affiliation: School of Computing, Engineering and Mathematics, Western Sydney University, Australia a.maeder@westensydney.edu.au.
authors.forename: Anthony
authors.initials: A
authors.lastname: Maeder
authors.affiliation: School of Computing, Engineering and Mathematics, Western Sydney University, Australia.
authors.forename: Nathan
authors.initials: N
authors.lastname: Poultney
authors.affiliation: Science and Engineering Faculty, Queensland University of Technology, Australia; One in Four Lives and MPT Innovation Group, Australia.
authors.forename: Gary
authors.initials: G
authors.lastname: Morgan
authors.affiliation: Self Care Alliance and Southern Pacific Consulting Group, Australia.
authors.forename: Robert
authors.initials: R
authors.lastname: Lippiatt
mesh_terms: D002908:Chronic Disease; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008991:Monitoring, Physiologic / Q000379:methods / Q000592:standards*; D010349:Patient Compliance; D012648:Self Care / Q000592:standards*; D017216:Telemedicine / Q000379:methods*
keywords: Home telecare; self care; telecare