Feasibility and Acceptance of a Home Telemanagement System in Patients with Inflammatory Bowel Disease: A 6-Month Pilot Study
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Our purpose was to assess the acceptance and feasibility of a home telemanagement system (HAT) in inflammatory bowel disease (IBD). The HAT consists of a laptop and a scale. Subjects were required to complete weekly self-testing for 6 months. Disease activity, quality of life, and knowledge were assessed at baseline and 6 months. Attitudinal surveys were completed at 6 months. Twenty-five subjects completed the study. Ninety-one percent of patients thought that self-testing was not complicated. Eighty-six percent said that self-testing did not interfere with their usual activities. Ninety-one percent of patients would consider using a HAT in the future. Adherence with self-testing was 91%. Improvements in disease activity and quality of life, and significant improvements in knowledge, were observed after implementation of the HAT. The HAT is feasible and accepted in IBD. We predict that the HAT will positively affect adherence, monitoring, and patient education, resulting in improved disease activity and quality of life.
KeywordsInflammatory bowel disease Adherence Guideline Compliance Patient Ambulatory monitoring Telemedicine
A University of Maryland School of Medicine grant supported this project. The authors would like to thank Mohit Arora, Heather Castro, Ashish Joshi, Ella Rozmarin, and Kiran Sharma for their technical assistance with the telemanagement system. The authors would also like to thank Carla Hackshaw and Nadia Cheevers for their assistance throughout the study.
- 10.Finkelstein J, Hripcsak G, Cabrera MR (1998) Patients’ acceptance of Internet-based home asthma telemonitoring. Proc AMIA Symp, pp 336–340Google Scholar
- 12.Finkelstein J, Cabrera M, Hripcsak G (2003) Home Automated Telemanagement system to facilitate self-care of patients with chronic health conditions. J Syst Cybernet Informatics 2(6):e1Google Scholar
- 20.Finkelstein J, Joshi A, Arora M, Amelung P (2005) Impact of home telemanagement in adult asthma. In: Proceedings of the American Thoracic Society 2005 International Conference, San Diego, CAGoogle Scholar
- 22.Vontetsianos T, Giovas P, Katsaras T, Rigopoulou A, Mpirmpa G, Giaboudakis P, Koyrelea S, Kontopyrgias G, Tsoulkas B (2005) Telemedicine-assisted home support for patients with advanced chronic obstructive pulmonary disease: preliminary results after nine-month follow-up. J Telemed Telecare 11(Suppl 1):86–88PubMedCrossRefGoogle Scholar
- 29.Finkelstein J, Khare R, Vora D, Arora M (2003) Design and implementation of home automated telemanagement in chronic obstructive pulmonary disease. In: Proceedings of the 16th IEEE Symposium on Computer-Based Medical Systems, New York, pp 207–212Google Scholar
- 30.Finkelstein J, Khare R, Ansell J (2003) Feasibility and patient’s acceptance of home automated telemanagement of oral anticoagulation therapy. AMIA Annu Symp Proc, pp 230–234Google Scholar