Patient and professional user experiences of simple telehealth for hypertension, medication reminders and smoking cessation: A service evaluation (England)
posted by WM Admin on 2015-03-23 09:55:29.186
The authors aimed to establish patient and professional user satisfaction with the Advice & Interactive Messaging (AIM) for Health programme delivered using a mobile phone-based, simple telehealth intervention, ‘Florence’, and used in 425 primary care practices in England.
Participants were 3381 patients registered on 1 of 10 AIM protocols between March 2013 and January 2014 and 77 professional users. The AIM programme offered 10 clinical protocols, in three broad groups: (1) hypertension diagnosis/monitoring, (2) medication reminders and (3) smoking cessation. Florence sent patients prompts to submit clinical information, educational messages and user satisfaction questions. Patient responses were reviewed by their primary healthcare providers.
Patient activity using Florence was generally good at month 1 for the hypertension protocols (71–80%), but reduced over 2–3 months (31–60%). For the other protocols, patient activity was 0–39% at 3 months. Minimum target days of texting were met for half the hypertension protocols. 1707/2304 (74%) patients sent evaluative texts responded at least once. Among responders, agreement with the adapted friends and family statement generally exceeded preproject aspirations. Professional responders were generally positive or equivocal about the programme.
The authors conclude that satisfaction with AIM appeared optimal when patients were carefully selected for the protocol; professional users were familiar with the system, the programme addressed a problem with the previous service delivery that was identified by users and users took an active approach to achieve clinical goals. However, there was a significant decrease in patients’ use of Florence over time. They suggest that future applications may be optimised by identifying and addressing reasons for the waning use of the service and enhancing support during implementation of the service.
This is an open access article and is available to read in free full text at: http://dx.doi.org/10.1136/bmjopen-2014-007270
Cottrell, E., et al. (2015). Patient and professional user experiences of simple telehealth for hypertension, medication reminders and smoking cessation: A service evaluation. BMJ Open, 5:e007270.