國立虎尾科技大學 |

Providing Education on Telemonitoring Chronic Disease Management to Increase Patient Adherence and Satisfaction.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Providing Education on Telemonitoring Chronic Disease Management to Increase Patient Adherence and Satisfaction./
Author:	Maglidt, Denise.
Description:	1 online resource (89 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
Contained By:	Dissertations Abstracts International85-03B.
Subject:	Nursing. -
Online resource:	click for full text (PQDT)
ISBN:	9798380410823

Providing Education on Telemonitoring Chronic Disease Management to Increase Patient Adherence and Satisfaction.
Maglidt, Denise.

Providing Education on Telemonitoring Chronic Disease Management to Increase Patient Adherence and Satisfaction. - 1 online resource (89 pages)

Source: Dissertations Abstracts International, Volume: 85-03, Section: B.

Thesis (D.N.P.)--University of Hawai'i at Manoa, 2023.

Includes bibliographical references

Purpose: The purpose of this evidence-based Doctor of Nursing Practice (DNP) project was to provide an educational component to the already existing remote patient monitoring service for chronic disease management to improve patient adherence and satisfaction at a primary care office in Hawaii. Background: The project examined healthcare delivery during the COVID-19 pandemic when safe access to medical care was crucial. With its rural population and physician shortage, Hawaii was a prudent location for the project. The project site was an outpatient clinic specializing in primary and preventative care for chronic conditions. The provider recognized the need for remote patient monitoring to offer critical components of primary care for chronic illness at a distance with continued quality and safety. This remote patient monitoring (RPM) telemonitoring service allowed patients to monitor their health remotely and share their data with their healthcare providers in real-time. Methods: The project was initiated primarily at participants' homes in Honolulu, one participant in Hilo, Hawaii, and at the host primary care clinic in Honolulu, Hawaii. Participants were selected using purposive sampling based on their chronic conditions. The intervention combined a novel technological innovation, telemonitoring, and paired it with an evidence-based educational component. The educational curriculum consisted of one video on hypertension and one on diabetes. Disease information pamphlets accompanied the videos. Data for this DNP project was collected through five channels, including electronic health record demographic extraction, longitudinal adherence rates transposed from the telemonitoring dashboard, baseline health literacy from the REALM-SF survey, pre- and post-patient satisfaction questionnaire, and the program evaluation. In addition, descriptive statistics and trend analyses were utilized to evaluate the project's data. Results: Although not statistically significant, a comparison of the pre- vs. post-implementation adherence rates indicated a substantial difference between the patients who accepted education with onboarding and those who either declined education or opted out by not returning phone calls. The results of the pre-and post-patient satisfaction questionnaires showed minimal variation before and after the intervention. Discussion: Remote patient monitoring can greatly benefit primary care services by addressing healthcare access and quality and improving patient adherence rates to treatment regimens. When combined with chronic disease education, telemonitoring can also increase patient engagement in healthcare and satisfaction. Furthermore, incorporating RPM into chronic disease management could minimize personal costs, avoid unnecessary travel, and prevent complications, ultimately improving an individual's quality of life.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798380410823Subjects--Topical Terms:

563081
Nursing.
Subjects--Index Terms:

Chronic diseaseIndex Terms--Genre/Form:

554714
Electronic books.

Providing Education on Telemonitoring Chronic Disease Management to Increase Patient Adherence and Satisfaction.
LDR:04370ntm a22004217 4500 001 1142820
005 20240429063841.5
006 m o d
007 cr mn ---uuuuu
008 250605s2023 xx obm 000 0 eng d
020 $a 9798380410823
035 $a (MiAaPQ)AAI30531316
035 $a AAI30531316
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Maglidt, Denise. $3 1467278
245 1 0 $a Providing Education on Telemonitoring Chronic Disease Management to Increase Patient Adherence and Satisfaction.
264 0 $c 2023
300 $a 1 online resource (89 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
500 $a Advisor: Mobley, Joseph.
502 $a Thesis (D.N.P.)--University of Hawai'i at Manoa, 2023.
504 $a Includes bibliographical references
520 $a Purpose: The purpose of this evidence-based Doctor of Nursing Practice (DNP) project was to provide an educational component to the already existing remote patient monitoring service for chronic disease management to improve patient adherence and satisfaction at a primary care office in Hawaii. Background: The project examined healthcare delivery during the COVID-19 pandemic when safe access to medical care was crucial. With its rural population and physician shortage, Hawaii was a prudent location for the project. The project site was an outpatient clinic specializing in primary and preventative care for chronic conditions. The provider recognized the need for remote patient monitoring to offer critical components of primary care for chronic illness at a distance with continued quality and safety. This remote patient monitoring (RPM) telemonitoring service allowed patients to monitor their health remotely and share their data with their healthcare providers in real-time. Methods: The project was initiated primarily at participants' homes in Honolulu, one participant in Hilo, Hawaii, and at the host primary care clinic in Honolulu, Hawaii. Participants were selected using purposive sampling based on their chronic conditions. The intervention combined a novel technological innovation, telemonitoring, and paired it with an evidence-based educational component. The educational curriculum consisted of one video on hypertension and one on diabetes. Disease information pamphlets accompanied the videos. Data for this DNP project was collected through five channels, including electronic health record demographic extraction, longitudinal adherence rates transposed from the telemonitoring dashboard, baseline health literacy from the REALM-SF survey, pre- and post-patient satisfaction questionnaire, and the program evaluation. In addition, descriptive statistics and trend analyses were utilized to evaluate the project's data. Results: Although not statistically significant, a comparison of the pre- vs. post-implementation adherence rates indicated a substantial difference between the patients who accepted education with onboarding and those who either declined education or opted out by not returning phone calls. The results of the pre-and post-patient satisfaction questionnaires showed minimal variation before and after the intervention. Discussion: Remote patient monitoring can greatly benefit primary care services by addressing healthcare access and quality and improving patient adherence rates to treatment regimens. When combined with chronic disease education, telemonitoring can also increase patient engagement in healthcare and satisfaction. Furthermore, incorporating RPM into chronic disease management could minimize personal costs, avoid unnecessary travel, and prevent complications, ultimately improving an individual's quality of life.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2024
538 $a Mode of access: World Wide Web
650 4 $a Nursing. $3 563081
650 4 $a Health care management. $3 1148454
650 4 $a Medicine. $3 644133
650 4 $a Public health education. $3 1181351
653 $a Chronic disease
653 $a Patient education
653 $a Patient satisfaction
653 $a Remote patient monitoring
653 $a Telemonitoring
653 $a Treatment adherence
655 7 $a Electronic books. $2 local $3 554714
690 $a 0569
690 $a 0769
690 $a 0564
690 $a 0500
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a University of Hawai'i at Manoa. $b Nursing Practice. $3 1467279
773 0 $t Dissertations Abstracts International $g 85-03B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30531316 $z click for full text (PQDT)