Patient Acceptance and Evaluation of Remote Monitoring Grant uri icon

abstract

  • A growing body of evidence compellingly illustrates the distinct value of remote monitoring (RM) for patients with implantable devices, including implantable cardioverter defibrillators (ICDs). RM has demonstrated a survival advantage in randomized trials in individuals with ICDs or CRT-D who utilize RM compared to patients with conventional follow-up. RM has also shown advantages over traditional follow-up in overall shock rate and rate of inappropriate shock (ECOST, OEDIPE). The benefits of RM are also apparent in health care utilization outcomes, including reduced rates of hospitalization and shorter length of stays. Financial benefits of RM include cost effectiveness and reduce time away from work for those using RM. Despite the overwhelming evidence of demonstrable benefits of RM, however, ICD patient satisfaction and perceived value of RM is equivocal across U.S. and European studies. As a result, value and utilization are inconsistent within both patients and clinics. This is problematic as it diminishes the capacity for optimizing both the utilization of RM and the beneficial clinical outcomes that have been demonstrated with RM. The study?s main objective is to evaluate patient acceptance and perception of the value of ICD remote monitoring (RM). We also will examine psychosocial and biomedical predictors of the perceived value of RM. This information will contribute to a statistical analysis to determine which factors could potentially predict a positive response to RM. A retrospective study will be implemented, and patients from multiple sites using either RM or traditional follow-up will be surveyed. Surveys will include assessment of demographics, RM satisfaction, device acceptance, and health security. Measurements of RM satisfaction and health security will be developed for this project. RM vs. traditional follow-up will be the primary independent variable, with other named factors being used as outcomes.

date/time interval

  • August 2014 - September 2018