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Use of Smartphones in person-centred eHealth diaries in patients above 75 years.

Conference contribution
Authors Axel Wolf
Lars-Eric Olsson
Karl Swedberg
Inger Ekman
Published in European Journal of Heart Failure Supplements
Volume 11
Issue S1
Publication year 2012
Published at University of Gothenburg Centre for person-centred care (GPCC)
Language en
Keywords PCC, patient-centered care, eHealth. smartphone, patient-reported outcomes
Subject categories Health Sciences, Nursing


Purpose Remote monitoring of patients with Chronic Heart Failure (CHF) has yielded mixed and often disappointing results. One reason could be that remote monitoring mirrors a disease focused and patriarchal way of looking at the patient, hence only promoting a one-way communication between the patient and the physician/nurse. Therefore, we investigated the feasibility of a simple smartphone application for self-monitoring of signs and symptoms in patients above 75 years. Methods We screened and found 16 eligible patients above 75 years being hospitalized for worsening CHF. Patients were eligible if they had used any kind of cellphone prior to the study and did not present cognitive or severe physical impairment. Twelve of the eligible patients declined participation. Patients were trained to use a Google Android smartphone with the installed application for weight, dyspnea and fatigue. They were also trained how to interpret the visual trends of their signs and symptoms. Patients were encouraged to use the application every other day for the following 3 months. Semi-structured interviews were performed within the first 48 hours after admission and at 3-month focusing on their perception and need for e-health solutions in everyday life. Results The included patients (n=4) were between 85 and 95 years and were classified as NYHA class III or IV. Little instruction in using the smartphone was needed, and at the 3-month follow up, all patients had used the application frequently. Findings indicated that patients who experience no symptom relief at discharge expressed little meaning of monitoring symptoms alteration. Patients who shifted in severity in their dyspnea or weight expressed both usefulness and self-confidence in monitoring their symptom changes. The visual weight and dyspnea trend were perceived as helpful, the visual trends of fatigue were reported as less useful. Conclusion To our knowledge, this is the first study to evaluate a smartphone based symptom diary for elderly patient with CHF. Preliminary findings indicate a feasibility of a smartphone application for elderly patients. Our findings suggest that a smartphone based E-health diary should be further explored in patients with symptomatic diseases.

Page Manager: Webmaster|Last update: 9/11/2012

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