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Providing Education on Telemonitorin...

Maglidt, Denise.

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

Record Type:	Electronic resources : Monograph/item
Title/Author:	Providing Education on Telemonitoring Chronic Disease Management to Increase Patient Adherence and Satisfaction./
Author:	Maglidt, Denise.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	89 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-03, Section: B.
Contained By:	Dissertations Abstracts International85-03B.
Subject:	Nursing. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30531316
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. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 89 p.

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

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

This item must not be sold to any third party vendors.

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.

ISBN: 9798380410823Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Chronic disease

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