Quality of Life Research

, Volume 22, Issue 9, pp 2315–2321

Impact of telemonitoring on older adults health-related quality of life: the Tele-ERA study

  • Jennifer L. Pecina
  • Gregory J. Hanson
  • Holly Van Houten
  • Paul Y. Takahashi

DOI: 10.1007/s11136-013-0361-5

Cite this article as:
Pecina, J.L., Hanson, G.J., Van Houten, H. et al. Qual Life Res (2013) 22: 2315. doi:10.1007/s11136-013-0361-5



Telemonitoring is being increasingly used for chronic disease monitoring. While the primary aim of telemonitoring is to improve chronic disease management and decrease hospitalizations, the potential impact on patient’s health-related quality of life may be an additional benefit.


Two hundred and five patients aged 60 years and older with multiple medical conditions were enrolled in a one-year randomized controlled trial of daily home telemonitoring. Health-related quality of life was measured with the 12-Item Short-Form at the beginning and at the completion of the study. Per protocol analysis of the 166 patients responding to the follow-up survey was performed.


Among the 166 responders, there were no significant differences at baseline in the physical component summary (PCS) scores (p value = 0.32), nor the mental component summary (MCS) scores (p value = 0.12) between the telemonitored group and the usual care group. There was also no difference in the 12-month PCS scores (p value = 0.39) or MCS scores (p value = 0.10) between groups. There was no difference in the change from baseline to 12-month MCS scores between groups (p value = 0.89); however, there was a significant difference in the baseline to 12-month change of PCS scores between groups, with the telemonitored group having a greater decrease in PCS scores (−4.3 ± 9.3), compared to the usual care group (−1.2 ± 8.5) over the course of the study (p value = 0.03).


Home telemonitoring in older adults with multiple comorbidities does not significantly improve self-perception of mental well-being (as measured by MCS scores) and may worsen self-perception of physical health (as measured by PCS scores).


Health-related quality of lifeHome telemonitoringTelemedicineGeriatrics

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Jennifer L. Pecina
    • 1
  • Gregory J. Hanson
    • 2
  • Holly Van Houten
    • 3
  • Paul Y. Takahashi
    • 2
  1. 1.Department of Family MedicineMayo ClinicRochesterUSA
  2. 2.Division of Primary Care Internal MedicineMayo ClinicRochesterUSA
  3. 3.Health Care Policy and ResearchMayo ClinicRochesterUSA