Impact of telemonitoring on older adults health-related quality of life: the Tele-ERA study
- Jennifer L. PecinaAffiliated withDepartment of Family Medicine, Mayo Clinic Email author
- , Gregory J. HansonAffiliated withDivision of Primary Care Internal Medicine, Mayo Clinic
- , Holly Van HoutenAffiliated withHealth Care Policy and Research, Mayo Clinic
- , Paul Y. TakahashiAffiliated withDivision of Primary Care Internal Medicine, Mayo Clinic
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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).
KeywordsHealth-related quality of life Home telemonitoring Telemedicine Geriatrics
- Impact of telemonitoring on older adults health-related quality of life: the Tele-ERA study
Quality of Life Research
Volume 22, Issue 9 , pp 2315-2321
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- Springer Netherlands
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- Health-related quality of life
- Home telemonitoring
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- Author Affiliations
- 1. Department of Family Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, USA
- 2. Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, USA
- 3. Health Care Policy and Research, Mayo Clinic, Rochester, MN, USA