eHealth and mHealth to Manage Distress in Patients with an Implantable Cardioverter-Defibrillator

  • Gianluca Castelnuovo
  • Giada Pietrabissa
  • Gian Mauro Manzoni
  • Francesco Borgia
  • Gian Andrea Bertone
  • Mariella Montano
  • Ferruccio Nibbio
  • Anna Maria Titon
  • Luca Alessandro Gondoni
  • Riccardo Proietti
Chapter

Abstract

One of the main benefits of the eHealth and mHealth approach is that it overcomes those limitations associated with the traditional, restricted and highly expensive in-patient treatment of many chronic pathologies, by reducing complications from a clinical, organizational and economic prospective. Mobile communication devices, therefore, may be an effective way to ensure long-term maintenance and improvement of health outcomes among patients with an implantable cardioverter-defibrillator (ICD). Employment of eHealth and mHealth usually increases participation, compliance, and engagement toward treatment and helps clinicians by motivating patients in remote settings to withstand medical treatments and to cope with chronic conditions, also in a stepped-care approach. Clinical experiences and best practices regarding mHealth based strategies used to tele-monitor patients with an ICD are reported/highlighted in this chapter which discusses methodological, clinical and technological issues. At the end of the chapter future trends of eHealth–mHealth applications for ICDs are discussed.

Keywords

Implantable Cardioverter-Defibrillator Distress Stepped-care approach eHealth mHealth 

References

  1. 1.
    Eysenbach G. What is e-health? J Med Internet Res. 2001;3:E20. doi: 10.2196/jmir.3.2.e20.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Castelnuovo G, Manzoni GM, Pietrabissa G, Corti S, Giusti EM, Molinari E, Simpson S. Obesity and outpatient rehabilitation using mobile technologies: the potential mHealth approach. Front Psychol. 2014;5:559. doi: 10.3389/fpsyg.2014.00559.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Castelnuovo G, Mauri G, Simpson S, Colantonio A, Goss S. New technologies for the management and rehabilitation of chronic diseases and conditions. Biomed Res Int. 2015;2015:180436. doi: 10.1155/2015/180436.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Castelnuovo G, Pietrabissa G, Manzoni GM, Corti S, Ceccarini M, Borrello M, Giusti EM, Novelli M, Cattivelli R, Middleton NA, Simpson SG, Molinari E. Chronic care management of globesity: promoting healthier lifestyles in traditional and mHealth based settings. Front Psychol. 2015;6:1557. doi: 10.3389/fpsyg.2015.01557.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Castelnuovo G, Zoppis I, Santoro E, Ceccarini M, Pietrabissa G, Manzoni GM, Corti S, Borrello M, Giusti EM, Cattivelli R, Melesi A, Mauri G, Molinari E, Sicurello F. Managing chronic pathologies with a stepped mHealth-based approach in clinical psychology and medicine. Front Psychol. 2015;6:407. doi: 10.3389/fpsyg.2015.00407.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Cipresso P, Serino S, Villani D, Repetto C, Selitti L, Albani G, Mauro A, Gaggioli A, Riva G. Is your phone so smart to affect your states? An exploratory study based on psychophysiological measures. Neurocomputing. 2012;84:23–30. doi: 10.1016/j.neucom.2011.12.027.CrossRefGoogle Scholar
  7. 7.
    Eysenbach G. Can tweets predict citations? Metrics of social impact based on twitter and correlation with traditional metrics of scientific impact. J Med Internet Res. 2011;13:e123. doi: 10.2196/jmir.2012.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Fiordelli M, Diviani N, Schulz PJ. Mapping mHealth research: a decade of evolution. J Med Internet Res. 2013;15:e95. doi: 10.2196/jmir.2430.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Riper H, Andersson G, Christensen H, Cuijpers P, Lange A, Eysenbach G. Theme issue on e-mental health: a growing field in internet research. J Med Internet Res. 2010;12:e74. doi: 10.2196/jmir.1713.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Whittaker R. Issues in mHealth: findings from key informant interviews. J Med Internet Res. 2012;14:e129. doi: 10.2196/jmir.1989.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Adibi S. Introduction. In: Adibi S, editor. mHealth multidisciplinary verticals. New York: CRC, Taylor & Francis Group; 2015. p. 1–10.Google Scholar
  12. 12.
    Khaylis A, Yiaslas T, Bergstrom J, Gore-Felton C. A review of efficacious technology-based weight-loss interventions: five key components. Telemed J E Health. 2010;16:931–8. doi: 10.1089/tmj.2010.0065.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Manzoni GM, Castelnuovo G, Molinari E. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008;359:2170. author reply 2171-2172PubMedGoogle Scholar
  14. 14.
    Manzoni GM, Pagnini F, Corti S, Molinari E, Castelnuovo G. Internet-based behavioral interventions for obesity: an updated systematic review. Clin Pract Epidemiol Ment Health. 2011;7:19–28. doi: 10.2174/1745017901107010019.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Rao G, Burke LE, Spring BJ, Ewing LJ, Turk M, Lichtenstein AH, Cornier MA, Spence JD, Coons M. New and emerging weight management strategies for busy ambulatory settings: a scientific statement from the American Heart Association endorsed by the Society of Behavioral Medicine. Circulation. 2011;124:1182–203. doi: 10.1161/CIR.0b013e31822b9543.CrossRefPubMedGoogle Scholar
  16. 16.
    Kuhl EA, Sears SF, Conti JB. Internet-based behavioral change and psychosocial care for patients with cardiovascular disease: A review of cardiac disease-specific applications, Heart & Lung. J Acute Critical Care. 2006;35(6):374–382. DOI: http://dx.doi.org/10.1016/j.hrtlng.2006.02.004.
  17. 17.
    Graffigna G, Barello S, Riva G. Technologies for patient engagement. Health Aff (Millwood). 2013;32:1172. doi: 10.1377/hlthaff.2013.0279.CrossRefGoogle Scholar
  18. 18.
    Graffigna G, Barello S, Wiederhold BK, Bosio AC, Riva G. Positive technology as a driver for health engagement. Stud Health Technol Inform. 2013;191:9–17.PubMedGoogle Scholar
  19. 19.
    Castelnuovo G. Empirically supported treatments in psychotherapy: towards an evidence-based or evidence-biased psychology in clinical settings? Front Psychol. 2010;1:27. doi: 10.3389/fpsyg.2010.00027.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Nguyen T, Lau DC. The obesity epidemic and its impact on hypertension. Can J Cardiol. 2012;28:326–33. doi: 10.1016/j.cjca.2012.01.001.CrossRefPubMedGoogle Scholar
  21. 21.
    Pietrabissa G, Manzoni GM, Corti S, Vegliante N, Molinari E, Castelnuovo G. Addressing motivation in globesity treatment: a new challenge for clinical psychology. Front Psychol. 2012;3:317. doi: 10.3389/fpsyg.2012.00317.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Glasgow RE, Orleans CT, Wagner EH. Does the chronic care model serve also as a template for improving prevention? Milbank Q 2001;79:579–612, iv-v.Google Scholar
  23. 23.
    Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001;20:64–78.CrossRefGoogle Scholar
  24. 24.
    Wagner EH, Glasgow RE, Davis C, Bonomi AE, Provost L, Mcculloch D, Carver P, Sixta C. Quality improvement in chronic illness care: a collaborative approach. Jt Comm J Qual Improv. 2001;27:63–80.PubMedGoogle Scholar
  25. 25.
    O’Donnell RR. Stepped care and E-health in behavioral managed care. In: O’Donohue WT, Draper C, editors. Stepped care and e-health: practical applications to behavioral disorders. New York: Springer; 2011. p. 263–82.CrossRefGoogle Scholar
  26. 26.
    Javitt J. Case study: using mHealth to manage diabetes. mHealth News [Online]. 2014. http://www.mhealthnews.com/print/24916. [Accessed]
  27. 27.
    Moss Richins S. Emerging technologies in healthcare. New York: CRC, Taylor & Francis Group; 2015.CrossRefGoogle Scholar
  28. 28.
    O’Donohue WT, Draper C, editors. Stepped care and e-health: practical applications to behavioral disorders. New York: Springer; 2011.Google Scholar
  29. 29.
    Von Korff M, Tiemans B. Individualized stepped care of chronic illness. West J Med. 2000;172:133–7.CrossRefGoogle Scholar
  30. 30.
    O’Donohue WT, Draper C. The case for evidence-based stepped care as part of a reformed delivery system. In: O’Donohue WT, Draper C, editors. Stepped care and e-health: practical applications to behavioral disorders. New York: Springer; 2011. p. 1–16.Google Scholar
  31. 31.
    Mercer V. Chronic disease managemen. In: O’Donohue WT, Draper C, editors. Stepped care and E-health: practical applications to behavioral disorders. New York: Springer; 2011. p. 151–79.CrossRefGoogle Scholar
  32. 32.
    Neumeyer-Gromen A, Lampert T, Stark K, Kallischnigg G. Disease management programs for depression: a systematic review and meta-analysis of randomized controlled trials. Med Care. 2004;42:1211–21.CrossRefPubMedGoogle Scholar
  33. 33.
    Ofman JJ, Badamgarav E, Henning JM, Knight K, Gano AD Jr, Levan RK, Gur-Arie S, Richards MS, Hasselblad V, Weingarten SR. Does disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review. Am J Med. 2004;117:182–92.CrossRefPubMedGoogle Scholar
  34. 34.
    Weingarten SR, Henning JM, Badamgarav E, Knight K, Hasselblad V, Gano A Jr, Ofman JJ. Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports. Br Med J. 2002;325:925.CrossRefGoogle Scholar
  35. 35.
    Buxton M, Caine N, Chase D, Connelly D, Grace A, Jackson C, Parkes J, Sharples L. A review of the evidence on the effects and costs of implantable cardioverter defibrillator therapy in different patient groups, and modelling of cost-effectiveness and cost-utility for these groups in a UK context. Health Technol Assess. 2006;10:iii–iv, ix–xi, 1–164.Google Scholar
  36. 36.
    Guedon-Moreau L, Finat L, Boule S, Wissocque L, Marquie C, Brigadeau F, Kouakam C, Mondesert B, Kacet S, Klug D, Lacroix D. Validation of an organizational management model of remote implantable cardioverter-defibrillator monitoring alerts. Circ Cardiovasc Qual Outcomes. 2015;8:403–12. doi: 10.1161/CIRCOUTCOMES.114.001433.CrossRefPubMedGoogle Scholar
  37. 37.
    Siebermair J, Clauss S, Martens E, Schuessler F, Oversohl N, Haserueck N, Estner HL, Kaab S, Wakili R. Remote monitoring of implantable cardioverter-defibrillators. Problems and implications using a telemonitoring system. Herz. 2015;40(Suppl 2):110–8. doi: 10.1007/s00059-014-4080-7. CrossRefPubMedGoogle Scholar
  38. 38.
    De Ruvo E, Sciarra L, Martino AM, Rebecchi M, Iulianella RV, Sebastiani F, Fagagnini A, Borrelli A, Scara A, Grieco D, Tota C, Stirpe F, Calo L. A prospective comparison of remote monitoring systems in implantable cardiac defibrillators: potential effects of frequency of transmissions. J Interv Card Electrophysiol. 2015; doi: 10.1007/s10840-015-0067-4.PubMedGoogle Scholar
  39. 39.
    Dario C, Delise P, Gubian L, Saccavini C, Brandolino G, Mancin S. Large controlled observational study on remote monitoring of pacemakers and implantable cardiac defibrillators: a clinical, economic, and organizational evaluation. Interact J Med Res. 2016;5:e4. doi: 10.2196/ijmr.4270.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Al-Khatib SM, Piccini JP, Knight D, Stewart M, Clapp-Channing N, Sanders GD. Remote monitoring of implantable cardioverter defibrillators versus quarterly device interrogations in clinic: results from a randomized pilot clinical trial. J Cardiovasc Electrophysiol. 2010;21:545–50. doi: 10.1111/j.1540-8167.2009.01659.x.CrossRefPubMedGoogle Scholar
  41. 41.
    Guedon-Moreau L, Lacroix D, Sadoul N, Clementy J, Kouakam C, Hermida JS, Aliot E, Boursier M, Bizeau O, Kacet S. A randomized study of remote follow-up of implantable cardioverter defibrillators: safety and efficacy report of the ECOST trial. Eur Heart J. 2013;34:605–14. doi: 10.1093/eurheartj/ehs425.CrossRefPubMedGoogle Scholar
  42. 42.
    Mabo P, Victor F, Bazin P, Ahres S, Babuty D, Da Costa A, Binet D, Daubert JC. A randomized trial of long-term remote monitoring of pacemaker recipients (the COMPAS trial). Eur Heart J. 2012;33:1105–11. doi: 10.1093/eurheartj/ehr419.CrossRefPubMedGoogle Scholar
  43. 43.
    Ricci RP, Morichelli L, Santini M. Remote control of implanted devices through home monitoring technology improves detection and clinical management of atrial fibrillation. Europace. 2009;11:54–61. doi: 10.1093/europace/eun303. CrossRefPubMedGoogle Scholar
  44. 44.
    Spencker S, Coban N, Koch L, Schirdewan A, Muller D. Potential role of home monitoring to reduce inappropriate shocks in implantable cardioverter-defibrillator patients due to lead failure. Europace. 2009;11:483–8. doi: 10.1093/europace/eun350. CrossRefPubMedGoogle Scholar
  45. 45.
    Varma N, Epstein AE, Irimpen A, Schweikert R, Love C. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) trial. Circulation. 2010;122:325–32. doi: 10.1161/CIRCULATIONAHA.110.937409. CrossRefPubMedGoogle Scholar
  46. 46.
    Bohm M, Drexler H, Oswald H, Rybak K, Bosch R, Butter C, Klein G, Gerritse B, Monteiro J, Israel C, Bimmel D, Kaab S, Huegl B, Brachmann J. Fluid status telemedicine alerts for heart failure: a randomized controlled trial. Eur Heart J. 2016; doi: 10.1093/eurheartj/ehw099.Google Scholar
  47. 47.
    Nagele H, Lipoldova J, Oswald H, Klein G, Elvan A, Vester E, Bauer W, Bondke H, Reif S, Daub C, Menzel F, Schrader J, Zach G. Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation “IEGM Online” system. Europace. 2015;17:584–90. doi: 10.1093/europace/euu349.CrossRefPubMedPubMedCentralGoogle Scholar
  48. 48.
    Hindricks G, Taborsky M, Glikson M, Heinrich U, Schumacher B, Katz A, Brachmann J, Lewalter T, Goette A, Block M, Kautzner J, Sack S, Husser D, Piorkowski C, Sogaard P. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet. 2014;384:583–90. doi: 10.1016/S0140-6736(14)61176-4.CrossRefPubMedGoogle Scholar
  49. 49.
    Geach T. Device therapy: just IN-TIME for ICD telemonitoring. Nat Rev Cardiol. 2014;11:557. doi: 10.1038/nrcardio.2014.130.CrossRefPubMedGoogle Scholar
  50. 50.
    Crossley G, Boyle A, Vitense H, Sherfesee L, Mead RH. Trial design of the clinical evaluation of remote notification to reduce time to clinical decision: the Clinical evaluation of remote NotificatioN to rEduCe Time to clinical decision (CONNECT) study. Am Heart J. 2008;156:840–6. doi: 10.1016/j.ahj.2008.06.028.CrossRefPubMedGoogle Scholar
  51. 51.
    Crossley GH, Boyle A, Vitense H, Chang Y, Mead RH. The CONNECT (Clinical Evaluation of Remote Notification to Reduce Time to Clinical Decision) trial: the value of wireless remote monitoring with automatic clinician alerts. J Am Coll Cardiol. 2011;57:1181–9. doi: 10.1016/j.jacc.2010.12.012.CrossRefPubMedGoogle Scholar
  52. 52.
    Heidbuchel H, Hindricks G, Broadhurst P, Van Erven L, Fernandez-Lozano I, Rivero-Ayerza M, Malinowski K, Marek A, Romero Garrido RF, Loscher S, Beeton I, Garcia E, Cross S, Vijgen J, Koivisto UM, Peinado R, Smala A, Annemans L. EuroEco (European Health Economic Trial on Home Monitoring in ICD Patients): a provider perspective in five European countries on costs and net financial impact of follow-up with or without remote monitoring. Eur Heart J. 2015;36:158–69. doi: 10.1093/eurheartj/ehu339.CrossRefPubMedGoogle Scholar
  53. 53.
    Ricci RP, Morichelli L, Quarta L, Sassi A, Porfili A, Laudadio MT, Gargaro A, Santini M. Long-term patient acceptance of and satisfaction with implanted device remote monitoring. Europace. 2010;12:674–9. doi: 10.1093/europace/euq046.CrossRefPubMedGoogle Scholar
  54. 54.
    Cavaco D. Follow-up of implantable cardioverter-defibrillators: face-to-face or remote? Rev Port Cardiol. 2013;32:965–6. doi: 10.1016/j.repc.2013.10.002.PubMedGoogle Scholar
  55. 55.
    Landolina M, Perego GB, Lunati M, Curnis A, Guenzati G, Vicentini A, Parati G, Borghi G, Zanaboni P, Valsecchi S, Marzegalli M. Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study. Circulation. 2012;125:2985–92. doi: 10.1161/CIRCULATIONAHA.111.088971.CrossRefPubMedGoogle Scholar
  56. 56.
    Marzegalli M, Landolina M, Lunati M, Perego GB, Pappone A, Guenzati G, Campana C, Frigerio M, Parati G, Curnis A, Colangelo I, Valsecchi S. Design of the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study to assess the ability of remote monitoring to treat and triage patients more effectively. Trials. 2009;10:42. doi: 10.1186/1745-6215-10-42. CrossRefPubMedPubMedCentralGoogle Scholar
  57. 57.
    Oldenburg B, Baptista S, Cocker F, O’Neil A. Changing lifestyle behaviors to improve the prevention and management of cardiovascular disease. In: Alvarenga ME, Byrne D, editors. Handbook of psychocardiology. Singapore: Springer; 2016. p. 1077–94.Google Scholar
  58. 58.
    Rosman L, Whited A, Ford JH, Nekkanti R, Cahill J, Sears SF. Adding psychological intervention to high-tech care for patients with implantable cardioverter defibrillators. In: Alvarenga ME, Byrne D, editors. Handbook of psychocardiology. Singapore: Springer; 2016. p. 1077–94.Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Gianluca Castelnuovo
    • 1
    • 2
  • Giada Pietrabissa
    • 1
    • 2
  • Gian Mauro Manzoni
    • 1
    • 3
  • Francesco Borgia
    • 2
  • Gian Andrea Bertone
    • 4
  • Mariella Montano
    • 5
  • Ferruccio Nibbio
    • 4
  • Anna Maria Titon
    • 4
  • Luca Alessandro Gondoni
    • 4
  • Riccardo Proietti
    • 6
    • 7
  1. 1.Psychology Research Laboratory, Ospedale San GiuseppeIRCCS Istituto Auxologico ItalianoOggebbio (VCO)Italy
  2. 2.Department of PsychologyUniversità Cattolica del Sacro CuoreMilanItaly
  3. 3.Faculty of PsychologyeCampus UniversityNovedrate, ComoItaly
  4. 4.Division of Cardiological Rehabilitation, Ospedale San GiuseppeIRCCS Istituto Auxologico ItalianoOggebbio (VCO)Italy
  5. 5.Department of CardiologyOspedale CastelliVerbaniaItaly
  6. 6.Department of CardiologyOspedale Luigi SaccoMilanItaly
  7. 7.Cardiac Center, Morriston HospitalUniversity of SwanseaSwanseaUK

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