Manya Magnus1, Neal Sikka, Teena Cherian, Susie Q Lew. 1. Manya Magnus, PhD, MPH, Department of Epidemiology and Biostatistics, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Avenue, NW Suite 507, Washington, DC 20052, Phone 202 994 3024, Fax 202 994 0082, Email: manyadm@gwu.edu.
Abstract
BACKGROUND AND SIGNIFICANCE: End stage renal disease (ESRD) affects approximately 660,000 persons in the US each year, representing a significant financial burden to the health care system and affected individuals. Telehealth approaches to care offer an important means of reducing costs as well as increasing autonomy for patients. Understanding patient satisfaction with telehealth provides a key towards eventual scalability. MATERIALS AND METHODS: Quarterly surveys were conducted to characterize satisfaction with remote biometric monitoring (RBM) for blood pressure, weight, glucose and peritoneal dialysis (PD)-specific educational online videos for ESRD patients using PD. RESULTS: Of 300 participants, 67% participated in the surveys and provided baseline and at least one follow-up assessment. The majority were 45 to 64 years of age (50.5%), Black (64.5%), married or living with significant other (52.0%), and had more than a high school degree (73.0%). RBM was associated with perceived autonomy and confidence in health care activities and decreased negative perceptions of PD care and ESRD. The majority of participants (80.1%) indicated that they were satisfied or completely satisfied with the system. Participants found that the interface increased confidence, reduced frustration, and related perceptions were significantly and positively altered (p<0.05) for each of the separate telehealth components. Educational videos were well utilized with nearly half of the participants (42.5%) reporting that they watched at least one of the videos, and the majority reporting that the videos seen had an overall positive impact on health. DISCUSSION AND CONCLUSIONS: Supplementing PD with telehealth has the potential to have a positive impact on patient perceptions of PD care and consequently improve clinical outcomes.
BACKGROUND AND SIGNIFICANCE: End stage renal disease (ESRD) affects approximately 660,000 persons in the US each year, representing a significant financial burden to the health care system and affected individuals. Telehealth approaches to care offer an important means of reducing costs as well as increasing autonomy for patients. Understanding patient satisfaction with telehealth provides a key towards eventual scalability. MATERIALS AND METHODS: Quarterly surveys were conducted to characterize satisfaction with remote biometric monitoring (RBM) for blood pressure, weight, glucose and peritoneal dialysis (PD)-specific educational online videos for ESRDpatients using PD. RESULTS: Of 300 participants, 67% participated in the surveys and provided baseline and at least one follow-up assessment. The majority were 45 to 64 years of age (50.5%), Black (64.5%), married or living with significant other (52.0%), and had more than a high school degree (73.0%). RBM was associated with perceived autonomy and confidence in health care activities and decreased negative perceptions of PD care and ESRD. The majority of participants (80.1%) indicated that they were satisfied or completely satisfied with the system. Participants found that the interface increased confidence, reduced frustration, and related perceptions were significantly and positively altered (p<0.05) for each of the separate telehealth components. Educational videos were well utilized with nearly half of the participants (42.5%) reporting that they watched at least one of the videos, and the majority reporting that the videos seen had an overall positive impact on health. DISCUSSION AND CONCLUSIONS: Supplementing PD with telehealth has the potential to have a positive impact on patient perceptions of PD care and consequently improve clinical outcomes.
Authors: Paul A Harris; Robert Taylor; Robert Thielke; Jonathon Payne; Nathaniel Gonzalez; Jose G Conde Journal: J Biomed Inform Date: 2008-09-30 Impact factor: 6.317
Authors: Rajiv Saran; Yi Li; Bruce Robinson; John Ayanian; Rajesh Balkrishnan; Jennifer Bragg-Gresham; Joline T L Chen; Elizabeth Cope; Debbie Gipson; Kevin He; William Herman; Michael Heung; Richard A Hirth; Steven S Jacobsen; Kamyar Kalantar-Zadeh; Csaba P Kovesdy; Alan B Leichtman; Yee Lu; Miklos Z Molnar; Hal Morgenstern; Brahmajee Nallamothu; Ann M O'Hare; Ronald Pisoni; Brett Plattner; Friedrich K Port; Panduranga Rao; Connie M Rhee; Douglas E Schaubel; David T Selewski; Vahakn Shahinian; John J Sim; Peter Song; Elani Streja; Manjula Kurella Tamura; Francesca Tentori; Paul W Eggers; Lawrence Y C Agodoa; Kevin C Abbott Journal: Am J Kidney Dis Date: 2015-07 Impact factor: 8.860
Authors: Daphne M Harrington; Linda Myers; Karen Eisenman; Viraj Bhise; K S Nayak; Mitchell H Rosner Journal: Blood Purif Date: 2014-08-21 Impact factor: 2.614
Authors: Erika Juergensen; Diane Wuerth; Susan H Finkelstein; Peter H Juergensen; Ambek Bekui; Fredric O Finkelstein Journal: Clin J Am Soc Nephrol Date: 2006-08-30 Impact factor: 8.237
Authors: Mitchell H Rosner; Susie Q Lew; Paul Conway; Jennifer Ehrlich; Robert Jarrin; Uptal D Patel; Karen Rheuban; R Brooks Robey; Neal Sikka; Eric Wallace; Patrick Brophy; James Sloand Journal: Clin J Am Soc Nephrol Date: 2017-07-14 Impact factor: 8.237
Authors: Alzbeta Glancova; Quan T Do; Devang K Sanghavi; Pablo Moreno Franco; Neethu Gopal; Lindsey M Lehman; Yue Dong; Brian W Pickering; Vitaly Herasevich Journal: Appl Clin Inform Date: 2021-02-24 Impact factor: 2.342
Authors: Susie Q Lew; Eric L Wallace; Vesh Srivatana; Bradley A Warady; Suzanne Watnick; Jayson Hood; David L White; Vikram Aggarwal; Caroline Wilkie; Mihran V Naljayan; Mary Gellens; Jeffrey Perl; Martin J Schreiber Journal: Am J Kidney Dis Date: 2020-09-28 Impact factor: 8.860