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A Randomized Controlled Trial of Telemonitoring for Older Adults with Heart Failure Receiving Home Health Care

Boxer, Rebecca S.
http://rave.ohiolink.edu/etdc/view?acc_num=case1323311318

Abstract Details

2011, Master of Sciences, Case Western Reserve University, Clinical Research.
Home telemonitoring can augment home health care (HHC) services during a heart failure patient’s transition from hospital to home. HHC agencies in Ohio participated in a randomized trial of telemonitoring versus usual HHC. Rehospitalization, emergency department and urgent care visits were the combined outcome. Kansas City Cardiomyopathy Questionnaire (KCCQ) measured health status at admission and at discharge from HHC. Results showed that the study patients’ degree of comorbidity and heart failure severity were typical of a HHC population. There was no difference in rehospitalizations, emergency department and urgent care visits but an improvement in KCCQ scores for those who received telemonitoring versus usual care. The improvement in health status persisted with regression modeling. In conclusion, telemonitoring may not reduce rehospitalizations, emergency department or urgent care visits but health status is improved. For older adults with heart failure telemonitoring may be an important adjunct to HHC services to improve health status.
David Aron, MD (Committee Chair)
Elizabeth Madigan, PhD (Committee Member)
Brooke Watts, MD (Committee Member)
Ileana Pina, MD, MPH (Advisor)
Shirley Moore, PhD (Advisor)
33 p.
Gerontology; Health Care; Medicine
Heart Failure; Home Care; Elderly; Telemonitoring

Recommended Citations

Citations

  • Boxer, R. S. (2011). A Randomized Controlled Trial of Telemonitoring for Older Adults with Heart Failure Receiving Home Health Care [Master's thesis, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1323311318

    APA Style (7th edition)

  • Boxer, Rebecca. A Randomized Controlled Trial of Telemonitoring for Older Adults with Heart Failure Receiving Home Health Care. 2011. Case Western Reserve University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1323311318.

    MLA Style (8th edition)

  • Boxer, Rebecca. "A Randomized Controlled Trial of Telemonitoring for Older Adults with Heart Failure Receiving Home Health Care." Master's thesis, Case Western Reserve University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1323311318

    Chicago Manual of Style (17th edition)

case1323311318
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© 2011, all rights reserved.
This open access ETD is published by Case Western Reserve University School of Graduate Studies and OhioLINK.