Home Telehealth Technologies for Heart Failure: An Examination of Adherence Among Veterans

Overview

Journal J Gerontol Nurs

Specialties Geriatrics
Nursing

Date 2020 Jun 30

PMID 32597998

Citations 6

Authors

Jenice Guzman-Clark

Maria Yefimova

Melissa M Farmer

Bonnie J Wakefield

Benjamin Viernes

Martin L Lee

Theodore J Hahn

Affiliations

Soon will be listed here.

Abstract

The current retrospective cohort study uses Department of Veterans Affairs (VA) clinical and facility data of Veterans with heart failure enrolled in the VA Home Tele-health (HT) Program. General estimating equations with facility as a covariate were used to model percent average adherence at 1, 3, 6, and 12 months post-enrollment. Most HT patients were White, male, and of older age (mean = 71 years). Average adherence increased the longer patients remained in the HT program. Number of weekly reports of HT use, not having depression, and being of older age were all associated with higher adherence. Compared to White Veterans, Black and other non-White Veterans had lower adherence. These findings identify subgroups of patients (e.g., those with depression, of younger age, non-White) that may benefit from additional efforts to improve adherence to HT technologies. [Journal of Gerontological Nursing, 46(7), 26-34.].

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