Adherence to Telemonitoring by Electronic Patient-Reported Outcome Measures in Patients with Chronic Diseases: A Systematic Review

Jim Wiegel, Bart Seppen, Marike van der Leeden, Martin van der Esch, Ralph de Vries and Wouter Bos
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Jim Wiegel: Amsterdam Rheumatology and Immunology Center, Reade, 1056 AA Amsterdam, The Netherlands
Bart Seppen: Amsterdam Rheumatology and Immunology Center, Reade, 1056 AA Amsterdam, The Netherlands
Marike van der Leeden: Amsterdam Rheumatology and Immunology Center, Reade, 1056 AA Amsterdam, The Netherlands
Martin van der Esch: Amsterdam Rheumatology and Immunology Center, Reade, 1056 AA Amsterdam, The Netherlands
Ralph de Vries: Medical Library, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
Wouter Bos: Amsterdam Rheumatology and Immunology Center, Reade, 1056 AA Amsterdam, The Netherlands

IJERPH, 2021, vol. 18, issue 19, 1-13

Abstract: Background: Effective telemonitoring is possible through repetitive collection of electronic patient-reported outcome measures (ePROMs) in patients with chronic diseases. Low adherence to telemonitoring may have a negative impact on the effectiveness, but it is unknown which factors are associated with adherence to telemonitoring by ePROMs. The objective was to identify factors associated with adherence to telemonitoring by ePROMs in patients with chronic diseases. Methods: A systematic literature search was conducted in PubMed, Embase, PsycINFO and the Cochrane Library up to 8 June 2021. Eligibility criteria were: (1) interventional and cohort studies, (2) patients with a chronic disease, (3) repetitive ePROMs being used for telemonitoring, and (4) the study quantitatively investigating factors associated with adherence to telemonitoring by ePROMs. The Cochrane risk of bias tool and the risk of bias in nonrandomized studies of interventions were used to assess the risk of bias. An evidence synthesis was performed assigning to the results a strong, moderate, weak, inconclusive or an inconsistent level of evidence. Results: Five studies were included, one randomized controlled trial, two prospective uncontrolled studies and two retrospective cohort studies. A total of 15 factors potentially associated with adherence to telemonitoring by ePROMs were identified in the predominate studies of low quality. We found moderate-level evidence that sex is not associated with adherence. Some studies showed associations of the remaining factors with adherence, but the overall results were inconsistent or inconclusive. Conclusions: None of the 15 studied factors had conclusive evidence to be associated with adherence. Sex was, with moderate strength, not associated with adherence. The results were conflicting or indecisive, mainly due to the low number and low quality of studies. To optimize adherence to telemonitoring with ePROMs, mixed-method studies are needed.

Keywords: adherence; patient reported outcomes; patient reported outcome measures; telemonitoring (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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