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Feasibility and Acceptance of a Home Telemanagement System in Patients with Inflammatory Bowel Disease: A 6-Month Pilot Study

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Abstract

Our purpose was to assess the acceptance and feasibility of a home telemanagement system (HAT) in inflammatory bowel disease (IBD). The HAT consists of a laptop and a scale. Subjects were required to complete weekly self-testing for 6 months. Disease activity, quality of life, and knowledge were assessed at baseline and 6 months. Attitudinal surveys were completed at 6 months. Twenty-five subjects completed the study. Ninety-one percent of patients thought that self-testing was not complicated. Eighty-six percent said that self-testing did not interfere with their usual activities. Ninety-one percent of patients would consider using a HAT in the future. Adherence with self-testing was 91%. Improvements in disease activity and quality of life, and significant improvements in knowledge, were observed after implementation of the HAT. The HAT is feasible and accepted in IBD. We predict that the HAT will positively affect adherence, monitoring, and patient education, resulting in improved disease activity and quality of life.

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References

  1. Loftus Jr EV (2004) Clinical epidemiology of inflammatory bowel disease: Incidence, prevalence, and environmental influences. Gastroenterology 126(6):1504–1517

    Article  Google Scholar 

  2. Faubion Jr WA, Loftus Jr EV, Harmsen WS, Zinsmeister AR, Sandborn WJ (2001) The natural history of corticosteroid therapy for inflammatory bowel disease: a population-based study. Gastroenterology 121(2):255–260

    Article  CAS  Google Scholar 

  3. Guthrie E, Jackson J, Shaffer J, Thompson D, Tomenson B, Creed F (2002) Psychological disorder and severity of inflammatory bowel disease predict health-related quality of life in ulcerative colitis and Crohn’s disease. Am J Gastroenterol 97(8):1994–1999

    Article  PubMed  Google Scholar 

  4. Kane SV, Cohen RD, Aikens JE, Hanauer SB (2001) Prevalence of nonadherence with maintenance mesalamine in quiescent ulcerative colitis. Am J Gastroenterol 96(10):2929–2933

    Article  PubMed  CAS  Google Scholar 

  5. Kane S, Huo D, Aikens J, Hanauer S (2003) Medication nonadherence and the outcomes of patients with quiescent ulcerative colitis. Am J Med 114(1):39–43

    Article  PubMed  Google Scholar 

  6. Sewitch MJ, Abrahamowicz M, Barkun A, Bitton A, Wild GE, Cohen A, Dobkin PL (2003) Patient nonadherence to medication in inflammatory bowel disease. Am J Gastroenterol 98(7):1535–1544

    Article  PubMed  Google Scholar 

  7. Martin A, Leone L, Castagliuolo I, Di Mario F, Naccarato R (1992) What do patients want to know about their inflammatory bowel disease? Ital J Gastroenterol 24(9):477–480

    PubMed  CAS  Google Scholar 

  8. Robinson A, Thompson DG, Wilkin D, Roberts C (2001) Guided self-management and patient-directed follow-up of ulcerative colitis: a randomised trial. Lancet 358(9286):976–981

    Article  PubMed  CAS  Google Scholar 

  9. Finkelstein J, Cabrera MR, Hripcsak G (2000) Internet-based home asthma telemonitoring: can patients handle the technology? Chest 117(1):148–155

    Article  PubMed  CAS  Google Scholar 

  10. Finkelstein J, Hripcsak G, Cabrera MR (1998) Patients’ acceptance of Internet-based home asthma telemonitoring. Proc AMIA Symp, pp 336–340

  11. de Lusignan S, Wells S, Johnson P, Meredith K, Leatham E (2001) Compliance and effectiveness of 1 year’s home telemonitoring. The report of a pilot study of patients with chronic heart failure. Eur J Heart Fail 3(6):723–730

    Article  PubMed  CAS  Google Scholar 

  12. Finkelstein J, Cabrera M, Hripcsak G (2003) Home Automated Telemanagement system to facilitate self-care of patients with chronic health conditions. J Syst Cybernet Informatics 2(6):e1

    Google Scholar 

  13. Cross RK, Arora M, Finkelstein J (2006) Acceptance of telemanagement is high in patients with inflammatory bowel disease. J Clin Gastroenterol 40(3):200–208

    Article  PubMed  Google Scholar 

  14. Lennard-Jones JE (1989) Classification of inflammatory bowel disease. Scand J Gastroenterol Suppl 170:2–6, 16–19 discussion

    PubMed  CAS  Google Scholar 

  15. Harvey RF, Bradshaw JM (1980) A simple index of Crohn’s-disease activity. Lancet 1(8167):514

    Article  PubMed  CAS  Google Scholar 

  16. Irvine EJ, Zhou Q, Thompson AK (1996) The Short Inflammatory Bowel Disease Questionnaire: a quality of life instrument for community physicians managing inflammatory bowel disease. CCRPT Investigators. Canadian Crohn’s Relapse Prevention Trial. Am J Gastroenterol 91(8):1571–1578

    PubMed  CAS  Google Scholar 

  17. Jowett SL, Seal CJ, Barton JR, Welfare MR (2001) The short inflammatory bowel disease questionnaire is reliable and responsive to clinically important change in ulcerative colitis. Am J Gastroenterol 96(10):2921–2928

    Article  PubMed  CAS  Google Scholar 

  18. Eaden JA, Abrams K, Mayberry JF (1999) The Crohn’s and Colitis Knowledge Score: a test for measuring patient knowledge in inflammatory bowel disease. Am J Gastroenterol 94(12):3560–3566

    Article  PubMed  CAS  Google Scholar 

  19. Finkelstein J, O’Connor G, Friedman RH (2001) Development and implementation of the home asthma telemonitoring (HAT) system to facilitate asthma self-care. Medinfo 10(Pt 1):810–814

    PubMed  CAS  Google Scholar 

  20. Finkelstein J, Joshi A, Arora M, Amelung P (2005) Impact of home telemanagement in adult asthma. In: Proceedings of the American Thoracic Society 2005 International Conference, San Diego, CA

  21. Maiolo C, Mohamed EI, Fiorani CM, De Lorenzo A (2003) Home telemonitoring for patients with severe respiratory illness: the Italian experience. J Telemed Telecare 9(2):67–71

    Article  PubMed  Google Scholar 

  22. Vontetsianos T, Giovas P, Katsaras T, Rigopoulou A, Mpirmpa G, Giaboudakis P, Koyrelea S, Kontopyrgias G, Tsoulkas B (2005) Telemedicine-assisted home support for patients with advanced chronic obstructive pulmonary disease: preliminary results after nine-month follow-up. J Telemed Telecare 11(Suppl 1):86–88

    Article  PubMed  Google Scholar 

  23. Gomez EJ, Hernando ME, Garcia A, Del Pozo F, Cermeno J, Corcoy R, Brugues E, De Leiva A (2002) Telemedicine as a tool for intensive management of diabetes: the DIABTel experience. Comput Methods Progr Biomed 69(2):163–177

    Article  CAS  Google Scholar 

  24. Cordisco ME, Benjaminovitz A, Hammond K, Mancini D (1999) Use of telemonitoring to decrease the rate of hospitalization in patients with severe congestive heart failure. Am J Cardiol 84(7):860–862, A8

    Article  PubMed  CAS  Google Scholar 

  25. Benatar D, Bondmass M, Ghitelman J, Avitall B (2003) Outcomes of chronic heart failure. Arch Intern Med 163(3):347–352

    Article  PubMed  Google Scholar 

  26. Roth A, Kajiloti I, Elkayam I, Sander J, Kehati M, Golovner M (2004) Telecardiology for patients with chronic heart failure: the ‘SHL’ experience in Israel. Int J Cardiol 97(1):49–55

    Article  PubMed  Google Scholar 

  27. Johnston B, Wheeler L, Deuser J, Sousa KH (2000) Outcomes of the Kaiser Permanente Tele-Home Health Research Project. Arch Fam Med 9(1):40–45

    Article  PubMed  CAS  Google Scholar 

  28. Walmsley RS, Ayres RC, Pounder RE, Allan RN (1998) A simple clinical colitis activity index. Gut 43(1):29–32

    Article  PubMed  CAS  Google Scholar 

  29. Finkelstein J, Khare R, Vora D, Arora M (2003) Design and implementation of home automated telemanagement in chronic obstructive pulmonary disease. In: Proceedings of the 16th IEEE Symposium on Computer-Based Medical Systems, New York, pp 207–212

  30. Finkelstein J, Khare R, Ansell J (2003) Feasibility and patient’s acceptance of home automated telemanagement of oral anticoagulation therapy. AMIA Annu Symp Proc, pp 230–234

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Acknowledgments

A University of Maryland School of Medicine grant supported this project. The authors would like to thank Mohit Arora, Heather Castro, Ashish Joshi, Ella Rozmarin, and Kiran Sharma for their technical assistance with the telemanagement system. The authors would also like to thank Carla Hackshaw and Nadia Cheevers for their assistance throughout the study.

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Authors and Affiliations

  1. Department of Medicine, Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, 22 South Greene Street, N3W62, Baltimore, Maryland, 21201, USA

    Raymond K. Cross

  2. Veterans Affairs, Maryland Heath Care System, Baltimore, Maryland, USA

    Raymond K. Cross & Joseph Finkelstein

  3. Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA

    Joseph Finkelstein

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  1. Raymond K. Cross
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  2. Joseph Finkelstein
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Correspondence to Raymond K. Cross.

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Cross, R.K., Finkelstein, J. Feasibility and Acceptance of a Home Telemanagement System in Patients with Inflammatory Bowel Disease: A 6-Month Pilot Study. Dig Dis Sci 52, 357–364 (2007). https://doi.org/10.1007/s10620-006-9523-4

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  • DOI: https://doi.org/10.1007/s10620-006-9523-4

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