Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients

Telemed J E Health. 2013 Aug;19(8):573-8. doi: 10.1089/tmj.2012.0201. Epub 2013 Jun 6.


Objective: The value of home telehealth self-monitoring with nurse oversight has been demonstrated; however, there is a dearth of objective documentation of patients' experiences with such a model. We used a mixed methods approach to examine the value of home telehealth monitoring with remote care nurse (RCN) support from the perspective of participants in our study.

Materials and methods: Thirty-three patients who used remote technology to self-monitor their health at home participated in a semistructured interview. The instrument was designed to help identify facilitators and barriers and to evaluate patient satisfaction with and effectiveness of home telehealth self-monitoring.

Results: Overall, patients reported high levels of satisfaction with RCN support as they received efficient feedback, were better able to identify changes in their health status, and experienced enhanced accountability, self-efficacy, and motivation to make health behavior changes. The most frequently cited barriers related to malfunctioning equipment or trouble with Internet connections, forgetfulness, and feeling poorly.

Conclusions: The results suggest that home telehealth self-monitoring with RCN support is effective in empowering patients to take a more active role in their healthcare and indirectly improve quality of life for those living with chronic illness.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Hawaii
  • Hemodialysis, Home / psychology*
  • Home Nursing*
  • Humans
  • Male
  • Middle Aged
  • Nurse's Role*
  • Patient Participation
  • Patient Satisfaction*
  • Qualitative Research
  • Quality of Life
  • Self Care
  • Telemedicine*