Turning challenges into design principles: Telemonitoring systems for patients with multiple chronic conditions

Health Informatics J. 2019 Dec;25(4):1188-1200. doi: 10.1177/1460458217749882. Epub 2018 Jan 10.


People with multiple chronic conditions often struggle with managing their health. The purpose of this research was to identify specific challenges of patients with multiple chronic conditions and to use the findings to form design principles for a telemonitoring system tailored for these patients. Semi-structured interviews with 15 patients with multiple chronic conditions and 10 clinicians were conducted to gain an understanding of their needs and preferences for a smartphone-based telemonitoring system. The interviews were analyzed using a conventional content analysis technique, resulting in six themes. Design principles developed from the themes included that the system must be modular to accommodate various combinations of conditions, reinforce a routine, consolidate record keeping, as well as provide actionable feedback to the patients. Designing an application for multiple chronic conditions is complex due to variability in patient conditions, and therefore, design principles developed in this study can help with future innovations aimed to help manage this population.

Keywords: comorbidity; ehealth; mobile health; multiple chronic conditions; qualitative research; telemonitoring.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Disease Management*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Multiple Chronic Conditions*
  • Qualitative Research
  • Telemedicine / organization & administration*
  • Young Adult