Patient and carer survey of remote vital sign telemonitoring for self-management of long-term conditions

BMJ Health Care Inform. 2019 Dec;26(1):e100079. doi: 10.1136/bmjhci-2019-100079.


Background: Home-based self-monitoring has failed to show intended savings to healthcare budgets yet it continues to emerge and gain popularity.

Objective: We set out to verify stakeholders' perspectives of remote vital sign telemonitoring.

Design: An observational design was adopted by devising a survey for distribution to service users and their informal carers.

Sample: Service users in South Eastern Health and Social Care Trust were included. A total of 274 questionnaires were issued. Data from 97 patients (35% response rate) and 49 carers were analysed. Of these, 81 patients and 48 of their carers experienced a monitoring service known as TF3 and 16 patients and 1 carer experienced a service known as U-Tell. The cohorts comprised people living with a number of long-term conditions: diabetes, hypertension after stroke, chronic heart failure, chronic obstructive pulmonary disorder, bronchiectasis and those requiring anticoagulation using warfarin.

Results: Analysis showed that respondents were supportive of the technology with 90.7% of patients agreeing or strongly agreeing with the statement: the remote monitoring system assisted me in managing my health on a day-to-day basis. The patients liked the technology largely because it provided empowerment and control for self-management and allowed them to continue with their lives without major disruption. These views were independent of the technology used and not associated with the patient's long-term conditions, gender or age. There were no reported adverse incidents.

Conclusion: As self-monitoring becomes more relevant to healthcare delivery, the technology will be accepted by many in the population with long-term conditions.

Keywords: BMJ Health Informatics; healthcare.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Caregivers*
  • Chronic Disease*
  • Female
  • Humans
  • Male
  • Monitoring, Physiologic / statistics & numerical data*
  • Self-Management*
  • Surveys and Questionnaires
  • Telemedicine*
  • Vital Signs*