Journal Article

Home Telehealth Technologies for Heart Failure: An Examination of Adherence Among Veterans

Farmer, Melissa M., Hahn, Theodore J., Yefimova, Maria, Viernes, Benjamin, Lee, Martin L., Wakefield, Bonnie J., Guzman-Clark, Jenice

2020

Overview

The current retrospective cohort study uses Department of Veterans Affairs (VA) clinical and facility data of Veterans with heart failure enrolled in the VA Home Tele-health (HT) Program. General estimating equations with facility as a covariate were used to model percent average adherence at 1, 3, 6, and 12 months post-enrollment. Most HT patients were White, male, and of older age (mean = 71 years). Average adherence increased the longer patients remained in the HT program. Number of weekly reports of HT use, not having depression, and being of older age were all associated with higher adherence. Compared to White Veterans, Black and other non-White Veterans had lower adherence. These findings identify subgroups of patients (e.g., those with depression, of younger age, non-White) that may benefit from additional efforts to improve adherence to HT technologies. [ Journal of Gerontological Nursing, 46 (7), 26–34.]

• Publisher: SLACK INCORPORATED
• Subject: Adult / Aged / Aged, 80 and over / Cardiology / Chronic illnesses / Cohort Studies / Comorbidity / Disease management / Female / Heart failure / Heart Failure - therapy / Home Care Services / Home health care / Hospitals / Humans / Male / Middle Aged / Mortality / Patient admissions / Patient compliance / Patient Compliance - statistics & numerical data / Primary care / Retrospective Studies / Telemedicine / Telemedicine - statistics & numerical data / United States / United States Department of Veterans Affairs / Veterans / Veterans - statistics & numerical data / Web browsers / Web portals