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Patient Engagement Using Telemedicine in Primary Care during COVID-19 Pandemic: A Trial Study

Author

Listed:
  • María Asunción Vicente

    (Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain)

  • César Fernández

    (Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain)

  • Mercedes Guilabert

    (Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain)

  • Irene Carrillo

    (Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain)

  • Jimmy Martín-Delgado

    (Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 0313 Alicante, Spain
    Instituto de Investigación e Innovación en Salud Integral, Facultad de Ciencias Médicas, Universidad Católica de Santiago de Guayaquil, Guayaquil 090603, Ecuador)

  • José Joaquín Mira

    (Health Psychology Department, Miguel Hernandez University, 03202 Elche, Spain
    Foundation for the Promotion of Health and Biomedical Research of Valencia Region (FISABIO), 0313 Alicante, Spain
    Alicante-Sant Joan d’Alacant Health Department, 03013 Alicante, Spain)

  • Prometeo173 Working Group

    (Collaborators of the Prometeo173 Working Group are provided in the Author Contributions.)

Abstract

The correct treatment of most non-transmissible diseases requires, in addition to adequate medication, adherence to physical activity and diet guidelines, as well as health data monitoring and patient motivation. The restrictions caused by the COVID-19 pandemic made telemedicine tools and mobile apps the best choice for monitoring patient compliance. The objective of this study was to analyze the benefits of an m-Health solution designed specifically for chronic patients during the COVID-19 pandemic. A pragmatic clinical trial with pre–post measurements of a single group was carried out with 70 patients (aged 40+) with one or more chronic conditions. Patients were provided with an ad hoc mobile app and health data measuring devices according to their diseases. The health status of the patients was monitored remotely by health professionals who could also modify the patient’s objectives according to their evolution. The results obtained show an average fulfillment of objectives of 77%. Higher fulfillment values: medication adherence (98%) and oxygen saturation (82%); lower fulfillment values: weight (48%), glucose (57%), and distance walked (57%). Globally, the ad hoc app was rated 8.72 points out of 10 (standard deviation 1.10). Concerning the pre–post analysis, there were significant improvements vs. prior apps used by the participants in the following items: improved physical activation and better control of blood pressure, diet, weight, glucose, and oxygen saturation. In conclusion, the telemedicine tool developed was useful in increasing patient engagement and adherence to treatment.

Suggested Citation

  • María Asunción Vicente & César Fernández & Mercedes Guilabert & Irene Carrillo & Jimmy Martín-Delgado & José Joaquín Mira & Prometeo173 Working Group, 2022. "Patient Engagement Using Telemedicine in Primary Care during COVID-19 Pandemic: A Trial Study," IJERPH, MDPI, vol. 19(22), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14682-:d:967101
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    References listed on IDEAS

    as
    1. Nkiruka D Eze & Céu Mateus & Tiago Cravo Oliveira Hashiguchi, 2020. "Telemedicine in the OECD: An umbrella review of clinical and cost-effectiveness, patient experience and implementation," PLOS ONE, Public Library of Science, vol. 15(8), pages 1-24, August.
    2. Georgina Pujolar & Aida Oliver-Anglès & Ingrid Vargas & María-Luisa Vázquez, 2022. "Changes in Access to Health Services during the COVID-19 Pandemic: A Scoping Review," IJERPH, MDPI, vol. 19(3), pages 1-31, February.
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