Peer Reviewed Journal via three different mandatory reviewing processes, since 2006, and, from September 2020, a fourth mandatory peer-editing has been added.
Existing telemonitoring systems provide limited
support in implementing personalized treatment
plans. We developed a Home Automated
Telemanagement (HAT) system for patients with
congestive heart failure (CHF) to provide
support in following individualized treatment
plans as well as to monitor symptoms, weight
changes, and quality of life, while educating the
patient on their disease. The system was
developed for both a laptop computer and a
Nintendo Wii. The system is designed to be
placed in the patient’s home and to communicate
all patient data to a central server implementing
real-time clinical decision support. The system
questions the patient daily on their condition,
monitors their weight, and provides the patient
with instant feedback on their condition in the
form of a 3-zone CHF action plan. Their
medication regimen and suggested actions are
determined by their care management team and
integrated into the system, keeping a
personalized approach to disease management
while taking advantage of the technology
available. The systems are designed to be as
simple as possible, making it usable by patients
with no prior computer or videogame experience.
A feasibility assessment in African American
patients with CHF and without prior computer or
videogame experience demonstrated high level
of acceptance of the CHF HAT laptop and Wii
systems.
Keywords: telem
