Telemetric support self-monitoring of long-term conditions
Four different trials were conducted, one for each of the following conditions: uncontrolled high blood pressure in patients who do not have diabetes, kidney problems or previous stroke; uncontrolled blood pressure in patients who have had strokes; patients with chronic obstructive pulmonary disease (COPD); patients with several uncontrolled conditions (diabetes/blood pressure/obesity).
Outcome and Translation
Hypertension, COPD, diabetes and stroke directly and indirectly are responsible for a large proportion of morbidity and NHS costs in Scotland. Changing the way care is organised through the use of telemetry systems has the potential to improve the quality of control for patients with long-term conditions and release much-needed resources to be used in other ways for patient care.
HERU researchers involved in this research project: Marjon van der Pol
External collaborators: B McKinstry, W MacNee, A Sheikh, C Pagliari, H Pinnock, S Wild, C Sudlow (University of Edinburgh); P Padfield, J McKnight (Lothian Health); J Hanley (Napier University); S Auld (Scottish Centre for Telehealth) and D Kelly (NHS Lothian)
Pinnock, H., Hanley, J. Lewis S., MacNee W., Pagliari C., Pol, M. van der., Sheikh A., McKinstry B. (2009) 'The impact of a telemetric Chronic Obstructive Pulmonary Disease monitoring service: randomised controlled trial with economic evaluation and nested qualitative study' [protocol], Primary Care Respiratory Journal, 18 (3): 233-235.
Pinnock, H., Hanley, J., McCloughan, L., Todd, A., Krishan, A., Lewis, S., Stoddart, A., Pol, M. van der, MacNee, W., Sheikh, A., Pagliari, C. and McKinstry, B. (2013) 'Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial', BMJ, 347:f6070.
Stoddart, A., Pol, M. van der, Pinnock, H., Hanley, J., McCloughan, L., Todd, A., Krishan, A. and McKinstry, B. (2015) 'Telemonitoring for chronic obstructive pulmonary disease: a cost and cost-utility analysis of a randomised controlled trial', Journal of Telemedicine and Telecare, 21(2),108-118.