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

Authors
  • Guzman-Clark, Jenice
  • Yefimova, Maria
  • Farmer, Melissa M.
  • Wakefield, Bonnie J.
  • Viernes, Benjamin
  • Lee, Martin L.
  • Hahn, Theodore J.
Type
Published Article
Journal
Journal of gerontological nursing
Publication Date
Jul 01, 2020
Volume
46
Issue
7
Pages
26–34
Identifiers
DOI: 10.3928/00989134-20200605-05
PMID: 32597998
PMCID: PMC7375894
Source
PubMed Central
License
Unknown

Abstract

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 Telehealth (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.

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