Feasibility, utility, usability and acceptance of a multimodal telemonitoring for COVID-19 patients in general practitioners practices in Germany: a mixed methods study with patients
Notice bibliographique
Résumé
BACKGROUND: During the COVID-19 pandemic, infected outpatients were at risk of declining at home without themselves and their general practitioner (GP) noticing, above all due to silent hypoxemia. To support patients in quarantine, telemonitoring solutions were developed for primary care in several countries. However, evidence on patient perceptions of COVID-19 telemonitoring in primary care settings remains limited. This prospective study evaluates COVID-19 outpatients' experiences with and perception of the usability, utility and acceptance of an app-based telemonitoring in Germany, identifying key conditions for its successful implementation. METHODS: To support home-isolated COVID-19 patients remotely, eight GP practices in Germany implemented a multimodal telemonitoring system. Telemonitoring consisted of an app with connected sensors to remotely measure vital signs and symptoms, with data transmitted to a GP telemedicine platform. Between January to December 2021, 34 COVID-19 outpatients participated in telemonitoring. Telemonitoring duration was 28 days for acute infection or up to 12 weeks for prolonged/post-acute symptoms. Afterwards, patients participated in a mixed-methods evaluation about their experiences consisting of semi-structured telephone interviews and an in-house questionnaire. Interviews were analyzed using qualitative content analysis, questionnaires were analyzed descriptively. RESULTS: =19-74, comorbidities present = 13/34). Patients generally viewed telemonitoring as feasible and beneficial, with high acceptance rates and a perception of the system as valuable and reassuring support during illness. Participants, even those with limited prior experience in recording health data, successfully managed the monitoring process. Key insights included patient expectations regarding GP data access, underscoring the importance of integrating patient perspectives into the design process of future telemonitoring solutions. Connectivity issues with sensors occasionally disrupted data collection. Generally, the results emphasize the importance of comprehensive onboarding and support structures to optimize telemonitoring effectiveness. CONCLUSIONS: This study demonstrates that app-based telemonitoring in primary care is a feasible, well-accepted intervention for COVID-19 outpatients, with patients perceiving it as valuable, supportive and reassuring. Findings emphasize the critical role of patient-centered design and strong support structures for successful telemonitoring integration into primary care. Lastly, these findings underscore the value of telemonitoring in pandemic preparedness, ensuring timely detection of patient deterioration and strengthening primary care resilience. TRIAL REGISTRATION: The study was registered with the German Clinical Trials Register (DRKS00024604). The study was approved by the Ethics Committee of Goethe University Frankfurt (No. 20-1023, 18.01.2021), and written informed consent was obtained from all participants.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,006 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».