Towards integrated care for the elderly : exploring the acceptability of telemonitoring for hypertension and type 2 diabetes management

Mihevc, Matic (avtor), Mori-Lukančič, Majda (avtor), Zavrnik, Črt (avtor), Virtič, Tina (avtor), Petek Šter, Marija (avtor), Klemenc-Ketiš, Zalika (avtor), Poplas-Susič, Tonka (avtor)

Introduction: Telemonitoring has been proposed as an effective method to support integrated care for older people with hypertension and type 2 diabetes. This paper examines acceptability of telemontioring, its role in supporting integrated care, and identifies scale-up barriers. Methods: A concurrent triangulation mixed-methods study, including in-depth interviews (n = 29) and quantitative acceptability tool (n = 55) was conducted among individuals who underwent a 12-month telemonitoring routine. The research was guided by the Theoretical Framework of Acceptability. Interviews were analysed using template content analysis (TCA). Results: TCA identified seven domains of acceptability, with twenty-one subthemes influencing it positively or negatively. In the quantitative survey, acceptability was high across all seven domains with an overall score of 4.4 out of 5. Urban regions showed higher acceptability than rural regions (4.5 vs. 4.3), with rural participants perceiving initial training and participation effort as significantly more burdensome than their urban counterparts. Discussion: Patients described several instances where telemonitoring supported self-management, education, treatment, and identification elements of the integrated care package. However, there were barriers that may limit its further scale-up. Conclusion: For further scale-up, it is important to screen patients for monitoring eligibility, adapt telemonitoring devices to elderly needs, combine telemonitoring with health education, involve family members, and establish follow-up programmes.

• Jezik: Angleški jezik
• Ključne besede: acceptability, mobile health, telemonitoring, aged, self-management, integrated care
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2024
• Št. strani: 13 str.
• Številčenje: Vol. 24, iss. 2, art. 16
• PID: 20.500.12556/RUL-182409
• UDK: 616.379
• ISSN pri članku: 1568-4156
• DOI: 10.5334/ijic.7621
• COBISS.SI-ID: 197576195
• Datum objave v RUL: 11.05.2026

Gradivo je del revije

• Naslov: International journal of integrated care
• Založnik: Ubiquity Press
• ISSN: 1568-4156
• COBISS.SI-ID: 517928217

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: sprejemljivost, mobilno zdravje, spremljanje na daljavo, starostniki, samokontrola, celostna oskrba

Projekti

• Financer: EC - European Commission
• Program financ.: H2020
• Številka projekta: 825432
• Naslov: SCale Up an integrated care package for diaBetes and hYpertension for vulnerable people in Cambodia, Slovenia and Belgium
• Akronim: SCUBY