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Telemedicine

Phone telemonitoring in heart failure

Seto E, Leonard KJ, Cafazzo JA, et al. · Journal of medical Internet research · 2012

Open access · cc by · source: Europe PMC

Mobile telemonitoring improved heart-failure quality of life over six months with strong adherence.

Study at a glance

Design
RCT — Mobile telemonitoring plus usual care vs standard care for six months
N
N=100
Population
Adults with heart failure
Outcome
Minnesota Living with Heart Failure Questionnaire (MLHFQ) quality of life

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

Among 100 participants, MLHFQ improved significantly only with telemonitoring; readings were completed ~5–6 days/week.

Methodology

Patients were randomised to mobile telemonitoring plus usual care versus standard care for six months.

Limitations

Single-centre n=100 limits hard-endpoint power; unblinded QoL may reflect attention.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsTelemedicineconcept

    Among 100 participants, MLHFQ improved significantly only with telemonitoring; readings were completed ~5–6 days/week.

    Evidence for the claim as stated.

  • Unblinded patient-reported outcomes and attention effects pull in the opposite direction from hard clinical events. Phone telemonitoring improved MLHFQ in a 100-person heart-failure trial that was not powered for hospitalisation or death, while Text4Heart's lifestyle gains were self-reported and LDL differences were only borderline.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

  • Scope difference — different assays, populations, or outcomes

    Unblinded patient-reported outcomes and attention effects pull in the opposite direction from hard clinical events. Phone telemonitoring improved MLHFQ in a 100-person heart-failure trial that was not powered for hospitalisation or death, while Text4Heart's lifestyle gains were self-reported and LDL differences were only borderline.

    Also on this tension

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