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Factors affecting adherence to telemonitoring treatment plans for chronic diseases: Providers' perspectives and Workflows of Care for Chronic Disease

SessionPoster Session 1

DescriptionChronic health condition management requires significant time and effort and often involves navigating various treatment options. Many regimens outpace a patient’s ability to adopt necessary health behaviors, adversely affecting their daily life and personal identity. Technologies such as remote patient monitoring (RPM) have shown potential to improve outcomes, specifically in underserved populations. Despite this there is a gap in understanding barriers to the adoption and continual engagement in RPM technologies. This study explores these barriers by examining the experiences of medical providers who use RPM. Eleven professionals were interviewed, their transcribed recordings were de-identified and underwent thematic analysis. Six main themes emerged: types of RPM platforms used, patient enrollment processes, patient concerns, RPM workflow, factors influencing adherence, and strategies to improve adherence. These themes highlighted concerns that potential patients may have participating in RPM, the importance of a close patient-provider relationship, the importance of education in RPM and how experiences with technology can present barriers. Additionally, we were able to construct a system-level interaction diagram to illustrate the complexity of steps and interactions that occur during the enrollment process. Our findings suggest that patients face multiple challenges with RPM and highlight the need to address systemic factors for successful implementation.

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