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HoMASQ (Home Monitoring Acceptance and Satisfaction Questionnaire) Clinical Trial

Long-term patient acceptance of and satisfaction with implanted device remote monitoring

Ricci PR ET AL., Europace (2010) 12, 674–679

Study Design

  • Single center survey addressing five different aspects of patient’s acceptance of and satisfaction with remote implantable device monitoring
    • Relationship with the healthcare provider
    • Ease of use
    • Psychological aspects related to remote monitoring
    • Implications on general health
    • Overall satisfaction
  • 12 items to answer on a five-point scale from 0 (strongly unfavourable) to 4 (strongly favourable); answers with ratings ≥2 were considered favourable
  • 119 patients with a BIOTRONIK pacemaker, ICD or CRT-D device implanted
  • The survey was to be completed at the time of 1 year follow-up

Key Result

The mean total score of all items was 40.8 ± 5.4 (of a maximum score of 48) with a mean percentage of favourable answers of 96.3 ± 18.8% (CI 95.2 - 97.2%).

HoMASQ Key Result

Figure 1: Score average and standard deviation for each item of the HoMASQ.

The ease of Home Monitoring use was ranked best: 99% of all respondents considered Home Monitoring technology easy to use.

97% of patients defined their relationship with the referring nurse and physician as positive, and over 95% of patients considered HM to have a positive implication on their general health. Regarding items on psychological aspects, 10% of the patients reported that this new technology influenced their daily activity, but only 5% of them considered the use of transmitter as a bother. For 92% of patients the transmitter conveyed a sense of security.

98% of patients were completely satisfied by remote monitoring and by how remote control healthcare service was organized.

Clinical Relevance

  • Remote monitoring is deeply changing the consistency and quality of relationship between caregivers and patients
  • Although safety, efficacy, and impact on standard care of remote monitoring have been demonstrated, few data on long-term patient acceptance and satisfaction are available
  • Data on patients’ perception of remote monitoring and its implications on the relationship to the caregivers are essential for the optimal use of this technology.

Study Details

Study Objective

  • To evaluate patients` acceptance with and satisfaction of Home Monitoring

Clinical Sites

  • 1 Italian institution

Sample Size

  • 119 patients

Main Inclusion Criteria

  • implanted CIED equipped with Home Monitoring®

Main Exclusion Criteria

  • Device without Home Monitoring functionality

Principal Investigators

  • Renato Pietro Ricci (San Filippo Neri Hospital, Rome, Italy)

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