Abstract
BACKGROUND: Research on how home monitoring with a pulse oximeter is executed and experienced by patients with an acute illness such as COVID-19 and their GPs is scarce.
AIM: To examine the process of structured home monitoring with a pulse oximeter for patients with COVID-19, their caregivers, and their GPs.
DESIGN AND SETTING: This was a mixed-method process evaluation alongside a pilot feasibility randomised controlled trial. Patients drawn from a general practice setting, with COVID-19, and aged ≥40 years with cardiovascular comorbidities were included.
METHOD: Quantitative trial data from 21 intervention group participants (age 63.2 years) were used, plus qualitative data from semi-structured interviews with 15 patients (age 62.9 years), eight informal caregivers, and 10 GPs.
RESULTS: Adherence to the intervention was very high; 97.6% of protocolised peripheral oxygen saturation (SpO2) measurements in the first 14 days until admission to hospital were recorded (677/694, median daily per patient 2.7). Three identified themes from the interviews were: (a) user-friendliness of home monitoring: easy use of the pulse oximeter and patient preference of a three times daily measurement scheme; (b) patient empowerment: pulse oximeter use enhanced patient self-assurance and empowered patients and informal caregivers in disease management; and (c) added value to current clinical decision making. GPs perceived the pulse oximeter as a useful diagnostic tool and did not experience any additional workload. They felt more secure with remote monitoring with a pulse oximeter than only phone-based monitoring, but emphasised the need to keep an overall view on the patient's condition.
CONCLUSION: Structured home monitoring by pulse oximetry supports patients and their informal caregivers in managing, and GPs in monitoring, acute COVID-19 disease. It appears suitable for use in acutely ill patients in general practice.
| Original language | English |
|---|---|
| Pages (from-to) | e894-e902 |
| Journal | The British journal of general practice : the journal of the Royal College of General Practitioners |
| Volume | 73 |
| Issue number | 737 |
| DOIs | |
| Publication status | Published - Dec 2023 |
Keywords
- COVID-19
- SARS-CoV-2
- general practice
- oximetry
- pulse oximetry
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10.3399/BJGP.2023.0139Licence: CC BY
e894.fullFinal published version, 143 KBLicence: CC BY
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Smit, K., Venekamp, R. P., Geersing, G.-J., Rutten, F. H., Schoonhoven, L. (2023). Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial. The British journal of general practice : the journal of the Royal College of General Practitioners, 73(737), e894-e902. https://doi.org/10.3399/BJGP.2023.0139
Smit, Karin ; Venekamp, Roderick P ; Geersing, Geert-Jan et al. / Patients' and GPs' views and expectations of home monitoring with a pulse oximeter : a mixed-methods process evaluation of a pilot randomised controlled trial. In: The British journal of general practice : the journal of the Royal College of General Practitioners. 2023 ; Vol. 73, No. 737. pp. e894-e902.
@article{eaf451ab271f419a8eed79e7e267ad87,
title = "Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial",
abstract = "BACKGROUND: Research on how home monitoring with a pulse oximeter is executed and experienced by patients with an acute illness such as COVID-19 and their GPs is scarce.AIM: To examine the process of structured home monitoring with a pulse oximeter for patients with COVID-19, their caregivers, and their GPs.DESIGN AND SETTING: This was a mixed-method process evaluation alongside a pilot feasibility randomised controlled trial. Patients drawn from a general practice setting, with COVID-19, and aged ≥40 years with cardiovascular comorbidities were included.METHOD: Quantitative trial data from 21 intervention group participants (age 63.2 years) were used, plus qualitative data from semi-structured interviews with 15 patients (age 62.9 years), eight informal caregivers, and 10 GPs.RESULTS: Adherence to the intervention was very high; 97.6% of protocolised peripheral oxygen saturation (SpO2) measurements in the first 14 days until admission to hospital were recorded (677/694, median daily per patient 2.7). Three identified themes from the interviews were: (a) user-friendliness of home monitoring: easy use of the pulse oximeter and patient preference of a three times daily measurement scheme; (b) patient empowerment: pulse oximeter use enhanced patient self-assurance and empowered patients and informal caregivers in disease management; and (c) added value to current clinical decision making. GPs perceived the pulse oximeter as a useful diagnostic tool and did not experience any additional workload. They felt more secure with remote monitoring with a pulse oximeter than only phone-based monitoring, but emphasised the need to keep an overall view on the patient's condition.CONCLUSION: Structured home monitoring by pulse oximetry supports patients and their informal caregivers in managing, and GPs in monitoring, acute COVID-19 disease. It appears suitable for use in acutely ill patients in general practice.",
keywords = "COVID-19, SARS-CoV-2, general practice, oximetry, pulse oximetry",
author = "Karin Smit and Venekamp, {Roderick P} and Geert-Jan Geersing and Rutten, {Frans H} and Lisette Schoonhoven and Zwart, {Dorien Lm}",
note = "Publisher Copyright: {\textcopyright}The Authors.",
year = "2023",
month = dec,
doi = "10.3399/BJGP.2023.0139",
language = "English",
volume = "73",
pages = "e894--e902",
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Smit, K, Venekamp, RP, Geersing, G-J, Rutten, FH, Schoonhoven, L 2023, 'Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial', The British journal of general practice : the journal of the Royal College of General Practitioners, vol. 73, no. 737, pp. e894-e902. https://doi.org/10.3399/BJGP.2023.0139
Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial. / Smit, Karin; Venekamp, Roderick P; Geersing, Geert-Jan et al.
In: The British journal of general practice : the journal of the Royal College of General Practitioners, Vol. 73, No. 737, 12.2023, p. e894-e902.
Research output: Contribution to journal › Article › Academic › peer-review
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T1 - Patients' and GPs' views and expectations of home monitoring with a pulse oximeter
T2 - a mixed-methods process evaluation of a pilot randomised controlled trial
AU - Smit, Karin
AU - Venekamp, Roderick P
AU - Geersing, Geert-Jan
AU - Rutten, Frans H
AU - Schoonhoven, Lisette
AU - Zwart, Dorien Lm
N1 - Publisher Copyright:©The Authors.
PY - 2023/12
Y1 - 2023/12
N2 - BACKGROUND: Research on how home monitoring with a pulse oximeter is executed and experienced by patients with an acute illness such as COVID-19 and their GPs is scarce.AIM: To examine the process of structured home monitoring with a pulse oximeter for patients with COVID-19, their caregivers, and their GPs.DESIGN AND SETTING: This was a mixed-method process evaluation alongside a pilot feasibility randomised controlled trial. Patients drawn from a general practice setting, with COVID-19, and aged ≥40 years with cardiovascular comorbidities were included.METHOD: Quantitative trial data from 21 intervention group participants (age 63.2 years) were used, plus qualitative data from semi-structured interviews with 15 patients (age 62.9 years), eight informal caregivers, and 10 GPs.RESULTS: Adherence to the intervention was very high; 97.6% of protocolised peripheral oxygen saturation (SpO2) measurements in the first 14 days until admission to hospital were recorded (677/694, median daily per patient 2.7). Three identified themes from the interviews were: (a) user-friendliness of home monitoring: easy use of the pulse oximeter and patient preference of a three times daily measurement scheme; (b) patient empowerment: pulse oximeter use enhanced patient self-assurance and empowered patients and informal caregivers in disease management; and (c) added value to current clinical decision making. GPs perceived the pulse oximeter as a useful diagnostic tool and did not experience any additional workload. They felt more secure with remote monitoring with a pulse oximeter than only phone-based monitoring, but emphasised the need to keep an overall view on the patient's condition.CONCLUSION: Structured home monitoring by pulse oximetry supports patients and their informal caregivers in managing, and GPs in monitoring, acute COVID-19 disease. It appears suitable for use in acutely ill patients in general practice.
AB - BACKGROUND: Research on how home monitoring with a pulse oximeter is executed and experienced by patients with an acute illness such as COVID-19 and their GPs is scarce.AIM: To examine the process of structured home monitoring with a pulse oximeter for patients with COVID-19, their caregivers, and their GPs.DESIGN AND SETTING: This was a mixed-method process evaluation alongside a pilot feasibility randomised controlled trial. Patients drawn from a general practice setting, with COVID-19, and aged ≥40 years with cardiovascular comorbidities were included.METHOD: Quantitative trial data from 21 intervention group participants (age 63.2 years) were used, plus qualitative data from semi-structured interviews with 15 patients (age 62.9 years), eight informal caregivers, and 10 GPs.RESULTS: Adherence to the intervention was very high; 97.6% of protocolised peripheral oxygen saturation (SpO2) measurements in the first 14 days until admission to hospital were recorded (677/694, median daily per patient 2.7). Three identified themes from the interviews were: (a) user-friendliness of home monitoring: easy use of the pulse oximeter and patient preference of a three times daily measurement scheme; (b) patient empowerment: pulse oximeter use enhanced patient self-assurance and empowered patients and informal caregivers in disease management; and (c) added value to current clinical decision making. GPs perceived the pulse oximeter as a useful diagnostic tool and did not experience any additional workload. They felt more secure with remote monitoring with a pulse oximeter than only phone-based monitoring, but emphasised the need to keep an overall view on the patient's condition.CONCLUSION: Structured home monitoring by pulse oximetry supports patients and their informal caregivers in managing, and GPs in monitoring, acute COVID-19 disease. It appears suitable for use in acutely ill patients in general practice.
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Smit K, Venekamp RP, Geersing GJ, Rutten FH, Schoonhoven L, Zwart DL. Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial. The British journal of general practice : the journal of the Royal College of General Practitioners. 2023 Dec;73(737):e894-e902. doi: 10.3399/BJGP.2023.0139
