Introducing telemonitoring for diabetic patients: Development of a telemonitoring 'Health Effect and Readiness' Questionnaire

PURPOSE Till now no validated instrument exists to measure the readiness and attitude of diabetic patients towards the use of telemonitoring. The purpose of the described study was to develop a Telemonitoring Attitude and Readiness Questionnaire and to check its validity and reliability. METHODS After performing in-depth interviews in two separate sessions, the Telemonitoring Attitude and Readiness Questionnaire was completed by a convenience sample of 138 patients with type 1 and type 2 diabetes to determine internal consistency. Test-retest reliability was further evaluated with a subsample of 21 patients. RESULTS Analysis supports the validity and reliability of the 13-item Telemonitoring Health Effect and Readiness Questionnaire (THERQ) with three subscales: Communication with peers or during holidays with a professional (Cronbach's alpha=0.84), telemonitoring health effect (Cronbach's alpha=0.87), and communication with a professional from home (Cronbach's alpha=0.88). Test-retest reliability is satisfactory (intraclass correlation coefficients between 0.58 and 0.92). CONCLUSIONS The results of this study provide preliminary evidence that the Telemonitoring Health Effect and Readiness Questionnaire is a valid and reliable instrument to measure the readiness and subjective feelings of health effect towards the use of telemonitoring. The THERQ could be used before the implementation of telemonitoring to check if diabetic patients are interested in the use of it but it could also be used in (randomized) controlled trials as the questions are put in such a way that also patients not (yet) using telemonitoring can answer the questions.

[1]  Shah Ebrahim,et al.  Prevention of chronic diseases: a call to action , 2007, The Lancet.

[2]  J. Polisena,et al.  Home telehealth for diabetes management: a systematic review and meta‐analysis , 2009, Diabetes, obesity & metabolism.

[3]  David R Thompson,et al.  Development of a reliable and valid Chinese version of the diabetes empowerment scale. , 2003, Diabetes care.

[4]  W. J. Meijer,et al.  Empowering the patient with ICT-tools: the unfulfilled promise. , 2007, Studies in health technology and informatics.

[5]  R. Ryckman,et al.  Social support in diabetes: a systematic review of controlled intervention studies. , 2005, Patient education and counseling.

[6]  L. Donelle,et al.  Clinical guidelines about diabetes and the accuracy of peer information in an unmoderated online health forum for retired persons , 2009, Informatics for health & social care.

[7]  Francesc Saigí,et al.  [Difficulties of incorporating telemedicine in health organizations: analytical perspectives]. , 2009 .

[8]  A. Chang,et al.  Development of the Telemedicine Satisfaction Questionnaire to evaluate patient satisfaction with telemedicine: a preliminary study , 2003, Journal of telemedicine and telecare.

[9]  Suzanne Bakken,et al.  Development, validation, and use of English and Spanish versions of the telemedicine satisfaction and usefulness questionnaire. , 2006, Journal of the American Medical Informatics Association : JAMIA.

[10]  Clare Bradley,et al.  Handbook of Psychology and Diabetes : A Guide to Psychological Measurement in Diabetes Research and Practice , 1994 .

[11]  An Jacobs,et al.  A methodology for shifting the focus of e-health support design onto user needs: A case in the homecare field , 2008, Int. J. Medical Informatics.

[12]  D. Streiner,et al.  Health Measurement Scales: A practical guide to thier development and use , 1989 .

[13]  Chia-Ching Chang,et al.  Perspectives and expectations for telemedicine opportunities from families of nursing home residents and caregivers in nursing homes , 2009, Int. J. Medical Informatics.

[14]  Douglas G Altman,et al.  Statistics Notes: Validating scales and indexes. , 2002, BMJ.

[15]  Joshua J Seidman,et al.  Design and Testing of a Tool for Evaluating the Quality of Diabetes Consumer-Information Web Sites , 2003, Journal of medical Internet research.

[16]  Steven Shea,et al.  Diabetes management assisted by telemedicine: patient perspectives. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[17]  J. Fleiss,et al.  Intraclass correlations: uses in assessing rater reliability. , 1979, Psychological bulletin.

[18]  Linda Little,et al.  E-health , 2008, BCS HCI.

[19]  M. Kidd,et al.  A Framework for the Evaluation of Internet-based Diabetes Management , 2002, Journal of medical Internet research.

[20]  M. Skubic,et al.  Needing smart home technologies: the perspectives of older adults in continuing care retirement communities. , 2008, Informatics in primary care.

[21]  G Demiris,et al.  A questionnaire for the assessment of patients' impressions of the risks and benefits of home telecare , 2000, Journal of telemedicine and telecare.

[22]  S. Meystre.  The current state of telemonitoring: a comment on the literature. , 2005, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.