Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial (2024)

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",

journal = "The British journal of general practice : the journal of the Royal College of General Practitioners",

issn = "0960-1643",

publisher = "Royal College of General Practitioners",

number = "737",

}

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

TY - JOUR

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.

KW - COVID-19

KW - SARS-CoV-2

KW - general practice

KW - oximetry

KW - pulse oximetry

UR - http://www.scopus.com/inward/record.url?scp=85178501717&partnerID=8YFLogxK

U2 - 10.3399/BJGP.2023.0139

DO - 10.3399/BJGP.2023.0139

M3 - Article

C2 - 38035815

SN - 0960-1643

VL - 73

SP - e894-e902

JO - The British journal of general practice : the journal of the Royal College of General Practitioners

JF - The British journal of general practice : the journal of the Royal College of General Practitioners

IS - 737

ER -

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