J Telemed Telecare - Spanish-speaking patients' engagement in interactive voice response (IVR) support calls for chronic disease self-management: data from three countries.

Tópicos

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Resumo

We measured Spanish-speaking patients' engagement in Interactive Voice Response (IVR) calls using data from self-management support studies in Honduras, Mexico and the US. A total of 268 patients with diabetes or hypertension participated in 6-12 weeks of weekly IVR follow-up. Participants had an average of 6.1 years of education, and 73% of them were women. After 2443 person-weeks of follow-up, patients had completed 1494 IVR assessments. The call completion rates were higher in the US (75%) than in Honduras (59%) or Mexico (61%; P < 0.001). Patients participating with an informal caregiver were more likely to complete calls (adjusted odds ratio 1.5; P = 0.03) while patients reporting fair or poor health at enrolment were less likely (adjusted odds ratio 0.59; P = 0.02). Satisfaction rates were high, with 98% of patients reporting that the system was easy to use, and 86% reporting that the calls helped them a great deal in managing their health problems. IVR self-management support is feasible among Spanish-speaking patients with chronic disease, including those living in less-developed countries. Involving informal caregivers may increase patient engagement.

Resumo Limpo

measur spanishspeak patient engag interact voic respons ivr call use data selfmanag support studi hondura mexico us total patient diabet hypertens particip week week ivr followup particip averag year educ women personweek followup patient complet ivr assess call complet rate higher us hondura mexico p patient particip inform caregiv like complet call adjust odd ratio p patient report fair poor health enrol less like adjust odd ratio p satisfact rate high patient report system easi use report call help great deal manag health problem ivr selfmanag support feasibl among spanishspeak patient chronic diseas includ live lessdevelop countri involv inform caregiv may increas patient engag

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