Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/30121
Title: Relationship Between Adherence to Remote Monitoring and Patient Characteristics: Observational Study in Women With Pregnancy-Induced Hypertension
Authors: VANDENBERK, Thijs 
LANSSENS, Dorien 
STORMS, Valerie 
THIJS, Inge 
Bamelis, Lotte
GRIETEN, Lars 
GYSELAERS, Wilfried 
Tang, Eileen
Luyten, Patrick
Issue Date: 2019
Publisher: JMIR PUBLICATIONS, INC
Source: JMIR MHEALTH AND UHEALTH, 7(8)
Abstract: Background: Pregnancy-induced hypertension (PIH) is associated with high levels of morbidity and mortality in mothers, fetuses, and newborns. New technologies, such as remote monitoring (RM), were introduced in 2015 into the care of patients at risk of PIH in Ziekenhuis Oost-Limburg (Genk, Belgium) to improve both maternal and neonatal outcomes. In developing new strategies for obstetric care in pregnant women, including RM, it is important to understand the psychosocial characteristics associated with adherence to RM to optimize care. Objective: The aim of this study was to explore the role of patients' psychosocial characteristics (severity of depression or anxiety, cognitive factors, attachment styles, and personality traits) in their adherence to RM. Methods: Questionnaires were sent by email to 108 mothers the day after they entered an RM program for pregnant women at risk of PIH. The Generalized Anxiety Disorder Assessment-7 and Patient Health Questionnaire-9 (PHQ-9) were used to assess anxiety and the severity of depression, respectively; an adaptation of the Pain Catastrophizing Scale was used to assess cognitive factors; and attachment and personality were measured with the Experiences in Close Relationships-Revised Scale (ECR-R), the Depressive Experiences Questionnaire, and the Multidimensional Perfectionism Scale, respectively. Results: The moderate adherence group showed significantly higher levels of anxiety and depression, negative cognitions, and insecure attachment styles, especially compared with the over adherence group. The low adherence group scored significantly higher than the other groups on other-oriented perfectionism. There were no significant differences between the good and over adherence groups. Single linear regression showed that the answers on the PHQ-9 and ECR-R questionnaires were significantly related to the adherence rate. Conclusions: This study demonstrates the relationships between adherence to RM and patient characteristics in women at risk of PIH. Alertness toward the group of women who show less than optimal adherence is essential. These findings call for further research on the management of PIH and the importance of individual tailoring of RM in this patient group.
Notes: [Vandenberk, Thijs; Lanssens, Dorien; Storms, Valerie; Thijs, Inge M.; Grieten, Lars; Gyselaers, Wilfried] Hasselt Univ, Fac Med & Life Sci, B-3590 Diepenbeek, Belgium. [Vandenberk, Thijs; Lanssens, Dorien; Storms, Valerie; Thijs, Inge M.; Grieten, Lars; Gyselaers, Wilfried] Ziekenhuis Oost Limburg, Dept Obstet & Gynecol, Genk, Belgium. [Vandenberk, Thijs; Lanssens, Dorien; Storms, Valerie; Thijs, Inge M.; Grieten, Lars; Gyselaers, Wilfried] Ziekenhuis Oost Limburg, Future Hlth, Genk, Belgium. [Vandenberk, Thijs; Lanssens, Dorien; Storms, Valerie; Thijs, Inge M.; Grieten, Lars; Gyselaers, Wilfried] Hasselt Univ, Limburg Clin Res Ctr, Diepenbeek, Belgium. [Vandenberk, Thijs; Lanssens, Dorien; Thijs, Inge M.; Grieten, Lars; Gyselaers, Wilfried] Hasselt Univ, Mobile Hlth Unit, Diepenbeek, Belgium. [Bamelis, Lotte] Ziekenhuis Oost Limburg, Ctr Translat Psychol Res TRACE, Genk, Belgium. [Tang, Eileen; Luyten, Patrick] Katholieke Univ Leuven, Fac Psychol & Educ Sci, Leuven, Belgium. [Luyten, Patrick] UCL, Res Dept Clin Educ & Hlth Psychol, London, England.
Keywords: • remote monitoring;• gestational hypertensive diseases;• monitoring;ambulatory;• hypertension;pregnancy-induced;• surveys and questionnaires;• treatment adherence and compliance
Document URI: http://hdl.handle.net/1942/30121
ISSN: 2291-5222
e-ISSN: 2291-5222
DOI: 10.2196/12574
ISI #: 000482967600001
Rights: Thijs Vandenberk, Dorien Lanssens, Valerie Storms, Inge M Thijs, Lotte Bamelis, Lars Grieten, Wilfried Gyselaers, Eileen Tang, Patrick Luyten. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 28.08.2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.
Category: A1
Type: Journal Contribution
Validations: ecoom 2020
Appears in Collections:Research publications

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