Skip to main content

eHealth and mHealth to Manage Distress in Patients with an Implantable Cardioverter-Defibrillator

  • Chapter
  • First Online:
Psychological, Emotional, Social and Cognitive Aspects of Implantable Cardiac Devices

Abstract

One of the main benefits of the eHealth and mHealth approach is that it overcomes those limitations associated with the traditional, restricted and highly expensive in-patient treatment of many chronic pathologies, by reducing complications from a clinical, organizational and economic prospective. Mobile communication devices, therefore, may be an effective way to ensure long-term maintenance and improvement of health outcomes among patients with an implantable cardioverter-defibrillator (ICD). Employment of eHealth and mHealth usually increases participation, compliance, and engagement toward treatment and helps clinicians by motivating patients in remote settings to withstand medical treatments and to cope with chronic conditions, also in a stepped-care approach. Clinical experiences and best practices regarding mHealth based strategies used to tele-monitor patients with an ICD are reported/highlighted in this chapter which discusses methodological, clinical and technological issues. At the end of the chapter future trends of eHealth–mHealth applications for ICDs are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  1. Eysenbach G. What is e-health? J Med Internet Res. 2001;3:E20. doi:10.2196/jmir.3.2.e20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Castelnuovo G, Manzoni GM, Pietrabissa G, Corti S, Giusti EM, Molinari E, Simpson S. Obesity and outpatient rehabilitation using mobile technologies: the potential mHealth approach. Front Psychol. 2014;5:559. doi:10.3389/fpsyg.2014.00559.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Castelnuovo G, Mauri G, Simpson S, Colantonio A, Goss S. New technologies for the management and rehabilitation of chronic diseases and conditions. Biomed Res Int. 2015;2015:180436. doi:10.1155/2015/180436.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Castelnuovo G, Pietrabissa G, Manzoni GM, Corti S, Ceccarini M, Borrello M, Giusti EM, Novelli M, Cattivelli R, Middleton NA, Simpson SG, Molinari E. Chronic care management of globesity: promoting healthier lifestyles in traditional and mHealth based settings. Front Psychol. 2015;6:1557. doi:10.3389/fpsyg.2015.01557.

    PubMed  PubMed Central  Google Scholar 

  5. Castelnuovo G, Zoppis I, Santoro E, Ceccarini M, Pietrabissa G, Manzoni GM, Corti S, Borrello M, Giusti EM, Cattivelli R, Melesi A, Mauri G, Molinari E, Sicurello F. Managing chronic pathologies with a stepped mHealth-based approach in clinical psychology and medicine. Front Psychol. 2015;6:407. doi:10.3389/fpsyg.2015.00407.

    PubMed  PubMed Central  Google Scholar 

  6. Cipresso P, Serino S, Villani D, Repetto C, Selitti L, Albani G, Mauro A, Gaggioli A, Riva G. Is your phone so smart to affect your states? An exploratory study based on psychophysiological measures. Neurocomputing. 2012;84:23–30. doi:10.1016/j.neucom.2011.12.027.

    Article  Google Scholar 

  7. Eysenbach G. Can tweets predict citations? Metrics of social impact based on twitter and correlation with traditional metrics of scientific impact. J Med Internet Res. 2011;13:e123. doi:10.2196/jmir.2012.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Fiordelli M, Diviani N, Schulz PJ. Mapping mHealth research: a decade of evolution. J Med Internet Res. 2013;15:e95. doi:10.2196/jmir.2430.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Riper H, Andersson G, Christensen H, Cuijpers P, Lange A, Eysenbach G. Theme issue on e-mental health: a growing field in internet research. J Med Internet Res. 2010;12:e74. doi:10.2196/jmir.1713.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Whittaker R. Issues in mHealth: findings from key informant interviews. J Med Internet Res. 2012;14:e129. doi:10.2196/jmir.1989.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Adibi S. Introduction. In: Adibi S, editor. mHealth multidisciplinary verticals. New York: CRC, Taylor & Francis Group; 2015. p. 1–10.

    Google Scholar 

  12. Khaylis A, Yiaslas T, Bergstrom J, Gore-Felton C. A review of efficacious technology-based weight-loss interventions: five key components. Telemed J E Health. 2010;16:931–8. doi:10.1089/tmj.2010.0065.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Manzoni GM, Castelnuovo G, Molinari E. Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008;359:2170. author reply 2171-2172

    PubMed  Google Scholar 

  14. Manzoni GM, Pagnini F, Corti S, Molinari E, Castelnuovo G. Internet-based behavioral interventions for obesity: an updated systematic review. Clin Pract Epidemiol Ment Health. 2011;7:19–28. doi:10.2174/1745017901107010019.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Rao G, Burke LE, Spring BJ, Ewing LJ, Turk M, Lichtenstein AH, Cornier MA, Spence JD, Coons M. New and emerging weight management strategies for busy ambulatory settings: a scientific statement from the American Heart Association endorsed by the Society of Behavioral Medicine. Circulation. 2011;124:1182–203. doi:10.1161/CIR.0b013e31822b9543.

    Article  PubMed  Google Scholar 

  16. Kuhl EA, Sears SF, Conti JB. Internet-based behavioral change and psychosocial care for patients with cardiovascular disease: A review of cardiac disease-specific applications, Heart & Lung. J Acute Critical Care. 2006;35(6):374–382. DOI: http://dx.doi.org/10.1016/j.hrtlng.2006.02.004.

  17. Graffigna G, Barello S, Riva G. Technologies for patient engagement. Health Aff (Millwood). 2013;32:1172. doi:10.1377/hlthaff.2013.0279.

    Article  Google Scholar 

  18. Graffigna G, Barello S, Wiederhold BK, Bosio AC, Riva G. Positive technology as a driver for health engagement. Stud Health Technol Inform. 2013;191:9–17.

    PubMed  Google Scholar 

  19. Castelnuovo G. Empirically supported treatments in psychotherapy: towards an evidence-based or evidence-biased psychology in clinical settings? Front Psychol. 2010;1:27. doi:10.3389/fpsyg.2010.00027.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Nguyen T, Lau DC. The obesity epidemic and its impact on hypertension. Can J Cardiol. 2012;28:326–33. doi:10.1016/j.cjca.2012.01.001.

    Article  PubMed  Google Scholar 

  21. Pietrabissa G, Manzoni GM, Corti S, Vegliante N, Molinari E, Castelnuovo G. Addressing motivation in globesity treatment: a new challenge for clinical psychology. Front Psychol. 2012;3:317. doi:10.3389/fpsyg.2012.00317.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Glasgow RE, Orleans CT, Wagner EH. Does the chronic care model serve also as a template for improving prevention? Milbank Q 2001;79:579–612, iv-v.

    Google Scholar 

  23. Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action. Health Aff (Millwood). 2001;20:64–78.

    Article  CAS  Google Scholar 

  24. Wagner EH, Glasgow RE, Davis C, Bonomi AE, Provost L, Mcculloch D, Carver P, Sixta C. Quality improvement in chronic illness care: a collaborative approach. Jt Comm J Qual Improv. 2001;27:63–80.

    CAS  PubMed  Google Scholar 

  25. O’Donnell RR. Stepped care and E-health in behavioral managed care. In: O’Donohue WT, Draper C, editors. Stepped care and e-health: practical applications to behavioral disorders. New York: Springer; 2011. p. 263–82.

    Chapter  Google Scholar 

  26. Javitt J. Case study: using mHealth to manage diabetes. mHealth News [Online]. 2014. http://www.mhealthnews.com/print/24916. [Accessed]

  27. Moss Richins S. Emerging technologies in healthcare. New York: CRC, Taylor & Francis Group; 2015.

    Book  Google Scholar 

  28. O’Donohue WT, Draper C, editors. Stepped care and e-health: practical applications to behavioral disorders. New York: Springer; 2011.

    Google Scholar 

  29. Von Korff M, Tiemans B. Individualized stepped care of chronic illness. West J Med. 2000;172:133–7.

    Article  Google Scholar 

  30. O’Donohue WT, Draper C. The case for evidence-based stepped care as part of a reformed delivery system. In: O’Donohue WT, Draper C, editors. Stepped care and e-health: practical applications to behavioral disorders. New York: Springer; 2011. p. 1–16.

    Google Scholar 

  31. Mercer V. Chronic disease managemen. In: O’Donohue WT, Draper C, editors. Stepped care and E-health: practical applications to behavioral disorders. New York: Springer; 2011. p. 151–79.

    Chapter  Google Scholar 

  32. Neumeyer-Gromen A, Lampert T, Stark K, Kallischnigg G. Disease management programs for depression: a systematic review and meta-analysis of randomized controlled trials. Med Care. 2004;42:1211–21.

    Article  PubMed  Google Scholar 

  33. Ofman JJ, Badamgarav E, Henning JM, Knight K, Gano AD Jr, Levan RK, Gur-Arie S, Richards MS, Hasselblad V, Weingarten SR. Does disease management improve clinical and economic outcomes in patients with chronic diseases? A systematic review. Am J Med. 2004;117:182–92.

    Article  PubMed  Google Scholar 

  34. Weingarten SR, Henning JM, Badamgarav E, Knight K, Hasselblad V, Gano A Jr, Ofman JJ. Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports. Br Med J. 2002;325:925.

    Article  Google Scholar 

  35. Buxton M, Caine N, Chase D, Connelly D, Grace A, Jackson C, Parkes J, Sharples L. A review of the evidence on the effects and costs of implantable cardioverter defibrillator therapy in different patient groups, and modelling of cost-effectiveness and cost-utility for these groups in a UK context. Health Technol Assess. 2006;10:iii–iv, ix–xi, 1–164.

    Google Scholar 

  36. Guedon-Moreau L, Finat L, Boule S, Wissocque L, Marquie C, Brigadeau F, Kouakam C, Mondesert B, Kacet S, Klug D, Lacroix D. Validation of an organizational management model of remote implantable cardioverter-defibrillator monitoring alerts. Circ Cardiovasc Qual Outcomes. 2015;8:403–12. doi:10.1161/CIRCOUTCOMES.114.001433.

    Article  PubMed  Google Scholar 

  37. Siebermair J, Clauss S, Martens E, Schuessler F, Oversohl N, Haserueck N, Estner HL, Kaab S, Wakili R. Remote monitoring of implantable cardioverter-defibrillators. Problems and implications using a telemonitoring system. Herz. 2015;40(Suppl 2):110–8. doi:10.1007/s00059-014-4080-7.

    Article  PubMed  Google Scholar 

  38. De Ruvo E, Sciarra L, Martino AM, Rebecchi M, Iulianella RV, Sebastiani F, Fagagnini A, Borrelli A, Scara A, Grieco D, Tota C, Stirpe F, Calo L. A prospective comparison of remote monitoring systems in implantable cardiac defibrillators: potential effects of frequency of transmissions. J Interv Card Electrophysiol. 2015; doi:10.1007/s10840-015-0067-4.

    PubMed  Google Scholar 

  39. Dario C, Delise P, Gubian L, Saccavini C, Brandolino G, Mancin S. Large controlled observational study on remote monitoring of pacemakers and implantable cardiac defibrillators: a clinical, economic, and organizational evaluation. Interact J Med Res. 2016;5:e4. doi:10.2196/ijmr.4270.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Al-Khatib SM, Piccini JP, Knight D, Stewart M, Clapp-Channing N, Sanders GD. Remote monitoring of implantable cardioverter defibrillators versus quarterly device interrogations in clinic: results from a randomized pilot clinical trial. J Cardiovasc Electrophysiol. 2010;21:545–50. doi:10.1111/j.1540-8167.2009.01659.x.

    Article  PubMed  Google Scholar 

  41. Guedon-Moreau L, Lacroix D, Sadoul N, Clementy J, Kouakam C, Hermida JS, Aliot E, Boursier M, Bizeau O, Kacet S. A randomized study of remote follow-up of implantable cardioverter defibrillators: safety and efficacy report of the ECOST trial. Eur Heart J. 2013;34:605–14. doi:10.1093/eurheartj/ehs425.

    Article  PubMed  Google Scholar 

  42. Mabo P, Victor F, Bazin P, Ahres S, Babuty D, Da Costa A, Binet D, Daubert JC. A randomized trial of long-term remote monitoring of pacemaker recipients (the COMPAS trial). Eur Heart J. 2012;33:1105–11. doi:10.1093/eurheartj/ehr419.

    Article  PubMed  Google Scholar 

  43. Ricci RP, Morichelli L, Santini M. Remote control of implanted devices through home monitoring technology improves detection and clinical management of atrial fibrillation. Europace. 2009;11:54–61. doi:10.1093/europace/eun303.

    Article  PubMed  Google Scholar 

  44. Spencker S, Coban N, Koch L, Schirdewan A, Muller D. Potential role of home monitoring to reduce inappropriate shocks in implantable cardioverter-defibrillator patients due to lead failure. Europace. 2009;11:483–8. doi:10.1093/europace/eun350.

    Article  PubMed  Google Scholar 

  45. Varma N, Epstein AE, Irimpen A, Schweikert R, Love C. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) trial. Circulation. 2010;122:325–32. doi:10.1161/CIRCULATIONAHA.110.937409.

    Article  PubMed  Google Scholar 

  46. Bohm M, Drexler H, Oswald H, Rybak K, Bosch R, Butter C, Klein G, Gerritse B, Monteiro J, Israel C, Bimmel D, Kaab S, Huegl B, Brachmann J. Fluid status telemedicine alerts for heart failure: a randomized controlled trial. Eur Heart J. 2016; doi:10.1093/eurheartj/ehw099.

    Google Scholar 

  47. Nagele H, Lipoldova J, Oswald H, Klein G, Elvan A, Vester E, Bauer W, Bondke H, Reif S, Daub C, Menzel F, Schrader J, Zach G. Home monitoring of implantable cardioverter-defibrillators: interpretation reliability of the second-generation “IEGM Online” system. Europace. 2015;17:584–90. doi:10.1093/europace/euu349.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Hindricks G, Taborsky M, Glikson M, Heinrich U, Schumacher B, Katz A, Brachmann J, Lewalter T, Goette A, Block M, Kautzner J, Sack S, Husser D, Piorkowski C, Sogaard P. Implant-based multiparameter telemonitoring of patients with heart failure (IN-TIME): a randomised controlled trial. Lancet. 2014;384:583–90. doi:10.1016/S0140-6736(14)61176-4.

    Article  PubMed  Google Scholar 

  49. Geach T. Device therapy: just IN-TIME for ICD telemonitoring. Nat Rev Cardiol. 2014;11:557. doi:10.1038/nrcardio.2014.130.

    Article  PubMed  Google Scholar 

  50. Crossley G, Boyle A, Vitense H, Sherfesee L, Mead RH. Trial design of the clinical evaluation of remote notification to reduce time to clinical decision: the Clinical evaluation of remote NotificatioN to rEduCe Time to clinical decision (CONNECT) study. Am Heart J. 2008;156:840–6. doi:10.1016/j.ahj.2008.06.028.

    Article  PubMed  Google Scholar 

  51. Crossley GH, Boyle A, Vitense H, Chang Y, Mead RH. The CONNECT (Clinical Evaluation of Remote Notification to Reduce Time to Clinical Decision) trial: the value of wireless remote monitoring with automatic clinician alerts. J Am Coll Cardiol. 2011;57:1181–9. doi:10.1016/j.jacc.2010.12.012.

    Article  PubMed  Google Scholar 

  52. Heidbuchel H, Hindricks G, Broadhurst P, Van Erven L, Fernandez-Lozano I, Rivero-Ayerza M, Malinowski K, Marek A, Romero Garrido RF, Loscher S, Beeton I, Garcia E, Cross S, Vijgen J, Koivisto UM, Peinado R, Smala A, Annemans L. EuroEco (European Health Economic Trial on Home Monitoring in ICD Patients): a provider perspective in five European countries on costs and net financial impact of follow-up with or without remote monitoring. Eur Heart J. 2015;36:158–69. doi:10.1093/eurheartj/ehu339.

    Article  PubMed  Google Scholar 

  53. Ricci RP, Morichelli L, Quarta L, Sassi A, Porfili A, Laudadio MT, Gargaro A, Santini M. Long-term patient acceptance of and satisfaction with implanted device remote monitoring. Europace. 2010;12:674–9. doi:10.1093/europace/euq046.

    Article  PubMed  Google Scholar 

  54. Cavaco D. Follow-up of implantable cardioverter-defibrillators: face-to-face or remote? Rev Port Cardiol. 2013;32:965–6. doi:10.1016/j.repc.2013.10.002.

    PubMed  Google Scholar 

  55. Landolina M, Perego GB, Lunati M, Curnis A, Guenzati G, Vicentini A, Parati G, Borghi G, Zanaboni P, Valsecchi S, Marzegalli M. Remote monitoring reduces healthcare use and improves quality of care in heart failure patients with implantable defibrillators: the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study. Circulation. 2012;125:2985–92. doi:10.1161/CIRCULATIONAHA.111.088971.

    Article  PubMed  Google Scholar 

  56. Marzegalli M, Landolina M, Lunati M, Perego GB, Pappone A, Guenzati G, Campana C, Frigerio M, Parati G, Curnis A, Colangelo I, Valsecchi S. Design of the evolution of management strategies of heart failure patients with implantable defibrillators (EVOLVO) study to assess the ability of remote monitoring to treat and triage patients more effectively. Trials. 2009;10:42. doi:10.1186/1745-6215-10-42.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Oldenburg B, Baptista S, Cocker F, O’Neil A. Changing lifestyle behaviors to improve the prevention and management of cardiovascular disease. In: Alvarenga ME, Byrne D, editors. Handbook of psychocardiology. Singapore: Springer; 2016. p. 1077–94.

    Google Scholar 

  58. Rosman L, Whited A, Ford JH, Nekkanti R, Cahill J, Sears SF. Adding psychological intervention to high-tech care for patients with implantable cardioverter defibrillators. In: Alvarenga ME, Byrne D, editors. Handbook of psychocardiology. Singapore: Springer; 2016. p. 1077–94.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gianluca Castelnuovo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Castelnuovo, G. et al. (2017). eHealth and mHealth to Manage Distress in Patients with an Implantable Cardioverter-Defibrillator. In: Proietti, R., Manzoni, G., Pietrabissa, G., Castelnuovo, G. (eds) Psychological, Emotional, Social and Cognitive Aspects of Implantable Cardiac Devices. Springer, Cham. https://doi.org/10.1007/978-3-319-55721-2_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-55721-2_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55719-9

  • Online ISBN: 978-3-319-55721-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics