Table 1 Self-monitoring components - factors to be considered at each stage in the design of a self-monitoring intervention
From: What are the basic self-monitoring components for cardiovascular risk management?
Stage | ||||
|---|---|---|---|---|
Factor | Education | Self-measurement | Adjustment/Adherence | Health care professional contact |
Purpose | What is the purpose? • To increase knowledge • To provide skills • To increase compliance • To increase motivation | What is the purpose? • To provide information • To increase compliance • To increase motivation | What is the purpose? • Titration of medication • Titration of behaviour • Adherence to medication regime • Adherence to behaviour regime | What is the purpose? • To provide education • To increase compliance • To increase motivation • Safety |
People | Who receives the education? • Patients • Health care providers | Who is the information for? • Patients • Health care providers | Who adjusts/adheres? • Patients • Health care provider | Which health professionals? • Doctors • Nurses • Other |
Content | What type of education? • Theoretical basis • Content • Mode of delivery • Support materials | What test is to be used? • Accuracy of the test • Feasibility in this setting | What is adjusted/adhered to? • Medication • Behaviour | What is the format of the contact? • Effectiveness • Cost |
Timing | What timing is optimal? • Should it be once off or repeated • How long between sessions • Is it sustainable | What timing is optimal? • How long should the run in be What is the frequency of measurements and does it take account of: • The signal to noise ratio • Fatigue factor and compliance | What is the frequency of adjustments considering: • The signal to noise ratio • Fatigue factor and compliance | What is the timing of the contact? • Feasibility • Compliance |
Other | Should the learning be assessed? • How many assessments • What level of success before allowing self-measurement • How much re-training | What quality assurance is required? • Internal QA and External QA • How often should QA be conducted? What is recorded? • How reliable is the recording method • How accurate is the recording method • Is electronic recording available and feasible | What guidance is provided? • Algorithm • Web based guidance • Clinician guidance | Other? • Algorithm based contact • Video conference |