Acceptability of Home Monitoring for Neovascular Age-Related Macular Degeneration Reactivation: A Qualitative Study

Stud Health Technol Inform. 2024 Jul 24:315:425-429. doi: 10.3233/SHTI240182.

Abstract

This study formed part of a diagnostic test accuracy study to quantify the ability of three index home monitoring (HM) tests (one paper-based and two digital tests) to identify reactivation in Neovascular age-related macular degeneration (nAMD). The aim of the study was to investigate views about acceptability and explore adherence to weekly HM. Semi-structured interviews were held with 98 patients, family members, and healthcare professionals. A thematic approach was used which was informed by theories of technology acceptance. Various factors influenced acceptability including a patient's understanding about the purpose of monitoring. Training and ongoing support were regarded as essential for overcoming unfamiliarity with digital technology. Findings have implications for implementation of digital HM in the care of older people with nAMD and other long-term conditions.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Home Care Services
  • Humans
  • Macular Degeneration* / diagnosis
  • Male
  • Monitoring, Ambulatory / methods
  • Patient Acceptance of Health Care
  • Qualitative Research
  • Wet Macular Degeneration / diagnosis