In the Achelroad et al’s review [Achelrod et al. 2014] The telemedical intervention with STS was a challenge for the patients’ health literacy, especially for older ones, and was felt as social isolation due to not seeing a doctor anymore. The revieew by Martinez et al. [Martinez et al. 2006] shows that home monitoring in general, not STS, lead to a better daily routine for the HF patients thanks to continuous remote vital signs monitoring and adjustment of pharmacological treatment, dietary control, blood pressure balance.
In Cui et al.2013 the results of evaluating the Health Lines program (nurses were available on the telephone to provide suggestions about the patient’s daily management of the disease) showed improvement in self-maintenance so that patients can continue to function in daily life (which include social relationship). One study [Clark 2007] reports about the satisfaction with the interaction between the nurse and the relatives or supportive others of the patients. This wider effect of the intervention is also described in other studies [Riegel et al. 2006]. Patients were also satisfied with the improved accessibility to specialist care and decreased travelling (reducing travel to healthcare services was a very important issue for our rural patients), which was discussed to be similar in the review of Mair &Whitten P. 2000. [Clark 2007]
Seto et al study showed that some patients had access to a computer and many already owned a mobile phone, but the others not technology-accustomed reported that they would be able to get support from their family members (eg, their spouses and children). Interviewed patients thought that older and less technologically experienced patients could have trouble operating the small buttons of a mobile phone, however, none of the interviewed patients thought that they themselves would have significant problems using the equipment this showing that they rely on their familial or important others relationship [Seto 2010].
Two years later Seto (2012) published a study with qualitative interviews of patients and concluded that mobile-phone based telemonitoring enabled patients to change their lifestyle behaviors in a positive manner, reduced anxiety and improved their quality of life. The major aspects were having immediate self-care and clinical feedback, being easy and quick to use, and providing tangible benefits to the end-users (ie, the patients). [Seto 2012]
In the qualitative evaluation of Bond (2014) also most people found the telehealth system (this was a computer equipment that automatically send data to healthprofessionals) easy to use. One group of patients were happy that the nurse could ‘keep an eye’ on them and intervene if necessary [Bond 2014].