Implementing Remote Patient Monitoring of Physical Activity in Clinical Practice

Abstract

Purpose 

Remote patient monitoring (RPM) is a tool for patients to share data collected outside of office visits. RPM uses technology and the digital transmission of data to inform clinician decision-making in patient care. Using RPM to track routine physical activity is feasible to operationalize, given contemporary consumer-grade devices that can sync to the electronic health record. Objective monitoring through RPM can be more reliable than patient self-reporting for physical activity.

Design and Methods 

This article reports on four pilot studies that highlight the utility and practicality of RPM for physical activity monitoring in outpatient clinical care. Settings include endocrinology, cardiology, neurology, and pulmonology settings.

Results 

The four pilot use cases discussed demonstrate how RPM is utilized to monitor physical activity, a shift that has broad implications for prediction, prevention, diagnosis, and management of chronic disease and rehabilitation progress.

Clinical Relevance 

If RPM for physical activity is to be expanded, it will be important to consider that certain populations may face challenges when accessing digital health services.

Conclusion 

RPM technology provides an opportunity for clinicians to obtain objective feedback for monitoring progress of patients in rehabilitation settings. Nurses working in rehabilitation settings may need to provide additional patient education and support to improve uptake.

Association of Rehabilitation Nurses (ARN)

ARN is a professional organization dedicated to promoting and advancing professional rehabilitation nursing practice through education, advocacy, certification, collaboration, and research to support rehabilitation nurses and enhance the quality of life for those affected by disability and chronic illness. For more information about ARN, please visit www.rehabnurse.org or call 800.229.7530.

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