Download PDFPDF

Innovative Telemonitoring Enhanced Care Programme for Chronic Heart Failure (ITEC-CHF) to improve guideline compliance and collaborative care: protocol of a multicentre randomised controlled trial
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Patient Adherence to Self Care Tasks for Chronic Heart Failure
    • Carolyn Deighan, Health Psychologist The Heart Manual Department, NHS Lothian

    The statement that our cited study [40] demonstrated an issue of declined patient adherence over time is not entirely accurate. By contrast, our HeartCycle study demonstrated excellent adherence to performing daily tasks of weighing and measuring blood pressure, 90% of the patients were still adherent to these tasks at 6 months and adherence remained stable over time. We recognise however patients were less compliant with completing daily symptom questionnaires long term. There is a behavioural dichotomy therefore between carrying out a daily monitoring task (such as stepping on a weighing scale) and reporting symptoms via questionnaire. Arguably patients perceived the importance of daily weighing, and blood pressure monitoring to be greater than the daily reporting of symptoms such as breathlessness, that they may or may not be experiencing. We look forward to learning of the outcomes of the ITEC-CHF trial.

    [40]. Stut W, Deighan C, Cleland JG, et al. Patient adherence to self-care behaviour in the HeartCycle study. Patient Prefer Adherence 2015;9: 1195-206.

    Conflict of Interest:
    None declared.