{"id":4918,"date":"2025-03-10T15:41:11","date_gmt":"2025-03-10T13:41:11","guid":{"rendered":"https:\/\/sites.uef.fi\/neuro-innovation\/?p=4918"},"modified":"2025-03-13T14:45:18","modified_gmt":"2025-03-13T12:45:18","slug":"melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase","status":"publish","type":"post","link":"https:\/\/sites.uef.fi\/neuro-innovation\/2025\/03\/10\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\/","title":{"rendered":"Melika Azim Zadegan: My First PhD Study Results: Key Insights on Remote Monitoring Acceptance Among iNPH Patients in the Pre-Implantation Phase\u00a0"},"content":{"rendered":"\n<p>The world is rapidly advancing toward digitalization across all sectors, and healthcare is no exception. As part of this transformation, home-based remote monitoring (RM) has emerged as a promising framework for tracking patients\u2019 health from the comfort of their homes using digital technology. RM enables the real-time transmission of patient health data to clinical sites, offering a valuable tool for early disease detection, personalized interventions, and proactive healthcare management. It has gained traction across various healthcare contexts, including neurological conditions, as it allows for continuous monitoring without the need for frequent hospital visits.&nbsp;<\/p>\n\n\n\n<p>RM is particularly appealing to elderly patients, many of whom wish to age in place and maintain their independence. By reducing hospital visits and enabling continuous health tracking, RM not only enhances clinical care but also empowers patients to take a more active role in managing their health. However, despite its growing adoption, not everyone is equally ready to embrace RM.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Who Is More Likely to Adopt Remote Monitoring?&nbsp;<\/strong>&nbsp;<\/h2>\n\n\n\n<p>In the first article of my PhD, we investigated whether sociodemographic factors\u2014including age, gender, education level, living arrangements, caregiver presence at outpatient clinic visits, and place of residence\u2014are associated with RM acceptance among elderly neurological patients, specifically those with idiopathic normal pressure hydrocephalus (iNPH<strong>) <\/strong>in the pre-implementation phase. iNPH is a condition characterized by a triad of symptoms: gait disturbances, cognitive decline, and urinary incontinence, often leading to a decreased quality of life and an increased need for medical support.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Why RM Matters for Elderly Neurological Patients with iNPH?<\/strong>&nbsp;<\/h2>\n\n\n\n<p>Most elderly people prefer to age in place\u2014staying in their own homes for as long as possible. This is especially true for those with neurological conditions like idiopathic normal pressure hydrocephalus (iNPH). For these patients, RM could be a promising solution, reducing unnecessary hospital visits and ensuring timely medical attention\u2014without waiting for their next hospital visit when symptoms might worsen.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What We Discovered: Key Factors in Remote Monitoring Acceptance in pre-implantation phase<\/strong>&nbsp;<\/h2>\n\n\n\n<p>We conducted a study at Kuopio University Hospital, Neurosurgery unit in Finland, surveying 30 elderly patients about their sociodemographic factors (age, gender, education level, living with a caregiver, caregiver presence at an outpatient clinic visit, and place of residence) and their acceptance of RM (Yes\/No).&nbsp;&nbsp;<\/p>\n\n\n\n<p>Our research findings indicate that living arrangements, education level, and caregiver involvement during outpatient visits significantly influence RM adoption. Here is what we found:&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1440\" src=\"https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-scaled.jpg\" alt=\"Infographic of a research article\" class=\"wp-image-4919\" srcset=\"https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-scaled.jpg 2560w, https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-300x169.jpg 300w, https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-1024x576.jpg 1024w, https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-768x432.jpg 768w, https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-1536x864.jpg 1536w, https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-2048x1152.jpg 2048w, https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-992x558.jpg 992w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Living With a Caregiver? You\u2019re More Likely to Say Yes to RM<\/strong>&nbsp;<\/h3>\n\n\n\n<p>Elderly patients who lived with a family caregiver were significantly more likely to embrace RM than those who lived alone. This makes sense\u2014caregivers provide both emotional and practical support, helping patients feel more comfortable with new healthcare technologies. For those who live alone, learning to use RM might feel overwhelming without additional assistance.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Higher Education = Higher RM Acceptance<\/strong>&nbsp;<\/h3>\n\n\n\n<p>Patients with higher education levels were more open to RM adoption, likely because they are more familiar with technology and digital tools. This highlights a crucial point: for RM to succeed, healthcare providers must ensure that those with lower education levels receive clear, easy-to-understand information and training.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Caregivers at Clinic Visits: A Confidence Booster?<\/strong>&nbsp;<\/h3>\n\n\n\n<p>Patients who had a caregiver present during their clinic visit were more likely to accept RM, although the result wasn\u2019t statistically significant. However, the trend suggests an important insight: involving caregivers in RM discussions early on could help patients feel more comfortable and confident about trying it.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>What Didn\u2019t Matter as Much?<\/strong>&nbsp;<\/h3>\n\n\n\n<p>Surprisingly, some factors we expected to influence RM acceptance didn\u2019t show a strong effect:&nbsp;<\/p>\n\n\n\n<p>\u274c <strong>Age<\/strong> \u2013 Older patients weren\u2019t necessarily more resistant to RM.&nbsp;<\/p>\n\n\n\n<p>\u274c <strong>Gender<\/strong> \u2013 No significant differences between men and women in RM acceptance were noticed.&nbsp;&nbsp;<\/p>\n\n\n\n<p>\u274c <strong>Place of Residence<\/strong> \u2013 Living in a rural area didn\u2019t make patients any less likely to accept RM, despite concerns about internet access and technology availability.&nbsp;<\/p>\n\n\n\n<p>However, since our sample size was small, these results are not definitive. Future studies with larger, more diverse samples are needed to confirm these findings.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How can we improve RM Adoption? Practical Tips<\/strong>&nbsp;<\/h2>\n\n\n\n<p>Our research findings highlight the importance of considering individual circumstances when implementing digital health solutions, as certain groups may require additional support or tailored interventions to facilitate acceptance and engagement with RM technology.&nbsp;<\/p>\n\n\n\n<p>Do you want to make RM work for more elderly neurological patients? Here\u2019s our tips:&nbsp;<\/p>\n\n\n\n<p>\u2705 <strong>Make RM Easy to Understand<\/strong> \u2013 Healthcare providers should offer clear, simple training on RM, particularly for patients with lower education levels.&nbsp;<\/p>\n\n\n\n<p>\u2705 <strong>Get Caregivers Involved from Day One<\/strong> \u2013 Encourage caregivers to join clinic visits when RM is being discussed. Their support could make all the difference.&nbsp;<\/p>\n\n\n\n<p>\u2705 <strong>Tailor RM Strategies<\/strong> \u2013 Consider individual patient needs and potential barriers to technology use, offering personalized guidance where necessary.&nbsp;<\/p>\n\n\n\n<p>\u2705 <strong>Address Technology Concerns<\/strong> \u2013 Offer technical support and reassurance for elderly patients who may feel hesitant about using RM devices.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Last words?&nbsp;&nbsp;<\/strong>&nbsp;<\/h2>\n\n\n\n<p>The future of RM is bright, but it\u2019s not a one-size-fits-all solution. Our research highlights the importance of tailoring RM adoption strategies to individual patients. If we take factors like living arrangements, education, and caregiver involvement into account before implementation, we can make RM more effective, accessible, and widely accepted.&nbsp;<\/p>\n\n\n\n<p>At the end of the day, healthcare technology should adapt to patients\u2014not the other way around! By refining RM approaches based on patient-specific needs, we can improve health outcomes and enhance the overall quality of life for elderly neurological patients<strong>.<\/strong>&nbsp;<\/p>\n\n\n\n<p>Last but not least, I would like to express my heartfelt gratitude to my supervisors and co-authors in this study: Professor <a href=\"https:\/\/uefconnect.uef.fi\/en\/paivi.eriksson\/\" target=\"_blank\" rel=\"noreferrer noopener\">P\u00e4ivi Eriksson<\/a>, Dr. <a href=\"https:\/\/uefconnect.uef.fi\/eeva.aromaa\/\" target=\"_blank\" rel=\"noreferrer noopener\">Eeva Aroma<\/a>, Associate Professor <a href=\"https:\/\/uefconnect.uef.fi\/en\/tero.montonen\/\" target=\"_blank\" rel=\"noreferrer noopener\">Tero Montonen<\/a>, Rosa S\u00e4hlstr\u00f6m, and Professor <a href=\"https:\/\/uefconnect.uef.fi\/ville.leinonen\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ville Leinonen<\/a>. Without your guidance and support, this work would not have been possible. I also extend my thanks to the <a href=\"https:\/\/sites.uef.fi\/neuro-innovation\/\" target=\"_blank\" rel=\"noreferrer noopener\">NeuroInnovation PhD programme<\/a>, MSCA Horizon for its invaluable support and funding for my PhD research.&nbsp;<\/p>\n\n\n\n<p><em><a href=\"https:\/\/uefconnect.uef.fi\/en\/person\/melika.azim-zadegan\/\">Melika Azim Zadegan <\/a>works as a doctoral researcher in the Neuro-Innovation PhD programme. Her research focus<em>es<\/em> on remote iNPH patient monitoring<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The world is rapidly advancing toward digitalization across all sectors, and healthcare is no exception. As part of this transformation, home-based remote monitoring (RM) has emerged as a promising framework for tracking patients\u2019 health from the comfort of their homes using digital technology. RM enables the real-time transmission of patient health data to clinical sites, [&hellip;]<\/p>\n","protected":false},"author":860,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4918","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Melika Azim Zadegan: My First PhD Study Results: Key Insights on Remote Monitoring Acceptance Among iNPH Patients in the Pre-Implantation Phase\u00a0 - MSCA Horizon 2020 Neuro-Innovation PhD programme<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sites.uef.fi\/neuro-innovation\/2025\/03\/10\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Melika Azim Zadegan: My First PhD Study Results: Key Insights on Remote Monitoring Acceptance Among iNPH Patients in the Pre-Implantation Phase\u00a0 - MSCA Horizon 2020 Neuro-Innovation PhD programme\" \/>\n<meta property=\"og:description\" content=\"The world is rapidly advancing toward digitalization across all sectors, and healthcare is no exception. As part of this transformation, home-based remote monitoring (RM) has emerged as a promising framework for tracking patients\u2019 health from the comfort of their homes using digital technology. RM enables the real-time transmission of patient health data to clinical sites, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sites.uef.fi\/neuro-innovation\/2025\/03\/10\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\/\" \/>\n<meta property=\"og:site_name\" content=\"MSCA Horizon 2020 Neuro-Innovation PhD programme\" \/>\n<meta property=\"article:published_time\" content=\"2025-03-10T13:41:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-13T12:45:18+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sites.uef.fi\/neuro-innovation\/wp-content\/uploads\/sites\/172\/2025\/03\/blog-post-pic_1-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1440\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Neuro-Inno\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Neuro-Inno\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/2025\\\/03\\\/10\\\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/2025\\\/03\\\/10\\\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\\\/\"},\"author\":{\"name\":\"Neuro-Inno\",\"@id\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/#\\\/schema\\\/person\\\/0af1246f7452740476b413987b0a099a\"},\"headline\":\"Melika Azim Zadegan: My First PhD Study Results: Key Insights on Remote Monitoring Acceptance Among iNPH Patients in the Pre-Implantation Phase\u00a0\",\"datePublished\":\"2025-03-10T13:41:11+00:00\",\"dateModified\":\"2025-03-13T12:45:18+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/2025\\\/03\\\/10\\\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\\\/\"},\"wordCount\":1051,\"image\":{\"@id\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/2025\\\/03\\\/10\\\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/wp-content\\\/uploads\\\/sites\\\/172\\\/2025\\\/03\\\/blog-post-pic_1-scaled.jpg\",\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/2025\\\/03\\\/10\\\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\\\/\",\"url\":\"https:\\\/\\\/sites.uef.fi\\\/neuro-innovation\\\/2025\\\/03\\\/10\\\/melika-azim-zadegan-my-first-phd-study-results-key-insights-on-rm-acceptance-among-inph-patients-in-the-pre-implantation-phase\\\/\",\"name\":\"Melika Azim Zadegan: My First PhD Study Results: Key Insights on Remote Monitoring Acceptance Among iNPH Patients in the Pre-Implantation Phase\u00a0 - 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