Factors that influence use of a home cardiorespiratory monitor for infants: The collaborative home infant monitoring evaluation

Jean M. Silvestri, George Lister*, Michael J. Corwin, Sheilah M. Smok-Pearsall, Terry M. Baird, David H. Crowell, Jean Cantey-Kiser, Carl E. Hunt, Larry Tinsley, Paula H. Palmer, Rebecca S. Mendenhall, Toke T. Hoppenbrouwers, Michael R. Neuman, Debra E. Weese-Mayer, Marian Willinger

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Background: As part of the Collaborative Home Infant Monitoring Evaluation, a home monitor was developed to record breathing, heart rate, other physiologic variables, and the time the monitor was used. Objective: To determine the frequency of monitor use, factors that influence use, and validity of a model developed to predict use. Design: We developed a model to predict monitor use using multiple linear regression analysis; we then tested the validity of this model to predict adherence for the first week of monitoring and for the subsequent 4-week period (weeks 2-5). Setting: Clinical research centers in Chicago, Ill; Cleveland, Ohio; Honolulu, Hawaii; Los Angeles, Calif; and Toledo, Ohio. Patients: Preterm infants, infants younger than 1 month with a history of autopsy-confirmed sudden infant death syndrome in a sibling, and infants with an idiopathic apparent life-threatening event were divided into 2 cohorts based on enrollment date. Main Outcome Measure: Mean hours of monitor use per week. Results: In cohort 1, the variables available before monitoring were only weakly associated with total hours of monitor use in weeks 2 to 5 (total model r 2 = 0.08). However, when hours of monitor use in week 1 were included as a variable to predict monitor use in weeks 2 to 5, the r2 increased to 0.64 for hours of monitor use per week. Conclusions: Our data show that monitor use in the first week was the most important variable for predicting subsequent monitor use. The study suggests that a major focus of home monitoring should be adherence in the first week, although it remains to be tested whether this adherence can be altered.

Original languageEnglish (US)
Pages (from-to)18-24
Number of pages7
JournalArchives of Pediatrics and Adolescent Medicine
Volume159
Issue number1
DOIs
StatePublished - Jan 2005

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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