Improving fidelity of implementation of self-administered pulse oximetry and remote patient monitoring in Honduras during the COVID-19 pandemic - Report - MDSpire

Improving fidelity of implementation of self-administered pulse oximetry and remote patient monitoring in Honduras during the COVID-19 pandemic

  • By

  • Kathryn W. Roberts

  • Berta Alvarez

  • Omar Diaz

  • Michael de St. Aubin

  • Salomé Garnier

  • Saul Cruz

  • Lorenzo Pavon

  • Rachel See

  • Anthony D. So

  • Ligia Paina

  • Tara Kirk Sell

  • Shiony Midence

  • Angela Ochoa

  • Homer Mejía Santos

  • Jonatán Ochoa

  • Sogeiry Solis

  • Devan Dumas

  • Margaret Baldwin

  • C. Daniel Schnorr

  • Alcides Martinez

  • Avi J. Hakim

  • Eric Nilles

  • July 1, 2026

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Clinical Report: Enhancing the Effectiveness of Self-Administered Pulse Oximetry

Background

The COVID-19 pandemic prompted the need for innovative healthcare solutions, particularly in lower-middle-income countries like Honduras. Remote patient monitoring and self-administered pulse oximetry were introduced to manage high-risk patients effectively. Understanding the fidelity of these interventions is crucial for their successful implementation in similar contexts.

Data Highlights

MetricValue
Coverage98.9% (1,821/1,841 eligible patients)
Daily monitoring call completion97.7%
Pulse oximeter utilization97.7%
Participant satisfaction99.2%
Withdrawal rate0.3%
Loss to follow-up2.0%
Referral for warning signs28%

Key Findings

  • High fidelity of implementation with 98.9% coverage of eligible patients.
  • 97.7% completion rate for daily monitoring calls and pulse oximeter utilization.
  • Participant satisfaction reached 99.2%, with minimal withdrawal (0.3%) and loss to follow-up (2.0%).
  • Only 28% of participants sought additional care when referred for warning signs.

Clinical Implications

The findings suggest that self-administered pulse oximetry and remote monitoring can be effectively implemented in resource-limited settings. However, strategies to improve referral adherence are necessary to enhance patient outcomes.

Conclusion

The successful implementation of these interventions in Honduras highlights their potential to improve healthcare access during emergencies. Future research should focus on optimizing referral processes and assessing long-term impacts.

Related Resources & Content

  1. JMIR Medical Informatics, 2026 -- Clinical Evaluation of a Real-Time Wearable System for Monitoring In-Hospital Ambulatory Patients With COVID-19: Retrospective Data Study
  2. Journal of Medical Internet Research (JMIR), 2026 -- Remote Patient Monitoring Is Scaling Without a Clear Organizational Model: Insights From the Netherlands
  3. Journal of General Internal Medicine (Springer), 2026 -- Growth and Financial Outcomes of a Remote Physiologic Monitoring Service for Hypertension in the Primary Care Setting
  4. WHO, 2025 -- Clinical management of COVID-19: living guideline
  5. PLOS Global Public Health, 2025 -- Impact of self-administered pulse oximetry among non-hospitalized patients at risk of severe COVID-19 in Honduras: A pragmatic, cluster-randomized trial with temporal clustering
  6. CDC, 2026 -- Clinical Course: Progression, Management, and Treatment | Covid
  7. Optometric Management — Incorporating Remote Monitoring Into Your Practice
  8. Clinical management of COVID-19: living guideline, June 2025
  9. Impact of self-administered pulse oximetry among non-hospitalized patients at risk of severe COVID-19 in Honduras: A pragmatic, cluster-randomized trial with temporal clustering | PLOS Global Public Health
  10. Clinical Course: Progression, Management, and Treatment | Covid | CDC

Original Source(s)

Improving fidelity of implementation of self-administered pulse oximetry and remote patient monitoring in Honduras during the COVID-19 pandemic

  • by Kathryn W. Roberts, Berta Alvarez, Omar Diaz, Michael de St. Aubin, Salomé Garnier, Saul Cruz, Lorenzo Pavon, Rachel See, Anthony D. So, Ligia Paina, Tara Kirk Sell, Shiony Midence, Angela Ochoa, Homer Mejía Santos, Jonatán Ochoa, Sogeiry Solis, Devan Dumas, Margaret Baldwin, C. Daniel Schnorr, Alcides Martinez, Avi J. Hakim, Eric Nilles

  • July 1, 2026

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