Improving fidelity of implementation of self-administered pulse oximetry and remote patient monitoring in Honduras during the COVID-19 pandemic - Scorecard - 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 Scorecard: Enhancing the Effectiveness of Self-Administered Pulse Oximetry and Remote Patient Monitoring in Honduras Amid the COVID-19 Crisis

At a Glance

CategoryDetail
ConditionCOVID-19
Key MechanismsSelf-administered pulse oximetry and remote patient monitoring
Target PopulationHigh-risk COVID-19 patients
Care SettingLower-middle-income country healthcare system

Key Highlights

  • High fidelity achieved with 98.9% coverage and 97.7% daily monitoring call completion
  • Participant satisfaction was 99.2% with minimal withdrawal (0.3%)
  • Only 28% of participants sought additional care when referred for warning signs
  • Culturally-adapted education materials and tailored communication strategies were used
  • Reported positive impacts on participants' mental health during isolation

Guideline-Based Recommendations

Diagnosis

  • Self-administered pulse oximetry endorsed by WHO for detecting silent hypoxia

Management

  • Remote patient monitoring for high-risk, non-hospitalized COVID-19 patients

Monitoring & Follow-up

  • Daily monitoring calls to ensure adherence and engagement

Risks

  • Concerns about technology access and adoption in resource-limited environments

Patient & Prescribing Data

High-risk COVID-19 patients in Honduras

Implementation of remote monitoring and pulse oximetry can enhance healthcare access

Clinical Best Practices

  • Utilize culturally-adapted educational materials
  • Engage multidisciplinary teams for effective implementation
  • Focus on participant responsiveness and satisfaction

Related Resources & Content

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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