Abstract:
:We evaluated the efficacy of two telehealth applications, delivered by telephone and videophone, for improving outcomes of patients following hospital discharge for an acute exacerbation of heart failure. The outcomes measured were patient self-efficacy, satisfaction with care and knowledge of and compliance with prescribed medications. At hospital discharge, patients were randomly assigned to either control (usual care), telephone or videophone groups. Study nurses contacted the intervention patients each week for 90 days after discharge. A total of 148 patients were enrolled: 49 were randomized to usual care, 52 to the videophone intervention and 47 to the telephone intervention. At 90 days, 126 patients (85%) had completed follow-up; at 180 days, 109 patients (74%) had completed follow-up. There were no significant differences between the groups in medication compliance, self-efficacy or satisfaction with care. The intervention group patients were more likely to have had their medications adjusted during the 90-day intervention period. Knowledge scores improved in the intervention group patients, although these scores were lower at enrolment compared to the control group. It is possible that routine monitoring of symptoms by the study nurses led to medication adjustments and accounted for the intervention patients' significantly delayed time to readmission relative to the control patients.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Wakefield BJ,Holman JE,Ray A,Scherubel M,Burns TL,Kienzle MG,Rosenthal GEdoi
10.1258/jtt.2008.080701subject
Has Abstractpub_date
2009-01-01 00:00:00pages
46-50issue
1eissn
1357-633Xissn
1758-1109pii
15/1/46journal_volume
15pub_type
杂志文章,随机对照试验abstract::Telemedicine is a new field and many health-care providers are developing their own products with the help of industry. Most practitioners are novices in the legal tools necessary to protect their own work with regard to any future commercialization. To summarize these issues for the telemedicine practitioner, a revie...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001934348
更新日期:2000-01-01 00:00:00
abstract::Thirty nursing auxiliaries at a Brazilian hospital were trained in intramuscular injection at the ventrogluteal site in a lecture delivered by videoconference (over an IP connection at up to 512 kbit/s). Participants were able thereafter to practise on the same manikins used for demonstration during the lecture, until...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633042026314
更新日期:2004-01-01 00:00:00
abstract::The Medical College of Georgia (MCG) Sickle Cell Center in Augusta, Georgia, USA, provides consultation and (in some cases) primary-care services to more than 1000 patients with sickle cell disease (SCD). Three SCD telemedicine clinic sites were established in rural areas of middle and southern Georgia, based on clini...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001935923
更新日期:2000-01-01 00:00:00
abstract::Between 1996 and 2003, a network of 85 telehealth videoconference sites was implemented in Western Australia (WA), together with 19 teleradiology facilities. Telehealth services have been growing steadily, and in 2002 there were over 30,000 teleradiology transmissions and 1250 clinical occasions of service via videoco...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322596147
更新日期:2003-01-01 00:00:00
abstract::Videoconferencing to deliver asthma health education to patients or their parents has not been widely used in the USA. We used two 90 min interactive videoconferences to deliver an asthma education programme to a convenience sample of mainly Latino immigrant parents in the Bronx, New York. In these sessions short pres...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763304773391585
更新日期:2004-01-01 00:00:00
abstract::Introduction Knee osteoarthritis is a major cause of disability among the middle to senior age groups. Despite being effective, office-based physical therapy (OBPT) needs professional human resources and is both costly and time-consuming. We aimed to compare the efficacy of tele-rehabilitation (tele-rehab) compared wi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X17723368
更新日期:2018-09-01 00:00:00
abstract:INTRODUCTION:Evidence of telehealth for chronic disease management is scarce and contradictory. OBJECTIVES:We aimed to evaluate the safety and efficacy of teleconsultations as support in the care transition of patients with stable coronary artery disease (CAD) from tertiary to primary care. METHODS:A randomized nonin...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X20906648
更新日期:2020-03-18 00:00:00
abstract::Little is understood about factors that influence speech-language pathologists' (SLPs') acceptance of telepractice. The aim of this study was to investigate SLPs' perceptions and experiences of transitioning to a school-based telepractice service to identify factors that contributed to positive clinician attitudes. In...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X15604555
更新日期:2015-12-01 00:00:00
abstract::Introduction e-Health is an innovative way to make health services more effective and efficient and application is increasing worldwide. e-Health represents a substantial ICT investment and its failure usually results in substantial losses in time, money (including opportunity costs) and effort. Therefore it is import...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X16686548
更新日期:2018-02-01 00:00:00
abstract::The evidence base for lifestyle monitoring is relatively weak, even though there are significant numbers of commercial installations around the world. We conducted a literature review to summarize the current position with regard to lifestyle monitoring based on sensors in the home. In total, 74 papers met the inclusi...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/jtt.2010.100803
更新日期:2011-01-01 00:00:00
abstract::In July 1998, a telemedicine link was established between the Venizelio General Hospital in Crete and the Paediatric Cardiology Department of the Aghia Sophia Children's Hospital in Athens. The telemedicine link used ISDN at 384 kbit/s for diagnosis, management and education in congenital heart disease. Over 18 months...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633011936462
更新日期:2001-01-01 00:00:00
abstract:AIMS:Our study aimed to compare the effectiveness of telemonitoring over structured telephone support in reducing heart failure-related healthcare utilization. METHODS:This was a non-randomised controlled study comparing 150 recently discharged heart failure patients enrolled into telemonitoring and 55 patients who on...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X18825164
更新日期:2020-07-01 00:00:00
abstract::In 2003, the Institute of Tropical Medicine (ITM) in Antwerp set up an Internet-based decision support service to assist health-care workers in the management of difficult HIV/AIDS cases. This service is available to physicians working in resource-limited settings. Between April 2003 and December 2009, the telemedicin...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2010.100308
更新日期:2011-01-01 00:00:00
abstract::We examined the feasibility of using a remotely manoeuverable robot to make home hazard assessments for fall prevention. We employed use-case simulations to compare robot assessments with in-person assessments. We screened the homes of nine elderly patients (aged 65 years or more) for fall risks using the HEROS screen...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X13517350
更新日期:2014-01-01 00:00:00
abstract::The current trend among many universities is to increase the number of courses available online. However, there are fundamental problems in transferring traditional education courses to virtual formats. Delivering current curricula in an online format does not assist in overcoming the negative effects on student motiv...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/13576330260440907
更新日期:2002-12-01 00:00:00
abstract::We conducted a systematic review of studies employing telehealth interventions which focused on family caregivers' outcomes. The Embase, CINHAL, Cochrane and PubMed databases were searched using combinations of keywords including "telehealth," "telemedicine," "telecare," "telemonitoring," "caregiver" and "family." The...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X14562734
更新日期:2015-01-01 00:00:00
abstract::We assessed the clinical effectiveness and patient satisfaction with nurse-led telephone follow-up of women with lower urinary tract symptoms. Participants were offered telephone follow-up with a nurse instead of a conventional outpatient appointment. Suitability was decided by the doctor who saw the women at her last...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763307782215424
更新日期:2007-01-01 00:00:00
abstract::A pilot telemedicine network was established in 11 sites using funding provided by the Department of Trade and Industry in the UK. The main purpose of the project was to develop and evaluate clinical and educational links between central and peripheral sites in Scotland. The results were very encouraging, and clinical...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633011937254
更新日期:2001-01-01 00:00:00
abstract:INTRODUCTION:Comprehensive Behavioral Intervention for Tics (CBIT) has been shown to be efficacious for chronic tic disorders (CTDs), but utilization is limited by a lack of treatment providers and perceived financial and time burden of commuting to treatment. A promising alternative to in-person delivery is voice over...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X15593192
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION:Sufficient infrastructure for information and communications technology (ICT) and a well-established policy are necessary factors for smooth implementation of telemedicine. However, despite these necessary conditions being met, there are situations where telemedicine still fails to be accepted as a system ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1177/1357633X18775853
更新日期:2019-07-01 00:00:00
abstract::Tele-ophthalmic consultations were conducted between a hospital in East Java, Indonesia, and an ophthalmology centre in Perth, Western Australia. Twenty-two eyes of 14 subjects were screened for glaucoma using a hand-held fundus camera. Optic disc images comprised 267 x 234 pixels at 24 bit/pixel (187 kByte). The imag...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633001933934
更新日期:2000-01-01 00:00:00
abstract::The current health-care infrastructure is generally considered to be inadequate to meet the needs of an increasingly older population. We have investigated the feasibility of a passive in-home monitoring system based on wireless accessible sensor populations (WASP). In an EU-funded project we have identified the syste...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/jtt.2008.003010
更新日期:2008-01-01 00:00:00
abstract::Twenty consecutive cases of melanocytic lesions were chosen from the archives of the archives of the institute of Anatomic Pathology at Santa Chiara Hospital, Trento. Representative images were acquired at a spatial resolution of 512 x 512 pixels, saved in IPEG format and delivered to the remote pathologist by multime...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633971930841
更新日期:1997-01-01 00:00:00
abstract::A telemedicine link was installed between a mining town in Western Australia and clinical specialists in Perth, about 1800 km away. Standard commercial videoconferencing units connected by ISDN at 128 kbit/s were used. During a two-year period, 90 teleconsultations were carried out. About one-third of the injuries to ...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633011937038
更新日期:2001-01-01 00:00:00
abstract::The aim of this review was to explore and summarise the evidence base for using mobile apps for the management of headache disorders. PubMed, Web of Science, Embase and Scopus were searched for studies reporting the use of mobile health applications (apps) for managing headache disorders. Different combinations of key...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1177/1357633X16673275
更新日期:2016-12-01 00:00:00
abstract::An emergency ambulance was equipped with three video-cameras and a system for transmitting slow-scan video-pictures through a cellular telephone link to a hospital accident and emergency department. Video-pictures were trasmitted at a resolution of 320 x 240 pixels and a frame rate of 15 pictures/min. In addition, a h...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/1357633981932299
更新日期:1998-01-01 00:00:00
abstract:INTRODUCTION:Veterans with post-traumatic stress disorder (PTSD) face significant barriers that make it less likely for them to pursue treatment. A randomized controlled non-inferiority trial was used to determine if providing psychotherapy for PTSD via videoconference (VC) is as effective as in-person (IP) psychothera...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,随机对照试验
doi:10.1177/1357633X19853947
更新日期:2020-10-01 00:00:00
abstract::Introduction In the last few years, the use of telecommunication and mobile technology has grown significantly. This has led to a notable increase in the utilization of this telecommunication in healthcare, namely phone calls and text messaging (SMS). However, evaluating its global impact on improving healthcare proce...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,meta分析,评审
doi:10.1177/1357633X16661604
更新日期:2017-09-01 00:00:00
abstract::We evaluated the outcome of both realtime teleconsultations and face-to-face consultations in dermatology. Forty-six patients were enrolled in an open controlled study. Twenty-nine patients (60%) answered the questionnaire sent to them after six months. Over the six-month follow-up, similar proportions of the two pati...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章
doi:10.1258/135763303322225526
更新日期:2003-01-01 00:00:00
abstract::Early telemedicine networks employed dedicated telecommunications circuits (e.g. leased digital lines) in which the sender and receiver were connected by a private circuit. More recently, the Internet has become widely available for general use, including telemedicine. The Internet was engineered to permit network pat...
journal_title:Journal of telemedicine and telecare
pub_type: 杂志文章,评审
doi:10.1258/1357633053499822
更新日期:2005-01-01 00:00:00