Abstract：
:Introduction Pulmonary rehabilitation (PR) is an integral part of the management of chronic obstructive pulmonary disease (COPD). However, many patients do not access or complete PR, and long-term exercise maintenance has been difficult to achieve after PR. This study aimed to investigate feasibility, long-term exercise maintenance, clinical effects, quality of life and use of hospital resources of a telerehabilitation intervention. Methods Ten patients with COPD were offered a two-year follow-up via telerehabilitation after attending PR. The intervention consisted of home exercise, telemonitoring and self-management via a webpage combined with weekly videoconferencing sessions. Equipment included a treadmill, a pulse oximeter and a tablet. Data collected at baseline, one year and two years were six-minute walking distance (6MWD), COPD assessment test (CAT), EuroQol 5 dimensions (EQ-5D), hospitalisations and outpatient visits. Results No dropout occurred. Physical performance, lung capacity, health status and quality of life were all maintained at two years. At one year, 6MWD improved by a mean of 40 metres from baseline, CAT decreased by four points and EQ visual analogue scale (EQ VAS) improved by 15.6 points. Discussion Long-term exercise maintenance in COPD via telerehabilitation is feasible. Results are encouraging and suggest that telerehabilitation can prevent deterioration and improve physical performance, health status and quality of life.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Zanaboni P,Hoaas H,Aarøen Lien L,Hjalmarsen A,Wootton Rdoi
10.1177/1357633X15625545subject
Has Abstractpub_date
2017-01-01 00:00:00pages
74-82issue
1eissn
1357-633Xissn
1758-1109pii
1357633X15625545journal_volume
23pub_type
杂志文章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 pres...
journal_title：Journal of telemedicine and telecare
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更新日期：2009-01-01 00:00:00
abstract：:We conducted a randomized controlled study to compare conventional lectures with tele-education for delivering wound care education. Education was delivered by the two methods simultaneously to two classes. Forty-eight paramedics received a live didactic presentation and 41 paramedics received the same lecture via vid...
journal_title：Journal of telemedicine and telecare
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更新日期：2012-03-01 00:00:00
abstract：:The U Special Kids Program (USK) at the University of Minnesota provides care coordination and case management services by telephone to children with special health-care needs. We measured the effect of the USK programme on hospital resource utilization using a retrospective record review. Information on hospitalizati...
journal_title：Journal of telemedicine and telecare
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doi：10.1258/jtt.2009.090105
更新日期：2009-01-01 00:00:00
abstract：:Telemedicine may be useful in the delivery of clinical psychology services in the Highlands of Scotland, where geographical size and sociodemographic factors can hinder service delivery. The Highlands have a population of 210,000 at a density of approximately 8 people/km2, one of the lowest in the European Union. Desp...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,评审
doi：10.1258/1357633991933567
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abstract：INTRODUCTION:Using real-world data from the Providence Oregon Telestroke Network, we examined the cost-effectiveness of telestroke from both the spoke and hub perspectives by level of financial responsibility for these costs and by patient stroke severity. METHODS:We constructed a decision analytic model using patient...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
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更新日期：2016-10-01 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
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abstract：:We conducted a systematic review of the literature on telemedicine use in long-term care facilities (LTCFs) and assessed the quality of the published evidence. A database search identified 22 papers which met the inclusion criteria. The quality of the studies was assessed and if they contained economic data, they were...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,评审
doi：10.1177/1357633X13483256
更新日期：2013-04-01 00:00:00
abstract：:We carried out a four-month pilot study of telemedicine for the delivery of training and diagnostic ultrasound services for general practitioners (GPs). Two health centres and a district general hospital were linked using ISDN (128 kbit/s) and PC-based videoconferencing units. Sixteen videoconferencing sessions were c...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633991932757
更新日期：1999-01-01 00:00:00
abstract：:We evaluated an accident and emergency teleconsultation service provided to 14 community hospitals in north-east Scotland. Each community hospital was equipped with a videoconferencing system and a document camera to allow transmission of radiographs. The network used 384 kbit/s ISDN connections. A total of 1392 telec...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
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更新日期：2004-01-01 00:00:00
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journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2011.110708
更新日期：2012-03-01 00:00:00
abstract：:In the UK National Health Service (NHS), NHS Direct, the national 24-h telephone helpline, has been available in England and Wales since 2000 and has been termed a 'single gateway' to health care. We conducted a population survey of 15,004 people in areas covered by the service, which included questions about NHS Dire...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763306777889091
更新日期：2006-01-01 00:00:00
abstract：:We tested three imaging devices for suitability in emergency dental situations for telemedicine. The three devices were a special-purpose oral camera, a digital single lens reflex (DSLR) camera, and the built-in camera of a mobile phone. A total of 20 subjects volunteered to take part in the study. We simulated five d...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2009.003013
更新日期：2009-01-01 00:00:00
abstract：:Introduction Despite the increased interest in telerehabilitation (TR), virtual reality (VR) and outcome measures for stroke rehabilitation, surprisingly little research has been done to map and identify the most common outcome measures used in TR. For this review, we conducted a systematic search of the literature th...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,评审
doi：10.1177/1357633X16656235
更新日期：2017-07-01 00:00:00
abstract：:We analysed 46 telecytology cases sent from two rural hospitals about 500 km from a tertiary cancer centre. The cases were submitted for second opinion over a period of two years and evaluated using a static store and forward telecytology approach. A total of 715 digital images were studied (average 15 per case). Fort...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763306778558132
更新日期：2006-01-01 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
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journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X12474960
更新日期：2013-01-01 00:00:00
abstract：:Introduction The aim of this study was to improve the quality of diabetes control and evaluate the efficacy of an Internet-based integrated healthcare system for diabetes management and safety. Methods We conducted a large-scale, multi-centre, randomized clinical trial involving 484 patients. Patients in the intervent...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1177/1357633X16657500
更新日期：2017-07-01 00:00:00
abstract：:Oulu University Hospital has a Web-based multimedia medical record in use. One key element in the creation of regional e-health networks is an electronic referral letter and discharge letter service. In Oulu an XML messaging system is used for an integral part of the medical record. The service has now been extended t...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633042614276
更新日期：2004-01-01 00:00:00
abstract：:We compared telemedicine with a conventional outpatient continence service (CS) in community-dwelling older women with urge or stress incontinence. After an initial biofeedback-assisted pelvic floor muscle training session, subjects were randomized to behavioural training for eight weeks via the CS (n = 27) or a telem...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1258/135763306778682413
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abstract：:The use of an advanced communication network for education has been an integral part of practice at the Mayo Clinic since 1986. The network has been used for patient care, research coordination and administrative support, as well as for educational programming. In 1994, 2655 hours were broadcast by satellite. There we...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633971930184
更新日期：1997-01-01 00:00:00
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journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/jtt.2010.004006
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abstract：:Diagnostic and therapeutic procedures associated with cardiology are heavily supported by diagnostic imaging technology. The management of such images, including radiographs, echocardiography examinations and cardiac angiography studies, requires a suitable means of handling the data. A number of manufacturers are now...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
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更新日期：2002-12-01 00:00:00
abstract：:We established a telerehabilitation system to link staff at the University of Alberta with clinicians and students located in Two Hills, a rural community approximately 180 km east of Edmonton. From February 1996 to March 1999, the faculty of Rehabilitation Medicine conducted a total of 254 telehealth sessions, most o...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/1357633001935554
更新日期：2000-01-01 00:00:00
abstract：:Evidence is needed for the acceptability and user preferences of receiving skin cancer-related text messages. We prepared 27 questions to evaluate attitudes, satisfaction with program characteristics such as timing and spacing, and overall satisfaction with the Healthy Text program in young adults. Within this randomi...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章,随机对照试验
doi：10.1177/1357633X15571652
更新日期：2015-06-01 00:00:00
abstract：:Mentoring is a strategy that may assist the midwifery profession to support new graduates and midwives working in rural and remote areas. We conducted a survey of 1,577 New Zealand midwives about their opinions and experiences of mentoring. The questionnaire comprised 33 questions, nine of which were open questions. T...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1258/135763305775124731
更新日期：2005-01-01 00:00:00
abstract：:This investigation tested the hypothesis that interactive, low-resolution telemedicine is an effective method for radiologists' consultations. The case material consisted of radiographs and digital images from patients with 14 paediatric diseases readily diagnosed by imaging, and 10 matched controls. The original imag...
journal_title：Journal of telemedicine and telecare
pub_type： 临床试验,杂志文章
doi：10.1258/1357633961929141
更新日期：1996-01-01 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
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更新日期：2004-01-01 00:00:00
abstract：:Background Ischemic stroke is a time-sensitive disease, with improved outcomes associated with decreased time from onset to treatment. It was hypothesised that ambulance-based assessment of the National Institutes of Health Stroke Scale (NIHSS) using a Health Insurance Portability and Accountability Act (HIPAA)-compli...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
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更新日期：2017-05-01 00:00:00
abstract：:Introduction We have conducted a feasibility study on remote autopsy services in order to increase the flexibility of the service with benefits for teaching and interdepartmental collaboration. Methods Three senior staff pathologists, one senior autopsy technician and one junior resident participated in the study. Nin...
journal_title：Journal of telemedicine and telecare
pub_type： 杂志文章
doi：10.1177/1357633X17708947
更新日期：2018-08-01 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
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更新日期：2007-01-01 00:00:00
