Home-based telehealth service for swallowing and nutrition management following head and neck cancer treatment.

Abstract:

:Introduction Following (chemo)radiotherapy (C/RT) for head and neck cancer (HNC), patients return to hospital for regular outpatient reviews with speech pathology (SP) and nutrition and dietetics (ND) for acute symptom monitoring, nutritional management, and swallowing and communication rehabilitation. The aim of the current study was to determine the feasibility of a home-based telehealth model for delivering SP and ND reviews, to provide patients with more convenient access to these appointments. Methods Service outcomes, costs, and consumer satisfaction were examined across 30 matched participants: 15 supported via the standard model of care (SMOC), and 15 via the home-based telehealth model of care (TMOC). Results All patients were successfully managed via telehealth. The TMOC was more efficient, with a reduced number ( p < 0.003) and duration ( p < 0.01) of appointments required until discharge. Significant patient cost savings ( p = 0.002) were reported for the TMOC due to decreased travel requirements. While staff costs were reduced, additional telehealth equipment levies resulted in a lower but non-significant overall cost difference to the health service when using the TMOC. High satisfaction was reported by all participants attending the TMOC. Discussion The findings support the feasibility of a home-based telehealth model for conducting SP and ND reviews post C/RT for HNC.

journal_name

J Telemed Telecare

authors

Collins A,Burns CL,Ward EC,Comans T,Blake C,Kenny L,Greenup P,Best D

doi

10.1177/1357633X17733020

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

866-872

issue

10

eissn

1357-633X

issn

1758-1109

journal_volume

23

pub_type

杂志文章
  • Web versus app: compliance of patients in a telehealth diabetes management programme using two different technologies.

    abstract::Patients with diabetes were enrolled into a telemonitoring programme. They were offered the choice of collecting their health data either by using Near Field Communication (NFC) enabled mobile phones equipped with a dedicated application (App), or by means of a web-browser based user interface (Web). At the end of the...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/jtt.2012.gth112

    authors: Schreier G,Eckmann H,Hayn D,Kreiner K,Kastner P,Lovell N

    更新日期:2012-12-01 00:00:00

  • Teleneurology in Northern Ireland: a success.

    abstract::In March 1998 two neurologists and a professor of telemedicine met to solve a clinical problem--how to get neurological expertise to patients admitted acutely to hospitals which had no resident neurologist. Four years later, two new consultant neurologists were appointed in Northern Ireland with sessions in telemedici...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:

    authors: Patterson V

    更新日期:2002-01-01 00:00:00

  • Transtelephonic transmission of electrocardiograms in Slovenia.

    abstract::The transtelephonic transmission of electrocardiograms (ECGs) was introduced in Slovenia in 1996 and has been used regularly since September 1997 by health institutions and patients with cardiovascular diseases. Portable 12-channel ECG equipment weighing less than 200 g is generally used. The diagnostic centre is loca...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/1357633001935365

    authors: Gorjup V,Jazbec A,Gersak B

    更新日期:2000-01-01 00:00:00

  • The cost-effectiveness of telestroke in the Pacific Northwest region of the USA.

    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

    doi:10.1177/1357633X15613920

    authors: Nelson RE,Okon N,Lesko AC,Majersik JJ,Bhatt A,Baraban E

    更新日期:2016-10-01 00:00:00

  • Patient satisfaction with nurse-led telephone follow-up in women with lower urinary tract symptoms.

    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

    authors: Jeffery S,Doumouchtsis SK,Fynes M

    更新日期:2007-01-01 00:00:00

  • The diagnostic reliability of Internet-based observational kinematic gait analysis.

    abstract::We investigated the accuracy and reliability of observational kinematic gait assessments performed via a low-bandwidth Internet link (18 kbit/s) and a higher-speed Internet link (128 kbit/s). Twenty-four subjects were randomized to either bandwidth group. Gait was assessed with the Gait Assessment Rating Scale (GARS) ...

    journal_title:Journal of telemedicine and telecare

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1258/135763303322596255

    authors: Russell TG,Jull GA,Wootton R

    更新日期:2003-01-01 00:00:00

  • Telemonitoring for chronic obstructive pulmonary disease: a cost and cost-utility analysis of a randomised controlled trial.

    abstract::We compared the costs and cost-effectiveness of telemonitoring vs usual care for patients with chronic obstructive pulmonary disease (COPD). A total of 256 patients were randomised to either telemonitoring or usual care. In the telemonitoring arm, the touch-screen telemonitoring equipment transmitted data to clinical ...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1357633X14566574

    authors: Stoddart A,van der Pol M,Pinnock H,Hanley J,McCloughan L,Todd A,Krishan A,McKinstry B

    更新日期:2015-03-01 00:00:00

  • A descriptive analysis of an on-demand telehealth approach for remote COVID-19 patient screening.

    abstract::Introduction: COVID-19 requires methods for screening patients that adhere to physical distancing and other Centers for Disease Control and Prevention guidelines. There is little data on the use of on-demand telehealth to meet this need.Methods: The functional performance of on-demand telehealth as a COVID-19 remote p...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1177/1357633X20943339

    authors: Ratwani RM,Brennan D,Sheahan W,Fong A,Adams K,Gordon A,Calabrese M,Hwang E,Smith M,Booker E

    更新日期:2020-07-23 00:00:00

  • Combined in-person and tele-delivered mobile school clinic: A novel approach for improving access to healthcare during school hours.

    abstract:AIMS:We report a novel pilot project that allows access to healthcare for children and staff at school via a mobile clinic or telemedicine portal connected to the mobile clinic. The objectives of this pilot project were (a) to perform physicals for children not attached to a primary care physician; (b) to provide medic...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1177/1357633X20917497

    authors: Nelson R,Bhattacharya SD,Hart S

    更新日期:2020-05-11 00:00:00

  • Transition of care of stable ischaemic heart disease patients from tertiary to primary care with telemedicine support: Randomized noninferiority clinical trial.

    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

    authors: Ruschel KB,Rados DR,Furtado MV,Batista JDL,Katz N,Harzheim E,Polanczyk CA

    更新日期:2020-03-18 00:00:00

  • Factors in the selection of a teleradiology provider in the United States.

    abstract::Commercial teleradiology is well established in the US. There are many factors to consider when engaging a teleradiology provider. One of the basic questions is what do you expect to gain from it? Do you want a final reading from an attending radiologist (known as a consultant radiologist in many countries) or would y...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1177/1357633X13503428

    authors: Hunter TB,Krupinski EA,Weinstein RS

    更新日期:2013-09-01 00:00:00

  • User preferences for text message-delivered skin cancer prevention and early detection.

    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

    authors: Finch L,Youl P,Marshall AL,Soyer HP,Baade P,Janda M

    更新日期:2015-06-01 00:00:00

  • Validity of the Patient Health Questionnaire, PHQ-9, administered through interactive-voice-response technology.

    abstract::We compared the administration of the 9-item Patient Health Questionnaire (PHQ-9) to assess depressive symptoms using interactive voice response (IVR) technology with the method of administration using paper-and-pencil. Data were collected from 51 veterans participating in an 8-week randomized controlled trial of an i...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/jtt.2012.120220

    authors: Turvey C,Sheeran T,Dindo L,Wakefield B,Klein D

    更新日期:2012-09-01 00:00:00

  • A randomized waitlist-controlled pilot trial of voice over Internet protocol-delivered behavior therapy for youth with chronic tic disorders.

    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

    authors: Ricketts EJ,Goetz AR,Capriotti MR,Bauer CC,Brei NG,Himle MB,Espil FM,Snorrason Í,Ran D,Woods DW

    更新日期:2016-04-01 00:00:00

  • Ongoing effects of eConsultation in nephrology on hospital referral rates: An observational study.

    abstract:INTRODUCTION:eConsultation in nephrology is an innovative way for general practitioners (GPs) to consult a nephrologist. Studies have shown that questions from GPs can be answered and intended referrals can be avoided by eConsultation. However, follow-up data are lacking. The primary aim of this study was therefore to ...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1177/1357633X20942037

    authors: Boom VE,van der Kamp LT,van Zuilen AD,De Ranitz WL,Bos WJ,Jellema WT,Mui KW,Later AF,Prinssen M,Kaasjager K

    更新日期:2020-08-03 00:00:00

  • The Pentalfa project. 1: the development of distance continuing medical education via videoconferencing in the Dutch-speaking region of Belgium.

    abstract::A distance continuing medical education programme was established at the Katholieke Universiteit Leuven in Belgium using multipoint videoconferencing via ISDN lines at 384 kbit/s. The sessions, held in the evening, comprised oral presentations followed by interactive questions and answers, and concluded with a multi-s...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/135763303321327966

    authors: Himpens B

    更新日期:2003-01-01 00:00:00

  • Principles for telemedicine and telecare: the perspective of a citizens' panel.

    abstract::Ten delegates at the conference Voluntarism, Health and Social Care were recruited to form a panel of citizens to debate and offer direction for the future of technologically mediated health care. The panel suggested various principles for the development of telemedicine and telecare, concerning: patients, users and c...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/1357633054461877

    authors: Mort M,Finch T

    更新日期:2005-01-01 00:00:00

  • Use of a mobile phone diary for observing weight management and related behaviours.

    abstract::We studied self-observations related to weight management recorded with a Wellness Diary application on a mobile phone. The data were recorded by 27 participants in a 12-week study, which included a short weight management lecture followed by independent usage of the Wellness Diary. We studied the validity of self-obs...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/jtt.2009.091103

    authors: Mattila E,Lappalainen R,Pärkkä J,Salminen J,Korhonen I

    更新日期:2010-01-01 00:00:00

  • Quality assessment and cataloguing of telemedicine applications.

    abstract::We created a Web catalogue of approved telemedicine systems that authoritative Italian research bodies had made available for more general use. The evaluation process was divided into two stages: (1) classification of the telemedicine systems and rough preliminary evaluation; (2) assessment of the telemedicine product...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/135763306777488735

    authors: Bedini R,Belardinelli A,Giansanti D,Guerriero L,Macellari V,Morelli S

    更新日期:2006-01-01 00:00:00

  • Tele-ophthalmology: Opportunities for improving diabetes eye care in resource- and specialist-limited Sub-Saharan African countries.

    abstract::Tele-ophthalmology using portable retinal imaging technology, mobile phone and Internet connectivity offers a solution to improve access to diabetic retinopathy (DR) screening services in sub-Saharan African (SSA) countries where the burden of diabetes is increasing and there is limited access to eye care services and...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1177/1357633X15604083

    authors: Matimba A,Woodward R,Tambo E,Ramsay M,Gwanzura L,Guramatunhu S

    更新日期:2016-07-01 00:00:00

  • A survey of patients attending an eye clinic in Ghana.

    abstract::To determine the motivation behind patients attending hospital eye services, 30 in-depth interviews were conducted in Accra, Ghana, using a semi-structured format. Patients were interviewed from five different populations. Discomfort in the eye was the main reason for attending the eye clinic. Patients had high expect...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/135763307783064449

    authors: Baker H,Ntim-Amponsah C,Murdoch IE

    更新日期:2007-01-01 00:00:00

  • Telehospice: reasons for slow adoption in home hospice care.

    abstract::We investigated why hospice nurses were slow to adopt videophones to care for their patients. We used the unified theory of acceptance and use of technology (UTAUT) model and the organizational readiness for change (ORC) assessment via interviews and focus groups with hospice staff. Twenty-five hospice employees parti...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/jtt.2009.080911

    authors: Whitten P,Holtz B,Meyer E,Nazione S

    更新日期:2009-01-01 00:00:00

  • Image processing from computerized tomography images: virtual reconstruction for telediagnosis.

    abstract::We have developed a system for remote three-dimensional reconstruction, which facilitates telediagnosis. The telereconstruction system is based on a computerized tomography (CT) scanner, a workstation connected to the CT scanner, a PC, which can be geographically far away from the workstation, and a computer program t...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/1357633001935770

    authors: Masero V,Moreno J,Silva A,Andres F,Chambel J,Uson J

    更新日期:2000-01-01 00:00:00

  • Videoconferencing in the Queensland health service.

    abstract::Videoconferencing was introduced in the Queensland health service in 1995. By the end of 1999, there were more than 150 videoconferencing units in health facilities around the state. Six audits of videoconferencing usage were conducted using similar methodology at six-month intervals from November 1997 to May 2000. Be...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/1357633011936516

    authors: Kennedy C,Blignault I,Hornsby D,Yellowlees P

    更新日期:2001-01-01 00:00:00

  • Management of urinary incontinence in older women using videoconferencing versus conventional management: a randomized controlled trial.

    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

    authors: Hui E,Lee PS,Woo J

    更新日期:2006-01-01 00:00:00

  • Effectiveness of a teleaudiology approach to hearing aid fitting.

    abstract::This research was conducted to evaluate the efficacy of an online speech perception test (SPT) for the measurement of hearing and hearing aid fitting in comparison with conventional methods. Phase 1 was performed with 88 people to evaluate the SPT for the detection of significant hearing loss. The SPT had high sensiti...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1177/1357633X15611568

    authors: Blamey PJ,Blamey JK,Saunders E

    更新日期:2015-12-01 00:00:00

  • A preliminary assessment of Internet-based nuclear telecardiology to support the clinical management of cardiac disease in a remote community.

    abstract::A portable nuclear medicine (NM) processing system was established in Kalgoorlie and an acute myocardial perfusion scintigraphy (MPS) service was provided for the local regional hospital. After scanning the patient, the data were processed on a laptop computer and JPEG images were transmitted to a secure Web server. A...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/135763303322196411

    authors: Tually P,Janssen J,Cowell S,Walker J

    更新日期:2003-01-01 00:00:00

  • Telepsychiatry: an island pilot project.

    abstract::A telemedicine link was established in 1996 between the island of Inishmore and the department of psychiatry in University College Hospital, Galway. The link was mainly used to facilitate emergency consultations between patients on the island and the duty psychiatrist, always at the request of the island's general pra...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章

    doi:10.1258/1357633981931498

    authors: Mannion L,Fahy TJ,Duffy C,Broderick M,Gethins E

    更新日期:1998-01-01 00:00:00

  • Telerehabilitation in stroke care--a systematic review.

    abstract::We conducted a systematic review of telerehabilitation interventions in stroke care. The following databases were searched: Medline, Embase, DARE-NHSEED-HTA (INAHTA) and the Cochrane Library. Nine studies, all published after 2000, were included in the review. A wide variety of telemedicine interventions in post-strok...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章,评审

    doi:10.1258/jtt.2010.100105

    authors: Johansson T,Wild C

    更新日期:2011-01-01 00:00:00

  • Peer support via video-telephony among frail elderly people living at home.

    abstract::We evaluated the effect of a video-phone network on peer support among frail elderly people living at home. We conducted a one-year trial of network formation among 14 people (five men and nine women, age range 78-85 years) through coordinator intervention and the use of ISDN video-phones. The purpose of the intervent...

    journal_title:Journal of telemedicine and telecare

    pub_type: 杂志文章,多中心研究

    doi:10.1258/135763303321159666

    authors: Ezumi H,Ochiai N,Oda M,Saito S,Ago M,Fukuma N,Takenami S

    更新日期:2003-01-01 00:00:00