Abstract:
BACKGROUND:Worldwide nearly 3 million people die from chronic obstructive pulmonary disease (COPD) every year. Integrated disease management (IDM) improves quality of life for COPD patients and can reduce hospitalization. Self-management of COPD through eHealth is an effective method to improve IDM and clinical outcomes. OBJECTIVES:The objective of this implementation study was to investigate the effect of 3 chronic obstructive pulmonary disease eHealth programs applied in primary care on health status. The e-Vita COPD study compares different levels of integration of Web-based self-management platforms in IDM in 3 primary care settings. Patient health status is examined using the Clinical COPD Questionnaire (CCQ). METHODS:The parallel cohort design includes 3 levels of integration in IDM (groups 1, 2, 3) and randomization of 2 levels of personal assistance for patients (group A, high assistance, group B, low assistance). Interrupted time series (ITS) design was used to collect CCQ data at multiple time points before and after intervention, and multilevel linear regression modeling was used to analyze CCQ data. RESULTS:Of the 702 invited patients, 215 (30.6%) registered to a platform. Of these, 82 participated in group 1 (high integration IDM), 36 in group 1A (high assistance), and 46 in group 1B (low assistance); 96 participated in group 2 (medium integration IDM), 44 in group 2A (high assistance) and 52 in group 2B (low assistance); also, 37 participated in group 3 (no integration IDM). In the total group, no significant difference was found in change in CCQ trend (P=.334) before (-0.47% per month) and after the intervention (-0.084% per month). Also, no significant difference was found in CCQ changes before versus after the intervention between the groups with high versus low personal assistance. In all subgroups, there was no significant change in the CCQ trend before and after the intervention (group 1A, P=.237; 1B, P=.991; 2A, P=.120; 2B, P=.166; 3, P=.945). CONCLUSIONS:The e-Vita eHealth-supported COPD programs had no beneficial impact on the health status of COPD patients. Also, no differences were found between the patient groups receiving different levels of personal assistance. TRIAL REGISTRATION:Netherlands Trial Registry NTR4098; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4098 (Archived by WebCite at http://www.webcitation.org/6sbM5PayG).
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Talboom-Kamp EP,Verdijk NA,Kasteleyn MJ,Harmans LM,Talboom IJ,Looijmans-van den Akker I,van Geloven N,Numans ME,Chavannes NHdoi
10.2196/jmir.8262subject
Has Abstractpub_date
2017-08-16 00:00:00pages
e291issue
8eissn
1439-4456issn
1438-8871pii
v19i8e291journal_volume
19pub_type
杂志文章abstract:BACKGROUND:The fact that patient satisfaction with primary care clinical practices and physician-patient communications has decreased gradually has brought a new opportunity to the online channel as a supplementary service to provide additional information. OBJECTIVE:In this study, our objectives were to examine the p...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1574
更新日期:2011-11-02 00:00:00
abstract:BACKGROUND:Patient participation is essential in developing high-quality guidelines but faces practical challenges. Evidence on timing, methods, evaluations, and outcomes of methodologies for patient participation in guideline development is lacking. OBJECTIVE:To assess the feasibility of a wiki as a participatory too...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2080
更新日期:2012-10-26 00:00:00
abstract:BACKGROUND:Monitoring of patients may decrease treatment costs and improve quality of care. Pain is the most common health problem that people seek help for in hospitals. Therefore, monitoring patients with pain may have significant impact in improving treatment. Several studies have studied factors affecting pain; how...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.7279
更新日期:2017-10-27 00:00:00
abstract:BACKGROUND:Three-dimensional virtual worlds are becoming very popular among educators in the medical field. Virtual clinics and patients are already used for case study and role play in both undergraduate and continuing education levels. Dental education can also take advantage of the virtual world's pedagogical featur...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2651
更新日期:2013-10-29 00:00:00
abstract:BACKGROUND:The ability to perform vape tricks (ie, blowing large vapor clouds or shapes like rings) using e-cigarettes appeals to youth. Vape tricks are promoted on social media, but the promotion of vape tricks on social media is not well understood. OBJECTIVE:The aim of this study was to examine how vape tricks were...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12709
更新日期:2019-06-18 00:00:00
abstract:BACKGROUND:Health care systems increasingly rely on patients' data entry efforts to organize and assist in care delivery through health information exchange. OBJECTIVES:We sought to determine (1) the variation in burden imposed on parents by data entry efforts across paper-based and computer-based environments, and (2...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2011-01-26 00:00:00
abstract:BACKGROUND:Influenza is a viral respiratory disease capable of causing epidemics that represent a threat to communities worldwide. The rapidly growing availability of electronic "big data" from diagnostic and prediagnostic sources in health care and public health settings permits advance of a new generation of methods ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7101
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:Periodic prompts serve as tools for health behavior interventions to encourage and maintain behavior changes. Past literature reviews have examined periodic messages targeting specific behaviors (smoking, physical activity, diet, etc) or media (telephone, email, face-to-face, newsletter, etc) and have found ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2014-03-25 00:00:00
abstract:BACKGROUND:The Dutch Ministry of Health has formulated ambitious goals concerning the use of telehealth, leading to subsequent changes compared with the current health care situation, in which 93% of care is delivered face-to-face. Since most care is delivered to older people, the prospect of telehealth raises the ques...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2018-04-06 00:00:00
abstract:BACKGROUND:Exercise is an effective intervention for the prevention of falls; however, some forms of exercises have been shown to be more effective than others. There is a need to identify effective and efficient methods for training health professionals in exercise prescription for falls prevention. OBJECTIVE:The obj...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1680
更新日期:2011-12-22 00:00:00
abstract:BACKGROUND:Sexual health services routinely screen for child sexual exploitation (CSE). Although sexual health services are increasingly provided online, there has been no research on the translation of the safeguarding function to online services. We studied expert practitioner views on safeguarding in this context. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5911
更新日期:2017-02-14 00:00:00
abstract::In October 2015, the "Chinese American Physicians E-Hospital" celebrated its "grand opening" online. All physicians affiliated with this E-Hospital are bilingual Chinese American physicians, who provide services ranging from initial teleconsulting to international transfer and treatment in the United States. Such tele...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2016-05-23 00:00:00
abstract:BACKGROUND:Internet technologies can create advanced and rich web-based apps that allow radiologists to easily access teleradiology systems and remotely view medical images. However, each technology has its own drawbacks. It is difficult to balance the advantages and disadvantages of these internet technologies and ide...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16224
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:Web-based self-directed mental health applications are rapidly emerging to address health service gaps and unmet needs for information and support. OBJECTIVE:The aim of this study was to determine if a multicomponent, moderated Web-based mental health application could benefit individuals with mental health...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2196/10838
更新日期:2019-06-04 00:00:00
abstract:BACKGROUND:The Internet is a trusted source of health information for growing majorities of Web users. The promise of online health interventions will be realized with the development of purely online theory-based programs for Web users that are evaluated for program effectiveness and the application of behavior change...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1551
更新日期:2011-03-17 00:00:00
abstract:BACKGROUND:Mobile phone use and the adoption of healthy lifestyle software apps ("health apps") are rapidly proliferating. There is limited information on the users of health apps in terms of their social demographic and health characteristics, intentions to change, and actual health behaviors. OBJECTIVE:The objective...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5604
更新日期:2017-04-19 00:00:00
abstract:BACKGROUND:Patients suffering from depression have a high risk of relapse and readmission in the weeks following discharge from inpatient wards. Electronic self-monitoring systems that offer patient-communication features are now available to offer daily support to patients, but the usability, acceptability, and adhere...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6673
更新日期:2017-04-21 00:00:00
abstract:BACKGROUND:In addition to the aging process, risk factors for hearing loss in adults include, among others, exposure to noise, use of ototoxic drugs, genetics, and limited access to medical care. Differences in exposure to these factors are bound to be reflected in the prevalence of hearing loss. Assessment of hearing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17238
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Web-based digital repositories allow educational resources to be accessed efficiently and conveniently from diverse geographic locations, hold a variety of resource formats, enable interactive learning, and facilitate targeted access for the user. Unlike some other learning management systems (LMS), resource...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2094
更新日期:2013-01-16 00:00:00
abstract:BACKGROUND:Participants in medical forums often reveal personal health information about themselves in their online postings. To feel comfortable revealing sensitive personal health information, some participants may hide their identity by posting anonymously. They can do this by using fake identities, nicknames, or ps...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2514
更新日期:2013-10-03 00:00:00
abstract:BACKGROUND:Electronic devices (eDevices) may have positive or negative influences on family communication and well-being depending on how they are used. OBJECTIVE:We examined eDevice use during family time and its association with the quality of family communication and well-being in Hong Kong Chinese adults. METHODS...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2020-10-14 00:00:00
abstract:BACKGROUND:Poor quality primary health care is a major issue in China, particularly in blindness prevention. Artificial intelligence (AI) could provide early screening and accurate auxiliary diagnosis to improve primary care services and reduce unnecessary referrals, but the application of AI in medical settings is sti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-10-17 00:00:00
abstract:BACKGROUND:As the process of producing official health statistics for lifestyle diseases is slow, researchers have explored using Web search data as a proxy for lifestyle disease surveillance. Existing studies, however, are prone to at least one of the following issues: ad-hoc keyword selection, overfitting, insufficie...
journal_title:Journal of medical Internet research
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更新日期:2020-01-27 00:00:00
abstract:BACKGROUND:Most patients with diabetes mellitus (DM) are followed by primary care physicians, who often lack knowledge or confidence to prescribe insulin properly. This contributes to clinical inertia and poor glycemic control. Effectiveness of traditional continuing medical education (CME) to solve that is limited, so...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2017-03-09 00:00:00
abstract:BACKGROUND:The Internet is a significant source of medical information and is now being shown to be an important conduit for delivering various health-related interventions. OBJECTIVE:This paper aimed to examine the utility and impact of an Internet intervention for childhood encopresis as part of standard medical car...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1081
更新日期:2008-06-30 00:00:00
abstract:BACKGROUND:Data from controlled trials indicate that Web-based interventions generally suffer from low engagement and high attrition. This is important because the level of exposure to intervention content is linked to intervention effectiveness. However, data from real-life Web-based behavior change interventions are ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2015-07-15 00:00:00
abstract:BACKGROUND:In the United States, there is a national shortage of organs donated for transplant. Among the solid organs, most often kidneys are donated by living donors, but the lack of information and complicated processes limit the number of individuals who serve as living kidney donors. Social media can be a tool for...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6176
更新日期:2016-12-20 00:00:00
abstract:BACKGROUND:Social media, mobile and wearable technology, and connected devices have significantly expanded the opportunities for conducting biomedical research online. Electronic consent to collecting such data, however, poses new challenges when contrasted to traditional consent processes. It reduces the participant-r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5662
更新日期:2016-07-20 00:00:00
abstract:BACKGROUND:Suicidal thoughts are common among young people presenting to face-to-face and online mental health services. The early detection and rapid response to these suicidal thoughts and other suicidal behaviors is a priority for suicide prevention and early intervention efforts internationally. Establishing how be...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2017-07-12 00:00:00
abstract:BACKGROUND:There has been a rapid rise in the popularity of electronic cigarettes (e-cigarettes) over the last decade, with growth predicted to continue. The uptake of these devices has escalated despite inconclusive evidence of their efficacy as a smoking cessation device and unknown long-term health consequences. As ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2019-02-05 00:00:00