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Journal of Telemedicine and Telecare

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https://www.readbyqxmd.com/read/27365321/telemedicine-coverage-for-post-operative-icu-patients
#1
Tara Ann Collins, Matthew P Robertson, Corinna P Sicoutris, Michael A Pisa, Daniel N Holena, Patrick M Reilly, Benjamin A Kohl
Introduction There is an increased demand for intensive care unit (ICU) beds. We sought to determine if we could create a safe surge capacity model to increase ICU capacity by treating ICU patients in the post-anaesthesia care unit (PACU) utilizing a collaborative model between an ICU service and a telemedicine service during peak ICU bed demand. Methods We evaluated patients managed by the surgical critical care service in the surgical intensive care unit (SICU) compared to patients managed in the virtual intensive care unit (VICU) located within the PACU...
February 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27056905/systematic-review-of-mobile-health-behavioural-interventions-to-improve-uptake-of-hiv-testing-for-vulnerable-and-key-populations
#2
Donaldson F Conserve, Larissa Jennings, Carolina Aguiar, Grace Shin, Lara Handler, Suzanne Maman
Introduction This systematic narrative review examined the empirical evidence on the effectiveness of mobile health (mHealth) behavioural interventions designed to increase the uptake of HIV testing among vulnerable and key populations. Methods MEDLINE/PubMed, Embase, Web of Science, and Global Health electronic databases were searched. Studies were eligible for inclusion if they were published between 2005 and 2015, evaluated an mHealth intervention, and reported an outcome relating to HIV testing. We also reviewed the bibliographies of retrieved studies for other relevant citations...
February 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26936864/telemedicine-for-ophthalmic-consultation-services-use-of-a-portable-device-and-layering-information-for-graders
#3
Maria A Woodward, J Clay Bavinger, Sejal Amin, Taylor S Blachley, David C Musch, Paul P Lee, Paula Anne Newman-Casey
Introduction We compared remote, image-based patient consultations to in-person consultations at emergency department and inpatient hospital settings. Methods Patients evaluated by the ophthalmic consultation services (gold standard) were imaged over a two-week period. A trained study coordinator took anterior segment photographs (AS) and posterior segment photographs (PS) with a portable camera (PictorPlus, Volk Optical, Cleveland, OH). Ophthalmologists (graders) determined photograph quality, presence of pathology, and their confidence in disease detection...
February 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26880695/do-weight-management-interventions-delivered-by-online-social-networks-effectively-improve-body-weight-body-composition-and-chronic-disease-risk-factors-a-systematic-review
#4
Erik A Willis, Amanda N Szabo-Reed, Lauren T Ptomey, Felicia L Steger, Jeffery J Honas, Richard A Washburn, Joseph E Donnelly
Introduction Currently, no systematic review/meta-analysis has examined studies that used online social networks (OSN) as a primary intervention platform. Therefore, the purpose of this review was to evaluate the effectiveness of weight management interventions delivered through OSN. Methods PubMed, EMBASE, PsycINFO, Web of Science, and Scopus were searched (January 1990-November 2015) for studies with data on the effect of OSNs on weight loss. Only primary source articles that utilized OSN as the main platform for delivery of weight management/healthy lifestyle interventions, were published in English language peer-reviewed journals, and reported outcome data on weight were eligible for inclusion in this systematic review...
February 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28490229/changes-in-blood-pressure-among-patients-in-the-ontario-telehomecare-programme-an-observational-longitudinal-cohort-study
#5
Yeva Sahakyan, Lusine Abrahamyan, Nida Shahid, Alexandra Stanimirovic, Petros Pechlivanoglou, Nicholas Mitsakakis, Welson Ryan, Murray Krahn, Valeria E Rac
Background The objective of this study was to investigate the changes in blood pressure among patients enrolled in the Telehomecare programme in Ontario, Canada. Methods This observational study utilised a prospective longitudinal cohort design, including patients with heart failure and chronic obstructive pulmonary disease enrolled in the Ontario Telehomecare programme from July 2012 to July 2015. The outcome of interest was change in mean (biweekly) systolic and diastolic blood pressure levels over a six-month period...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28480782/the-kon-tiki-expedition-and-telemedicine
#6
Javier Gonzalez-Toscano, Francisco Gonzalez
No abstract text is available yet for this article.
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28480781/digital-otoscopy-versus-microscopy-how-correct-and-confident-are-ear-experts-in-their-diagnoses
#7
Aaron C Moberly, Margaret Zhang, Lianbo Yu, Metin Gurcan, Caglar Senaras, Theodoros N Teknos, Charles A Elmaraghy, Nazhat Taj-Schaal, Garth F Essig
Introduction With the growing popularity of telemedicine and tele-diagnostics, clinical validation of new devices is essential. This study sought to investigate whether high-definition digital still images of the eardrum provide sufficient information to make a correct diagnosis, as compared with the gold standard view provided by clinical microscopy. Methods Twelve fellowship-trained ear physicians (neurotologists) reviewed the same set of 210 digital otoscope eardrum images. Participants diagnosed each image as normal or, if abnormal, they selected from seven types of ear pathology...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28474972/reaching-rural-ohio-with-intellectual-disability-psychiatry
#8
Julie P Gentile, Allison E Cowan, Beth Harper, Ryan Mast, Brian Merrill
Individuals with intellectual disability experience higher rates of mental illness when compared with the general population, and there is a lack of medical and mental health professionals in rural and under-served areas. With the increase in discharge of individuals from institutional settings back to their home communities into the least restrictive environments, there are more patients with complex needs being added to the schedules of physicians in the outpatient delivery care system. Patients with disabilities may not travel well or tolerate changes in routine so may not have access to psychiatry...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28463033/telehealth-for-diabetes-self-management-in-primary-healthcare-a-systematic-review-and-meta-analysis
#9
C F So, Jwy Chung
Background Diabetes mellitus is prevalent worldwide and the majority of the patients with this metabolic disease are managed in primary healthcare settings. Self-management is, therefore, crucial for the health and wellbeing of people with diabetes. Due to the advancement of information technologies, telehealth intervention as self-management measures potentially offer a possible solution in the primary healthcare arena to cope with the increasing demand for diabetes control. Methods This study aims to systematically review the effectiveness of telehealth on diabetes control self-management in primary healthcare settings...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28457182/comparison-of-the-diagnostic-accuracy-of-four-smartphone-compatible-blood-pressure-monitors-in-post-myocardial-infarction-patients
#10
Roderick W Treskes, Ron Wolterbeek, Enno T van der Velde, Daniëlle C Eindhoven, Martin J Schalij
Introduction Smartphone-compatible blood pressure devices may be a good alternative to enable self-measurement of blood pressure by patients. Furthermore, automatic transferral of data to the hospital allows for remote monitoring. To our knowledge, no study has compared four of these smartphone-compatible blood pressure devices. Methods Patients who were followed up for acute myocardial infarction were asked to participate during their outpatient clinic visit. After five minutes of rest, six blood pressure devices were applied...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28449620/patients-are-willing-to-use-telehealth-for-the-multidisciplinary-management-of-chronic-musculoskeletal-conditions-a-cross-sectional-survey
#11
Michelle A Cottrell, Anne J Hill, Shaun P O'Leary, Maree E Raymer, Trevor G Russell
Introduction Access to specialised multidisciplinary healthcare services is difficult for many patients with chronic musculoskeletal conditions. A possible solution could be delivery of care via telehealth. This study aims to identify current barriers in accessing healthcare services, and to determine if telehealth is an acceptable mode of healthcare delivery, from the perspective of patients with chronic musculoskeletal conditions. Methods Surveys were distributed to current patients receiving care within the Neurosurgical and Orthopaedic Physiotherapy Screening Clinic and Multidisciplinary Service (N/OPSC & MDS) at six facilities throughout Queensland, Australia...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28449619/the-effectiveness-of-telehealth-on-self-management-for-older-adults-with-a-chronic-condition-a-comprehensive-narrative-review-of-the-literature
#12
Yuqi Guo, David Albright
Introduction Given the rapid global growth of older adults with chronic condition(s), the present study explored the effects of telehealth technologies on self-management among older adults with chronic condition(s). Methods Clinical trial studies on telehealth self-management for older adults with chronic condition(s) published in peer reviewed journals were reviewed systematically. In addition, the potential biases were assessed for included studies. Results This review identified 31 articles regarding the effectiveness of telehealth technologies on self-management among older adults...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28449618/telerehabilitation-after-arthroscopic-subacromial-decompression-is-effective-and-not-inferior-to-standard-practice-preliminary-results
#13
Jose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López, Noelia Guerrero Moyano, María-José Estebanez-Pérez
Background Telerehabilitation promises to improve quality, increase patient access and reduce costs in health care. Physiotherapy with exercises is generally recommended to restore function after surgery in patients with chronic subacromial syndrome. Relatively few studies have investigated the feasibility of telerehabilitation interventions in musculoskeletal and orthopaedic disorders. The aim of this study was to evaluate the feasibility and effectiveness of a customizable telerehabilitation intervention and compare with traditional care...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28441894/self-directed-exercise-in-multiple-sclerosis-evaluation-of-a-home-automated-tele-management-system
#14
Susan S Conroy, Min Zhan, William J Culpepper, Walter Royal, Mitchell T Wallin
Introduction Physical rehabilitation is one of the few non-pharmaceutical therapies for maintaining or improving walking ability for patients with multiple sclerosis. However, travel distance to rehabilitation clinics, neurological disability and insurance coverage often limit access to specialised rehabilitation services. To address these issues, we utilised a web-based system to support a home-based self-directed exercise programme. Methods Patients ( n = 24) were randomised to either routine home rehabilitation or to the multiple sclerosis home automated tele-management system for a six-month period...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28406066/telemedicine-consultation-for-patients-with-diabetes-mellitus-a-cluster-randomised-controlled-trial
#15
Ajay Sood, Sharon A Watts, Julie K Johnson, Stacey Hirth, David C Aron
Introduction There is a widening discrepancy between the increasing number of patients with diabetes mellitus and the health care resources available to manage these patients. Telemedicine has been used in a number of instances to improve and deliver health care where traditional care delivery methods may encounter difficulty. We conducted a cluster randomised controlled trial of telemedicine consultation to manage patients with diabetes mellitus. Methods Eleven primary care centres attached to one Veteran Administration tertiary care centre were randomised to provide patients with diabetes consultation referral either by usual consultation in diabetes clinic or telemedicine consultations via videoconference...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28403669/use-of-videoconferencing-for-physical-therapy-in-people-with-musculoskeletal-conditions-a-systematic-review
#16
Stacey Lovo Grona, Brenna Bath, Angela Busch, Thomas Rotter, Catherine Trask, Elizabeth Harrison
Background Physical therapists are key players in the management of musculoskeletal conditions, which are common in rural and remote communities. There are few physical therapists in rural regions compared to potential need, so care is either not provided or must be sought in urban centers, requiring travel and time away from work and family to access services. Telerehabilitation strategies, such as real-time videoconferencing, are emerging as possible solutions to address shortages in rural physical therapy services...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28387603/a-systematic-review-of-the-factors-that-influence-the-quality-and-effectiveness-of-telesupervision-for-health-professionals
#17
Priya Martin, Lucylynn Lizarondo, Saravana Kumar
Introduction Whilst telesupervision (clinical supervision undertaken using communication technology) is being used more frequently, there is limited information on what factors influence its effectiveness and quality. We undertook this systematic review to address this gap. Methods Eligible telesupervision studies were identified following targeted search of electronic databases and the grey literature. Data were synthesised thematically, resulting in development of core themes. Results We identified 286 papers for initial relevancy screening by title and abstract...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28372513/economic-evaluation-of-telephone-based-concussion-management-for-combat-related-mild-traumatic-brain-injury
#18
John S Richardson, Gregory F Guzauskas, Jesse R Fann, Nancy R Temkin, Nigel E Bush, Kathleen R Bell, Gregory A Gahm, Derek J Smolenski, Jo Ann Brockway, Ryan N Hansen
Introduction Mild traumatic brain injury (mTBI) is an unfortunately common repercussion of military service in a combat zone. The CONTACT study tested an individualized telephone support intervention employing problem solving therapy (PST) for mTBI in soldiers recently returned from deployment. We sought to determine the cost effectiveness of this intervention from a military healthcare system perspective. Methods We conducted an intent-to-treat post-hoc analysis by building a decision analytic model that evaluated the choice between using PST or education only (EO)...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28350283/testing-fine-motor-coordination-via-telehealth-effects-of-video-characteristics-on-reliability-and-validity
#19
Helen M Hoenig, Kristopher Amis, Carol Edmonds, Michelle S Morgan, Lawrence Landerman, Kevin Caves
Background There is limited research about the effects of video quality on the accuracy of assessments of physical function. Methods A repeated measures study design was used to assess reliability and validity of the finger-nose test (FNT) and the finger-tapping test (FTT) carried out with 50 veterans who had impairment in gross and/or fine motor coordination. Videos were scored by expert raters under eight differing conditions, including in-person, high definition video with slow motion review and standard speed videos with varying bit rates and frame rates...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28350282/an-m-health-system-for-education-and-motivation-in-cardiac-rehabilitation-the-experience-of-heartcycle-guided-exercise
#20
Dario Salvi, Manuel Ottaviano, Salla Muuraiskangas, Alvaro Martínez-Romero, Cecilia Vera-Muñoz, Andreas Triantafyllidis, Maria Fernanda Cabrera Umpiérrez, Maria Teresa Arredondo Waldmeyer, Erik Skobel, Christian Knackstedt, Hilkka Liedes, Anita Honka, Jean Luprano, John Gf Cleland, Wim Stut, Carolyn Deighan
Introduction Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content. Methods Our multi-disciplinary approach is based on mapping "desired behaviours" into specific system's specifications, borrowing concepts from Fogg's Persuasive Systems Design principles...
January 1, 2017: Journal of Telemedicine and Telecare
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