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Journal of Telemedicine and Telecare

Judith C Lin, Dylan Mclaughlin, Dana Zurawski, Nicole Kennedy, Loay Kabbani
Introduction The objective of this study is to compare the clinical outcomes of patients with varicose veins managed in the telemedicine clinic and traditional clinic. Methods Retrospective analysis of all vein procedures in the institutional Vascular Quality Initiative Varicose Vein Registry (VQI VVR) was performed from January 2015 to August 2017. Patients were divided into two groups: Telemedicine versus Traditional Clinic. Comparison data included patient demographics, past medical history, clinical outcomes, patient-reported outcomes and postoperative complications...
September 20, 2018: Journal of Telemedicine and Telecare
Jamie L Odden, Cheryl L Khanna, Clara M Choo, Bingying Zhao, Saumya M Shah, Gina M Stalboerger, Jeffrey R Bennett, Muriel M Schornack
Introduction This manuscript describes data from an original study, simulating a tele-glaucoma programme in an established clinic practice with an interdisciplinary team. This is a 'real life' trial of a telemedicine approach to see a follow-up patient. The goal is to evaluate the accuracy of such a programme to detect worsening and/or unstable disease. Such a programme is attractive since in-clinic time could be reduced for both the patient and provider. This study evaluates agreement between in-person and remote assessment of glaucoma progression...
September 12, 2018: Journal of Telemedicine and Telecare
Kathleen L Bagot, Natasha Moloczij, Karen Barclay-Moss, Michelle Vu, Christopher F Bladin, Dominique A Cadilhac
Introduction Technology-based innovation requires long-term changes to workforce routines, otherwise practices will not be sustained. The aim of this study was to identify influential factors in the ongoing use of an acute stroke telemedicine programme. Methods A new acute stroke telemedicine programme in a regional hospital receiving 375 patients with stroke or transient ischaemic attack per year was used as an exploratory case study. Semi-structured interviews with acute care and emergency department clinicians ( n = 25) were conducted at two time-points: after a six-month pilot and then after a further 12-month implementation phase...
September 7, 2018: Journal of Telemedicine and Telecare
Zahra Abbaspoor, Anis Amani, Poorandokht Afshari, Sima Jafarirad
Introduction Gestational diabetes is increasing in developed and developing countries. This study aimed to evaluate the effect of SMS messaging on the self-care among pre-diabetic pregnant women. Methods This randomized controlled trial conducted on 100 pre-diabetic pregnant women referred to Ahvaz Health Centers, Iran, Sep to Dec, 2016. Women were randomly assigned into the face to face education group and short message systems in addition to the face to face education group. Self-care variables were compared between the groups...
September 7, 2018: Journal of Telemedicine and Telecare
Santiago Jiménez-Marrero, Sergi Yun, Miguel Cainzos-Achirica, Cristina Enjuanes, Alberto Garay, Nuria Farre, Jose M Verdú, Anna Linas, Pilar Ruiz, Encarnación Hidalgo, Esther Calero, Josep Comín-Colet
Background The efficacy of telemedicine in the management of patients with chronic heart failure and left ventricular ejection fraction ≥40% is poorly understood. The aim of our analysis was to evaluate the efficacy of a telemedicine-based intervention specifically in these patients, as compared to standard of care alone. Methods The Insuficiència Cardiaca Optimització Remota (iCOR) study was a single centre, randomised, controlled trial, designed to evaluate a telemedicine intervention added to an existing hospital/primary care multidisciplinary, integrated programme for chronic heart failure patients...
September 7, 2018: Journal of Telemedicine and Telecare
Kristine S Penza, Martha A Murray, Jane F Myers, Julie Maxson, Joseph W Furst, Jennifer L Pecina
Objective The objective of this research paper is to compare antibiotic treatment, follow-up rates, and types of follow-up encounters among eVisits, phone calls, and in-person encounters for pediatric conjunctivitis. Study design A retrospective chart review of pediatric patients evaluated for conjunctivitis between May 1, 2016 and May 1, 2017, was performed. A total of 101 eVisits, 202 in-person retail clinic visits, and 202 nurse phone calls for conjunctivitis were manually reviewed for outcomes. Exclusion criteria included previous encounter for conjunctivitis in the past 14 days, treatment with an oral antibiotic at the initial encounter, or patient outside Minnesota at the time of encounter...
August 28, 2018: Journal of Telemedicine and Telecare
Yan-Ya Chen, Bing-Sheng Guan, Ze-Kai Li, Qiao-Hong Yang, Tian-Jiao Xu, Han-Bing Li, Qin-Yang Wu
Introduction Telehealth intervention has been proposed as a sustainable and innovative intervention approach to Parkinson's disease (PD) patients, but there are still conflicting results in the literature about its effect. This study aimed to evaluate the efficacy of telehealth intervention for PD patients. Methods PubMed, EMBASE, CENTRAL and China National Knowledge Infrastructure (CNKI) were searched from the inception to June 2018 for randomized controlled trials (RCTs) and cohort studies, without language restrictions...
August 28, 2018: Journal of Telemedicine and Telecare
Olga Santesteban-Echarri, Danijela Piskulic, Rowen K Nyman, Jean Addington
Background Despite its increased use in mental health, both health care provision by telehealth and research are in the early stages. Videoconferencing, a telehealth subfield, has been mainly used for the medication management and delivery of psychological treatments for mood, adjustment and anxiety disorders, and to a lesser extent for psychotic disorders. Objectives The focus of this scoping review is on studies using videoconferencing for intervention for individuals with a diagnosis of schizophrenia-spectrum disorder and those who may be considered to be in the very early stages of psychosis (clinical high risk)...
August 22, 2018: Journal of Telemedicine and Telecare
Sussie Laustsen, Lisa G Oestergaard, Maurits van Tulder, Vibeke E Hjortdal, Annemette K Petersen
Introduction Cardiac rehabilitation improves physical capacity, health-related quality of life, and reduces morbidity and mortality among cardiac patients. Telemonitored exercise-based cardiac rehabilitation may innovate existing programmes and increase participation rates. Objective The purpose of this study was to investigate if telemonitored exercise-based cardiac rehabilitation improves physical capacity, muscle endurance, muscle power, muscle strength and health-related quality of life in cardiac patients...
August 22, 2018: Journal of Telemedicine and Telecare
A Hasan Sapci, H Aylin Sapci
Introduction Disruptive medical technologies, wearable devices and new diagnostic solutions have been shaping the future of healthcare, and the health informatics skills gap has become a major problem for technology-centric healthcare applications. This study evaluated the relationships between a specific practical skills training method and students' confidence in using wireless monitoring devices along with the attitude towards technology adoption. Methods Six practical exercises were developed to provide health informatics technical skills to transfer medical information and display multi-channel biological signals...
August 22, 2018: Journal of Telemedicine and Telecare
Mohammad Saeed AlShaya, Mansour K Assery, Sharat Chandra Pani
Introduction The aim of the study was to test the reliability of mobile phone teledentistry in the diagnosis and treatment planning of dental caries of children in mixed dentition. Methods A total of 57 cases, aged 6-12 years, among six examiners were used yielding 342 comparisons. The patients were examined by a dentist who was calibrated in the recording of oral findings in children using the World Health Organization (WHO) oral health assessment form for children (version 2013), which served as the gold standard for diagnosis...
August 22, 2018: Journal of Telemedicine and Telecare
Byron Lai, Kristina Bond, Yumi Kim, Beth Barstow, Emil Jovanov, C Scott Bickel
Background People with Parkinson's disease experience numerous barriers to exercise participation at fitness facilities. Advances in tele-monitoring technologies create alternative channels for managing and supervising exercise programmes in the home. However, the success of these programmes will depend on participants' perceptions of using the technology and their exercise adherence. Thus, this pilot explored the uptake and implementation of two common methods of Internet-exercise training in Parkinson's disease...
August 22, 2018: Journal of Telemedicine and Telecare
Pieter Joosen, Deborah Piette, Joren Buekers, Joachim Taelman, Daniel Berckmans, Patrick De Boever
Introduction In an ageing population, increasing chronic disease prevalence puts a high economic burden on society. Physical activity plays an important role in disease prevention and should therefore be promoted in the elderly. Methods In this study, a mobile health (mHealth) system was implemented in a care home setting to monitor and promote elderly peoples' daily activity. The physical activity of 20 elderly people (8 female and 12 male, aged 81 ± 9 years old) was monitored over 10 weeks using the mHealth system, consisting of a smartphone and heart rate belt...
August 1, 2018: Journal of Telemedicine and Telecare
Joshua D Brown, Sarah Hales, T Ed Evans, Tonya Turner, David O Sword, Patrick M O'Neil, Sara Ballentine, Oscar Lovelace, Ragan Aleise DuBose-Morris
Introduction In the US, obesity rates are higher in rural areas than in urban areas. Rural access to treatment of obesity is limited by a lack of qualified clinicians and by transportation and financial barriers. We describe a telemedicine weight management programme, Wellness Connect, developed through a partnership of academic clinicians and rural primary care providers in South Carolina, and present utilisation and weight outcomes from seven patient cohorts. Methods Eight bi-weekly sessions were provided via telemedicine videoconferencing for groups of patients at these rural primary care clinics...
July 25, 2018: Journal of Telemedicine and Telecare
Yunjung Kim, Jeong-Eun Park, Byung-Wan Lee, Chang-Hee Jung, Dong-Ah Park
Aims This study evaluated clinical effectiveness of telemonitoring on the management of patients with type 2 diabetes. Methods We searched Ovid-Medline, Ovid-EMBASE, and the Cochrane Library to identify randomized controlled trials that compared telemonitoring and usual care in patients with type 2 diabetes. Results Thirty-eight studies (6855 patients) were included. Telemonitoring was associated with a significant decrease in glycated haemoglobin levels compared to usual care (weighted mean difference -0.42%, 95% confidence interval -0...
July 17, 2018: Journal of Telemedicine and Telecare
Jose Manuel Pastora-Bernal, Rocío Martín-Valero, Francisco Javier Barón-López
Background Subacromial impingement syndrome poses a substantial socioeconomic burden, leading to significant consumption of healthcare. Health systems are calling for greater evidence of economic impacts of particular healthcare services. Telerehabilitation programmes have the potential to reduce costs and improve patient access as an alternative to traditional care. Cost analysis has been traditionally included in study protocols and results, although the reliability and research methodology have frequently been under debate...
September 2018: Journal of Telemedicine and Telecare
Jamie Wood, Sue Jenkins, David Putrino, Siobhain Mulrennan, Sue Morey, Nola Cecins, Kylie Hill
Introduction In cystic fibrosis, exacerbations impair lung function and health-related quality of life, increase healthcare costs and reduce survival. Delayed reporting of worsening symptoms can result in more severe exacerbations and worse clinical outcomes; therefore there is a need for a novel approach to facilitate the early identification and treatment of exacerbations in this population. This study investigated the usability of a smartphone application to report symptoms in adults with cystic fibrosis, and the observer agreement in clinical decision-making between senior clinicians interpreting smartphone application responses...
September 2018: Journal of Telemedicine and Telecare
Kamran Azma, Zahra RezaSoltani, Farid Rezaeimoghaddam, Afsaneh Dadarkhah, Sarasadat Mohsenolhosseini
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 with OBPT in patients with knee osteoarthritis. Methods In this randomized clinical trial, patients with symptomatic osteoarthritis of the knee were assigned to participate in either a 6-week home-based tele-rehab or an OBPT program between 2015 and 2016...
September 2018: Journal of Telemedicine and Telecare
Vivek Chauhan, Prakash C Negi, Sujeet Raina, Sunil Raina, Mukul Bhatnagar, Rajesh Guleri, Vikrant Kanwar, Kumar S Pandey
Background The Himachal Pradesh state acute coronary syndrome registry recorded a median delay of 13 h between the time of onset of pain to the time of making the diagnosis and giving treatment for acute coronary syndrome. We conducted a pilot study on providing 24-h tele-electrocardiography (Tele-ECG) services in the district Kangra of Himachal Pradesh, with the aim to reduce the time taken for diagnosis of acute coronary syndrome. Methods The intervention group for the study included eight rural community health centres, each with one to three primary care physicians, who were all unskilled in electrocardiogram interpretation...
September 2018: Journal of Telemedicine and Telecare
Mohamed H Hamdan, Kathleen E Walsh, Michele Brignole, Jamie Key
Introduction The purpose of this study was to assess the clinical and financial outcomes of a novel outreach syncope clinic. Methods We compared the clinical outcome of the Faint and Fall Clinic at the American Center (January-June 2016) with that of the University of Wisconsin Health and Clinics Faint and Fall Clinic (January 2013-December 2014). The American Center-Faint and Fall Clinic is run solely by a nurse practitioner, assisted by online faint-decision software and consultancy of a faint specialist through video-conferencing...
September 2018: Journal of Telemedicine and Telecare
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