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Journal of Telemedicine and Telecare

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https://www.readbyqxmd.com/read/28094679/a-retrospective-analysis-of-a-pediatric-tele-echocardiography-service-to-treat-triage-and-reduce-trans-pacific-transport
#1
Christopher A Rouse, Brandon T Woods, C Becket Mahnke
Introduction Tele-echocardiography can ensure prompt diagnosis and prevent the unnecessary transport of infants without critical congenital heart disease, particularly at isolated locations lacking access to tertiary care medical centers. Methods We retrospectively reviewed all infants who underwent tele-echocardiography at a remote 16-bed level IIIB NICU from June 2005 to March 2014. Tele-echocardiograms were completed by cardiac sonographers in Okinawa, Japan, and transmitted asynchronously for review by pediatric cardiologists in Hawaii...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28092220/using-teledentistry-in-clinical-practice-an-enabler-to-improve-access-to-oral-health-care-a-qualitative-systematic-review
#2
Michelle Irving, Rosemary Stewart, Heiko Spallek, Anthony Blinkhorn
Background Access to dental care is important for overall health, but can remain problematic for those in rural or isolated locations. It can be difficult to encourage clinicians to choose or continue a rural health career. Teledentistry is showing some promise as a strategy to support rural, isolated and new health care workers. This study aims to explore the quantitative and qualitative framework associated with teledentistry in an effort to uncover the interaction of multiple influences on its delivery and sustainability...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28084886/telecardiology-and-its-settings-of-application-an-update
#3
Giuseppe Molinari, Martina Molinari, Matteo Di Biase, Natale Daniele Brunetti
Among the wide range of medical specialties in which telemedicine has been successfully applied, cardiology can be considered as one of the most important fields of application. Through the transmission of clinical data and the electrocardiogram, telecardiology allows access to a real-time assessment (teleconsultation) without any need to travel for both patient and cardiologist. This review discusses the impact of telecardiology in different clinical settings of application. Pre-hospital telecardiology has proved to be useful either in the clinical management of remote patients with acute coronary syndrome or in supporting the decision-making process of general practitioners...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28081664/effect-of-telehealth-intervention-on-breast-cancer-patients-quality-of-life-and-psychological-outcomes-a-meta-analysis
#4
Yan-Ya Chen, Bing-Sheng Guan, Ze-Kai Li, Xing-Yi Li
Introduction Telehealth intervention has been proposed as an innovative intervention approach to breast cancer patients, but there are still conflicting results in the literature about its effect. Methods PubMed, EMBASE, CENTRAL and China National Knowledge Infrastructure (CNKI) were searched from inception to 3 October 2016 for randomized controlled trials (RCTs) which assessed the effect of telehealth intervention versus usual care in breast cancer patients. No language restrictions were used. Standardized mean difference (SMD) with corresponding 95% confidence interval (95% CI) was pooled when needed...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28056600/the-use-of-teledermoscopy-in-the-accurate-identification-of-cancerous-skin-lesions-in-the-adult-population-a-systematic-review
#5
Amy F Bruce, Jennifer A Mallow, Laurie A Theeke
Background The use of teledermoscopy in the diagnostic management of pre-cancerous and cancerous skin lesions involves digital dermoscopic images transmitted over telecommunication networks via email or web applications. Teledermoscopy may improve the accuracy in clinical diagnoses of melanoma skin cancer if integrated into electronic medical records and made available to rural communities, potentially leading to decreased morbidity and mortality. Objective and method The purpose of this paper is to present a systematic review of evidence on the use of teledermoscopy to improve the accuracy of skin lesion identification in adult populations...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27913657/cost-benefit-analysis-of-telehealth-in-pre-hospital-care
#6
James R Langabeer, Tiffany Champagne-Langabeer, Diaa Alqusairi, Junghyun Kim, Adria Jackson, David Persse, Michael Gonzalez
OBJECTIVE: There has been very little use of telehealth in pre-hospital emergency medical services (EMS), yet the potential exists for this technology to transform the current delivery model. In this study, we explore the costs and benefits of one large telehealth EMS initiative. METHODS: Using a case-control study design and both micro- and gross-costing data from the Houston Fire Department EMS electronic patient care record system, we conducted a cost-benefit analysis (CBA) comparing costs with potential savings associated with patients treated through a telehealth-enabled intervention...
December 2, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27913656/response-to-use-of-mobile-technology-in-a-community-mental-health-setting
#7
Javier Ash, Shyam Gokani, Georgina Kerry, Alexander Zargaran, Dara Rasasingam, Aaina Mittal
No abstract text is available yet for this article.
December 2, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27909208/evaluation-of-a-national-telemedicine-initiative-in-the-veterans-health-administration-factors-associated-with-successful-implementation
#8
Lauren Stevenson, Sherry Ball, Leah M Haverhals, David C Aron, Julie Lowery
BACKGROUND: The Consolidated Framework for Implementation Research was used to evaluate implementation facilitators and barriers of Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) within the Veterans Health Administration. SCAN-ECHO is a video teleconferencing-based programme where specialist teams train and mentor remotely-located primary care providers in providing routine speciality care for common chronic illnesses. The goal of SCAN-ECHO was to improve access to speciality care for Veterans...
November 30, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27838639/economic-evaluation-of-home-based-telebehavioural-health-care-compared-to-in-person-treatment-delivery-for-depression
#9
Mark Bounthavong, Larry D Pruitt, Derek J Smolenski, Gregory A Gahm, Aasthaa Bansal, Ryan N Hansen
INTRODUCTION: Home-based telebehavioural healthcare improves access to mental health care for patients restricted by travel burden. However, there is limited evidence assessing the economic value of home-based telebehavioural health care compared to in-person care. We sought to compare the economic impact of home-based telebehavioural health care and in-person care for depression among current and former US service members. METHODS: We performed trial-based cost-minimisation and cost-utility analyses to assess the economic impact of home-based telebehavioural health care versus in-person behavioural care for depression...
November 12, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27831496/longitudinal-trial-of-a-smartphone-pain-application-for-chronic-pain-patients-predictors-of-compliance-and-satisfaction
#10
Robert N Jamison, Anna Mei, Edgar L Ross
INTRODUCTION: This study was designed to determine the feasibility, tolerability, safety and efficacy of a smartphone pain application (app) among chronic pain patients over a six-month trial. The app was designed for both Android and iPhone devices and enabled users with chronic pain to assess, monitor, and communicate their status to their providers. METHODS: We recruited 90 chronic pain patients to use the pain app. All subjects completed baseline measures and were asked to record their progress every day...
November 9, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27815494/telehealth-solutions-to-enable-global-collaboration-in-rheumatic-heart-disease-screening
#11
Eduardo Lv Lopes, Andrea Z Beaton, Bruno R Nascimento, Alison Tompsett, Julia Pa Dos Santos, Lindsay Perlman, Adriana C Diamantino, Kaciane Kb Oliveira, Cassio M Oliveira, Maria do Carmo P Nunes, Leonardo Bonisson, Antônio Lp Ribeiro, Craig Sable
BACKGROUND: The global burden of rheumatic heart disease is nearly 33 million people. Telemedicine, using cloud-server technology, provides an ideal solution for sharing images performed by non-physicians with cardiologists who are experts in rheumatic heart disease. OBJECTIVE: We describe our experience in using telemedicine to support a large rheumatic heart disease outreach screening programme in the Brazilian state of Minas Gerais. METHODS: The Programa de Rastreamento da Valvopatia Reumática (PROVAR) is a prospective cross-sectional study aimed at gathering epidemiological data on the burden of rheumatic heart disease in Minas Gerais and testing of a non-expert, telemedicine-supported model of outreach rheumatic heart disease screening...
November 4, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27789615/economic-evaluation-strategies-in-telehealth-obtaining-a-more-holistic-valuation-of-telehealth-interventions
#12
Centaine Snoswell, Anthony C Smith, Paul A Scuffham, Jennifer A Whitty
Telehealth is an emerging area of medical research. Its translation from conception, to research and into practice requires tailored research and economic evaluation methods. Due to their nature telehealth interventions exhibit a number of extra-clinical benefits that are relevant when valuing their costs and outcomes. By incorporating methods to measure societal values such as patient preference and willingness-to-pay, a more holistic value can be placed on the extra-clinical outcomes associated with telehealth and evaluations can represent new interventions more effectively...
October 27, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27789614/designing-quantitative-telemedicine-research
#13
Victoria Wade, Adrian G Barnett, Melinda Martin-Khan, Trevor Russell
When designing quantitative trials and evaluation of telehealth interventions, researchers should think ahead to the intended way that the intervention could be implemented in routine care and consider how trial participants with similar characteristics to the target population can be included. The telehealth intervention and the context in which it is placed should be clearly described, and consideration given to conducting pragmatic trials in order to show the effect of telehealth in complex environments with rapidly changing technology...
October 27, 2016: 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
#14
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
#15
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
#16
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/27269795/remote-home-management-for-chronic-kidney-disease-a-systematic-review
#17
Ting He, Xing Liu, Ying Li, Qiaoyu Wu, Meilin Liu, Hong Yuan
Background Remote home management is a new healthcare model that uses information technology to enhance patients' self-management of disease in a home setting. This study is designed to identify the effects of remote home management on patients with chronic kidney disease (CKD). Methods A comprehensive search of PubMed, MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials was performed in January 2015. The reference listings of the included articles in this review were also manually examined...
January 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27072126/unit%C3%A3-de-coordination-clinique-des-services-pr%C3%A3-hospitaliers-d-urgence-a-clinical-telemedicine-platform-that-improves-prehospital-and-community-health-care-for-rural-citizens
#18
Sylvain Bussières, Alain Tanguay, Denise Hébert, Richard Fleet
Access to health care in Canada's rural areas is a challenge. The Unité de Coordination Clinique des Services Préhospitaliers d'Urgence (UCCSPU) is a telemedicine program designed to improve health care in the Chaudiere-Appalaches and Quebec City regions of Canada. Remote medical services are provided by nurses and by an emergency physician based in a clinical unit at the Alphonse-Desjardins Community Health and Social Services Center. The interventions were developed to meet two objectives. The first is to enhance access to quality health care...
January 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27036877/telemedicine-vs-in-person-delivery-of-intensive-short-term-dynamic-psychotherapy-for-patients-with-medically-unexplained-pain-a-12-month-randomized-controlled-trial
#19
Behzad Chavooshi, Parvaneh Mohammadkhani, Behrouz Dolatshahee
Introduction This study examined the effectiveness of telemedicine in providing psychotherapy to patients with medically unexplained pain (MUP) who may not have access to in-person treatment. The impact of Internet-delivered intensive short-term dynamic psychotherapy (ID-ISTDP) was investigated for MUP via video teleconferencing (Skype™). Methods A randomized, controlled trial of ISTDP, an evidence-based intervention for MUP, was conducted to compare delivery modalities on variations in MUP symptoms. Eighty-one participants with MUP were randomized to either ID-ISTDP ( n = 39) or in-person ISTDP ( n = 42)...
January 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/26985005/physiotherapy-assessment-and-diagnosis-of-musculoskeletal-disorders-of-the-knee-via-telerehabilitation
#20
Bradley R Richardson, Piers Truter, Robert Blumke, Trevor G Russell
Introduction Lower limb musculoskeletal disorders place a heavy burden on healthcare systems. Appropriate management of these conditions is critical, however access to appropriate physiotherapy services is difficult for those in geographically remote areas or those with mobility or transport difficulties. The aim of this study was to evaluate the accuracy and reliability of an online musculoskeletal physiotherapy assessment of the knee complex using telerehabilitation compared to traditional face-to-face assessment...
January 2017: Journal of Telemedicine and Telecare
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