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Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association

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https://www.readbyqxmd.com/read/30016216/using-video-telehealth-to-facilitate-inhaler-training-in-rural-patients-with-obstructive-lung-disease
#1
Emily R Locke, Rachel M Thomas, Deborah M Woo, Ethan H K Nguyen, Bryson K Tamanaha, Valerie G Press, Gayle E Reiber, Peter J Kaboli, Vincent S Fan
BACKGROUND: Proper inhaler technique is important for effective drug delivery and symptom control in chronic obstructive pulmonary disease (COPD) and asthma, yet not all patients receive inhaler instructions. INTRODUCTION: Using a retrospective chart review of participants in a video telehealth inhaler training program, the study compared inhaler technique within and between monthly telehealth visits and reports associated with patient satisfaction. MATERIALS AND METHODS: Seventy-four (N = 74) rural patients prescribed ≥1 inhaler participated in three to four pharmacist telehealth inhaler training sessions using teach-to-goal (TTG) methodology...
July 17, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30016207/using-teleneurology-to-deliver-chronic-neurologic-care-to-rural-veterans-analysis-of-the-first-1-100-patient-visits
#2
Larry E Davis, JoAnn Harnar, Lee Anne LaChey-Barbee, Sarah Pirio Richardson, Amanda Fraser, Molly K King
BACKGROUND: A challenge confronting the United States is delivery of quality specialty healthcare to citizens living in rural areas. INTRODUCTION: The Veterans Administration (VA) developed a large national telehealth network to address 5.2 million rural veterans. New Mexico's Albuquerque VA Neurology Service developed a teleneurology program for their rural veterans. This article analyzes our first 1,100 teleneurology patient visits. MATERIALS AND METHODS: Veterans living in remote areas of New Mexico, southern Colorado, eastern Arizona, and western Texas were offered follow-up teleneurology care at 16 rural VA community-based outpatient clinics (CBOCs) following an initial evaluation at the Albuquerque VA neurology outpatient clinic...
July 17, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30004318/information-technologies-an-augmentation-to-post-traumatic-stress-disorder-treatment-among-trauma-survivors
#3
Atoosa Azarang, Murat Pakyurek, Caroline Giroux, Thomas E Nordahl, Peter Yellowlees
This review article presents existing research describing how information technologies can be used to improve mental health services for trauma survivors, either by enhancing existing treatment approaches or as a stand-alone means of delivering trauma-relevant interventions. The potential ways in which technology aids in overcoming barriers to care are first addressed in terms of providing mental health treatment. The use of technologies enables shifting the locus of care from the traditional provider's office to mobile, online, and virtual environments which are less threatening for patients with post-traumatic stress disorder (PTSD), helping to overcome the core nature of the illness which includes avoidance and increased personal isolation...
July 13, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29975583/diagnostic-accuracy-of-prehospital-tele-electrocardiography-in-acute-coronary-syndrome
#4
Ana Lúcia Athayde Maciel, Maria Cláudia Irigoyen, Silvia Goldmeier
BACKGROUND: Tele-electrocardiography (tele-ECG) is a powerful ally in the screening of acute ischemic lesions. INTRODUCTION: Evidence that confirms the correlation between the diagnosis of acute coronary syndrome (ACS) determined in the prehospital setting and the confirmation of the diagnosis in the hospital setting is scarce. This study compares the presumed diagnosis of ACS in the prehospital setting based on electrocardiographic changes, such as ST-segment deviation, with the diagnosis confirmed in a hospital setting...
July 5, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29969385/keeping-up-with-the-applications-lessons-learned-evaluating-gout-apps
#5
Anel Kieser, Nicola Dalbeth, Anna Serlachius
In June 2017, we embarked on a study to test the efficacy of available smartphone applications (apps) for gout, a type of inflammatory arthritis, which is associated with severe joint inflammation causing significant joint pain. Several noteworthy challenges arose as we grappled with issues such as apps no longer being available (or functional), the poor quality and misinformation of apps, and the rapid and unforeseen updating (or complete lack of updating) of existing apps. These are critical issues that researchers and health professionals working in the rapidly developing digital health field must learn how to contend with...
July 3, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29969384/automated-systems-based-on-wearable-sensors-for-the-management-of-parkinson-s-disease-at-home-a-systematic-review
#6
Erika Rovini, Carlo Maremmani, Filippo Cavallo
BACKGROUND: Parkinson's disease is a common neurodegenerative pathology that significantly influences quality of life (QoL) of people affected. The increasing interest and development in telemedicine services and internet of things technologies aim to implement automated smart systems for remote assistance of patients. The wide variability of Parkinson's disease in the clinical expression, as well as in the symptom progression, seems to address the patients' care toward a personalized therapy...
July 3, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29969381/key-characteristics-for-successful-adoption-and-implementation-of-home-telehealth-technology-in-veterans-affairs-home-based-primary-care-an-exploratory-study
#7
Stuti Dang, Diana I Ruiz, Lauren Klepac, Susan Morse, Peggy Becker, Cari R Levy, Bruce Kinosian, Thomas E Edes
BACKGROUND/OBJECTIVES: The Department of Veteran Affairs (VA) Home-Based Primary Care (HBPC) program provides care to over 37,000 high-risk, high-need, medically complex, and costly patients in their home. The VA's Home Telehealth (HT) program can potentially amplify HBPC's efficiency and reach, yet scarce data on use and experience with HT in HBPC exist. This exploratory study sought to provide a glimpse of HT use in HBPC and identify drivers and barriers for HT implementation. DESIGN: National VA data were used to evaluate HBPC patients concurrently using HT...
July 3, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29969372/life-threatening-allergies-using-a-patient-engaged-approach
#8
Joel Louis Gallagher, Robert David Rivera, Kirk Van Shepard, Tanvir Roushan, Golam Ahsan, Sheikh Iqbal Ahamed, Asriani Chiu, Mary Jurken, Pippa Margaret Simpson, Melodee Nugent, Karina Shah Gobin, Cheng K Fred Wen, Christina E Eldredge
BACKGROUND: Adolescents at risk for anaphylaxis are a growing concern. Novel training methods are needed to better prepare individuals to manage anaphylaxis in the community. INTRODUCTION: Didactic training as the sole method of anaphylaxis education has been shown to be ineffective. We developed a smartphone-based interactive teaching tool with decision support and epinephrine auto-injector (EAI) training to provide education accessible beyond the clinic. METHODS: This study consisted of two parts: (1) Use of food allergy scenarios to assess the decision support's ability to improve allergic reaction management knowledge...
July 3, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29958087/telemedicine-is-associated-with-faster-diagnostic-imaging-in-stroke-patients-a-cohort-study
#9
Nicholas M Mohr, Tracy Young, Karisa K Harland, Brian Skow, Amy Wittrock, Amanda Bell, Marcia M Ward
BACKGROUND: Meeting time goals for patients with time-sensitive conditions can be challenging in rural emergency departments (EDs), and adopting policies is critical. ED-based telemedicine has been proposed to improve quality and timeliness of care in rural EDs. INTRODUCTION: The objective of this study was to test the hypothesis that diagnostic testing in telemedicine-supplemented ED care for patients with myocardial infarction (MI) and stroke would be faster than nontelemedicine care in rural EDs...
June 29, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29957150/the-impact-of-telemedicine-on-teamwork-and-workload-in-pediatric-resuscitation-a-simulation-based-randomized-controlled-study
#10
Lucas Butler, Travis Whitfill, Ambrose H Wong, Marcie Gawel, Lauren Crispino, Marc Auerbach
BACKGROUND: Telemedicine provides access to specialty care to critically ill patients from a geographic distance. The effects of using telemedicine on (1) teamwork and communication (TC), (2) task workload during resuscitation, and (3) the processes of critical care have not been well described. OBJECTIVES: To evaluate the impact of telemedicine on (1) TC, (2) task workload during a resuscitation, and (3) the processes of critical care during a simulated pediatric resuscitation...
June 29, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29932811/combining-adobe-forms-and-dropbox-to-obtain-a-low-cost-electronic-data-collection-system
#11
María Yoldi-Negrete, Ingrid Pamela Morales-Cedillo, Iñaki Navarro-Castellanos, Ana Fresán-Orellana, Rubén Panduro-Flores, Claudia Becerra-Palars
BACKGROUND: The method used to collect, store, and analyze data can affect the quality of data obtained. Many studies have shown the advantages of electronic systems over paper. Numerous tools are available for this purpose; however, they tend to be implemented only in high-budget protocols as they tend to be expensive. INTRODUCTION: We report the experience of the Affective Disorders' Clinic of the National Institute of Psychiatry in Mexico City using Adobe Acrobat Forms combined with Dropbox as storage and distribution method for clinical protocols...
June 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29927721/exploring-patients-consultation-behaviors-in-the-online-health-community-the-role-of-disease-risk
#12
Fei Liu, Yingying Li, Xiaofeng Ju
INTRODUCTION: An online health community (OHC) is a unique social network that provides a platform for sharing healthcare information, communicating about health and offering health services. While many researchers have examined OHCs, the impact of patient reviews on patient consultation behavior in the OHCs has rarely been discussed in the existing literature. METHODS: A computer program was developed to download the required information. This process was conducted monthly to capture the variation in the dependent variable...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29927713/validation-of-a-novel-telehealth-administration-protocol-for-the-nih-toolbox-cognition-battery
#13
Alexander D Rebchuk, Halina M Deptuck, Zoe R O'Neill, Delrae S Fawcett, Noah D Silverberg, Thalia S Field
BACKGROUND: Cognition is an important outcome in many clinical trials. The NIH Toolbox-Cognition Battery (NIHTB-CB) is a computerized cognitive assessment designed for clinical research that is administered in-person. Here, we evaluated the equivalency of a novel videoconference protocol for administering the NIHTB-CB. Since our protocol required repeated assessments, we further explored the NIHTB-CB's practice effect. MATERIALS AND METHODS: Twenty-five healthy participants completed the NIHTB-CB under two separate conditions 4 weeks apart...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29927711/a-systematic-review-of-asynchronous-provider-to-provider-electronic-consultation-services-to-improve-access-to-specialty-care-available-worldwide
#14
Clare Liddy, Isabella Moroz, Ariana Mihan, Nikhat Nawar, Erin Keely
BACKGROUND: Electronic consultation (eConsult) is an asynchronous electronic communication tool allowing primary care providers to obtain a specialist consultant's expert opinion in a timely manner, thereby offering a potential solution to excessive wait times for specialist care, which remain a serious concern in many countries. INTRODUCTION: Our 2014 review of eConsult services demonstrated feasibility and high acceptability among patients and providers. However, gaps remain in knowledge regarding eConsult's impact on system costs and patient outcomes...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29924684/whatsapp-a-real-time-tool-to-reduce-the-knowledge-gap-and-share-the-best-clinical-practices-in-psoriasis
#15
Luis D Mazzuoccolo, Maria Noel Esposito, Paula C Luna, Sharon Seiref, Mirtha Dominguez, Cristina M Echeverria
BACKGROUND: Psoriasis is a chronic inflammatory disease that affects around 100 million people worldwide. The burden of disease is high, but more recent therapies show promising results. Clinicians need, however, more training in the use of such therapies. INTRODUCTION: Project ECHO® (Extension for Community Healthcare Outcomes) is structured around the promise of delivering medical education at a distance, empowering clinicians who operate in remote areas. The use of instant messaging services, such as WhatsApp® Messenger, has the potential to improve on the existing framework and bridge the existing gap of knowledge...
June 20, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29882727/factors-affecting-rural-patients-primary-compliance-with-e-prescription-a-developing-country-perspective
#16
Nazmul Hossain, Masuda Begum Sampa, Fumihiko Yokota, Akira Fukuda, Ashir Ahmed
BACKGROUND: The electronic prescription system has emerged to reduce the ambiguity and misunderstanding associated with handwritten prescriptions. The opportunities and challenges of e-prescription system, its impact on reducing medication error, and improving patient's safety have been widely studied. However, not enough studies were conducted to explore and quantify the factors that affect rural patients' compliance with e-prescription, especially from the perspective of Asian developing countries where most of the world's population resides...
June 8, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29877778/home-management-of-warfarin-treatment-through-a-real-time-supervised-telemedicine-solution-a-randomized-controlled-trial
#17
Claus L Brasen, Jonna S Madsen, Tina Parkner, Ivan Brandslund
BACKGROUND: Many patients are undergoing oral anticoagulation treatment with vitamin K antagonists, which necessitates measuring international normalized ratio (INR) several times each month. INTRODUCTION: Patients can learn to measure their INR at home and choose their own dose for the next period with potential gains in treatment quality and reduced healthcare expenses. This is, however, connected to the potential problem of losing tight external control of the patient treatment...
June 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29877756/n-wrets-near-lossless-wireless-real-time-efficient-electroencephalogram-transmission-solution-to-support-sleep-disorder-monitoring-platforms
#18
Seo-Joon Lee, Gyoun-Yon Cho, Tae-Ro Lee
BACKGROUND: Sleep disorders lead to many adverse complications and chronic diseases. Sleep disorder-related healthcare costs are tens of billions of dollars worldwide. Sleep monitoring solutions have thus been the focus of research and industrial interest. However, the problem of limited bandwidth and battery consumption hinders the accuracy and practical use of sleep monitoring aids. INTRODUCTION: The aim of this study is to propose Near-Lossless Wireless Real-time Efficient electroencephalogram Transmission Solution (N-WRETS) solution that solves the issue of limited bandwidth and battery consumption, thereby supporting platforms dedicated to sleep disorder monitoring...
June 7, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29870315/development-and-evaluation-the-satisfaction-of-using-an-oral-health-survey-mobile-application
#19
Palinee Detsomboonrat, Pagaporn Pantuwadee Pisarnturakit
INTRODUCTION: Surveying oral health at the community level should be done at regular intervals. Dental health personnel must assess the oral health status and needs of the community through the collection and interpretation of reliable health information. Thus, the aims of this study were (1) to develop a mobile application for oral health surveys, (2) to analyze the oral status of school children in Bangkok using the newly developed application, and (3) to evaluate user satisfaction with using the Oral Health Survey Mobile Application (OHSMA)...
June 5, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29870314/design-and-implementation-of-an-interactive-website-for-pediatric-voice-therapy-the-concept-of-in-between-care-a-telehealth-model
#20
Charles R Doarn, Stephanie Zacharias, Casey Stewart Keck, Meredith Tabangin, Alessandro DeAlarcon, Lisa Kelchner
PURPOSE: This article describes the design and implementation of a web-based portal developed to provide supported home practice between weekly voice therapy sessions delivered through telehealth to children with voice disorders. This in-between care consisted of supported home practice that was remotely monitored by speech-language pathologists (SLPs). METHODS: A web-based voice therapy portal (VTP) was developed as a platform so participants could complete voice therapy home practice by an interdisciplinary team of SLPs (specialized in pediatric voice therapy), telehealth specialists, biomedical informaticians, and interface designers...
June 5, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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