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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/30431393/the-effects-of-a-theory-based-patient-portal-e-learning-program-for-older-adults-with-chronic-illnesses
#1
Eun-Shim Nahm, Shijun Zhu, Michele Bellantoni, Linda Keldsen, Vince Russomanno, Matt Rietschel, Tabassum Majid, HyoJin Son, Leslie Smith
INTRODUCTION: The high prevalence of chronic illnesses is a serious public health problem in the United States, and more than 70 million older adults have at least one chronic illness. Patient portals (PPs) have an excellent potential to assist older adults in managing chronic illnesses; however, older adults' PP adoption rates have been low. Lack of support for older adults using PPs remains a critical gap in most implementation processes. The main aim of this study was to assess the impact of an older adult friendly Theory-based Patient portal e-Learning Program (T-PeP) on PP knowledge, selected health outcomes (health decision-making self-efficacy [SE] and health communication), PP SE and use, and e-health literacy in older adults...
November 15, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30036175/a-mixed-methods-study-of-tele-icu-nursing-interventions-to-prevent-failure-to-rescue-of-patients-in-critical-care
#2
Lisa-Mae S Williams, Emily Johnson, Donna Lee Armaignac, Lynne S Nemeth, Gayenell S Magwood
BACKGROUND: Failure to rescue (FTR) is a benchmark of quality care. Limited evidence exists examining the influence of telemedicine intensive care units (tele-ICU) nursing interventions in preventing FTR. The purpose of this study was to characterize tele-ICU nursing interventions and to determine which combination of documented tele-ICU nursing interventions (DTNI) best predicts prevention of FTR in ICU patients with hospital-acquired conditions (HACs). MATERIALS AND METHODS: We used convergent parallel mixed methods design to conduct qualitative interviews with a purposive sample of tele-ICU nurses (n = 19) from 11 US tele-ICU centers...
November 12, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30418101/a-randomized-controlled-trial-comparing-telehealth-self-management-to-standard-outpatient-management-in-underserved-black-and-hispanic-patients-living-with-heart-failure
#3
Renee Pekmezaris, Christian N Nouryan, Rebecca Schwartz, Stacy Castillo, Amgad N Makaryus, Deborah Ahern, Meredith B Akerman, Martin L Lesser, Lorinda Bauer, Lawrence Murray, Kathleen Pecinka, Roman Zeltser, Meng Zhang, Paola DiMarzio
BACKGROUND: Although the American Heart Association promotes telehealth models to improve care access, there is limited literature on its use in underserved populations. This study is the first to compare utilization and quality of life (QoL) for underserved black and Hispanic heart failure (HF) patients assigned to telehealth self-monitoring (TSM) or comprehensive outpatient management (COM) over 90 days. METHODS: This randomized controlled trial enrolled 104 patients...
November 10, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30412450/differences-in-attitudes-toward-online-interventions-in-psychiatry-and-psychotherapy-between-health-care-professionals-and-nonprofessionals-a-survey
#4
Nina Schulze, Silja C Reuter, Isabelle Kuchler, Britta Reinke, Lena Hinkelmann, Saskia Stöckigt, Hanna Siemoneit, Peter Tonn
BACKGROUND: Although the use of e-mental health interventions and their evaluation is already well advanced in countries such as the United States and Australia, research in this area is still in the early stages in Germany. Moreover, existing programs are used only to a small extent by patients, although physicians and therapists generally have a positive attitude toward their use. To help promote the use of online interventions in the future, an analysis of the differences in opinions and attitudes toward e-mental health interventions between health care professionals and nonprofessionals is necessary...
November 9, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30394851/using-telepsychiatry-to-enrich-existing-integrated-primary-care
#5
Maryann Waugh, Jacqueline Calderone, Shandra Brown Levey, Corey Lyon, Marshall Thomas, Frank DeGruy, Jay H Shore
BACKGROUND: Integrated care is characterized by evolving heterogeneity in models. Using telepsychiatry to enhance these models can increase access, quality, and efficiencies in care. INTRODUCTION: The purpose of this report is to describe the process and outcomes of adapting telepsychiatry into an existing integrated care service. MATERIALS AND METHODS: Telepsychiatry was implemented into an existing integrated care model in a high-volume, urban, primary care clinic in Colorado serving patients with complex physical and behavioral needs...
November 9, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30407124/weight-loss-strategies-used-by-army-reserve-officer-training-corps-cadets-implication-for-student-health-and-wellness-services
#6
Julia A Wilson, Delores C James
BACKGROUND: Maintaining a healthy weight is a military requirement for the Reserve Officer Training Corps (ROTC) cadets. Male and female soldiers often have different approaches to maintaining a healthy weight and mobile health (m-health) tools can be harnessed and tailored to the needs of individual cadets. OBJECTIVES: This study examined gender differences in technology use, weight loss strategies, information needed to maintain a healthy weight, and willingness to participate in m-health research and programs...
November 8, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30394859/older-patients-perspectives-of-online-health-approaches-in-chronic-obstructive-pulmonary-disease
#7
Rebecca T Disler, Sally C Inglis, Phillip Newton, David C Currow, Peter S Macdonald, Allan R Glanville, Doranne Donesky, Virginia Carrieri-Kohlman, Patricia Mary Davidson
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is a complex, chronic condition. Patients commonly have limited access to face-to-face support due to decreased mobility, symptom burden, and availability of services. Online health care approaches provide the potential for increased access to self-management education and support. This study sought to understand older patients with COPD's perspectives of online approaches to health care. MATERIALS AND METHODS: Participants older than 65 years were recruited from a respiratory service at an academic medical center...
November 5, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30394853/the-use-of-telemedicine-to-address-disparities-in-access-to-specialist-care-for-neonates
#8
Hadley S Sauers-Ford, James P Marcin, Mark A Underwood, Jae H Kim, Yona Nicolau, Cherry Uy, Shelby T Chen, Kristin R Hoffman
INTRODUCTION: Outcomes for premature and critically ill neonates are improved with care provided by neonatologists in a neonatal intensive care unit (NICU). For smaller hospitals, maintaining the personnel and equipment necessary for the delivery and care of unexpectedly high-risk neonates is a significant challenge. To address this disparity in access, telemedicine has been increasingly used to support providers, patients, and their families in community newborn nurseries and NICUs. The purpose of this review is to present the current state of the use of telemedicine by regional NICUs to support community newborn nurseries, NICUs, and families...
November 3, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30383972/does-sharing-your-emotion-make-you-feel-better-an-empirical-investigation-on-the-association-between-sharing-emotions-on-a-virtual-mood-wall-and-the-relief-of-patients-negative-emotions
#9
Xuan Liu, Mingtian Pan, Jia Li
BACKGROUND: Emotional management is very important for patients with chronic diseases, such as diabetes. Since these patients may experience strong negative emotions, it is highly desirable to develop an information technology solution for the relief of negative emotions. Recently, online health communities introduced a new design element called the virtual mood wall, which allows patients to express their emotions. We are interested in determining the association between the use of virtual mood wall and the relief of patients' negative emotions...
November 1, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30379635/use-of-telepsychiatry-in-pediatric-emergency-room-to-decrease-length-of-stay-for-psychiatric-patients-improve-resident-on-call-burden-and-reduce-factors-related-to-physician-burnout
#10
Aaron Reliford, Blessing Adebanjo
BACKGROUND: Our study aims to demonstrate through implementation of telepsychiatry for child psychiatry patients evaluated in the pediatric emergency room (PedsER); we can reduce length of stay (LOS) and reduce factors contributing to physician burnout through reduction of on-call travel burden. INTRODUCTION: Telepsychiatry has increased access to health care using real-time interactive videoconferencing, allowing clinicians and patients in separate locations to have a meaningful clinical encounter...
October 31, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30379634/does-virtual-reality-increase-simulator-sickness-during-exposure-therapy-for-post-traumatic-stress-disorder
#11
Greg M Reger, Derek Smolenski, Amanda Edwards-Stewart, Nancy A Skopp, Albert Skip Rizzo, Aaron Norr
PURPOSE: Measurement of simulator-related side effects (SSEs) is an integral component of competent and ethical use of virtual reality exposure (VRE), but common SSEs may overlap with symptoms of anxiety. Limited research exists about the frequency of SSEs during VRE treatment for post-traumatic stress disorder (PTSD) and no research compares self-reported SSEs for those undergoing VRE with those participating in exposure therapy without virtual reality. This study compared the SSEs of active duty soldiers with PTSD randomly assigned to exposure therapy through traditional prolonged exposure or VRE...
October 31, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30376412/a-prenatal-remote-monitoring-program-in-pregnancies-complicated-with-gestational-hypertensive-disorders-what-are-the-contributors-to-the-cost-savings
#12
Dorien Lanssens, Sharona Vonck, Thijs Vandenberk, Cédric Schraepen, Valerie Storms, Inge M Thijs, Lars Grieten, Wilfried Gyselaers
BACKGROUND: In 2015, we performed a cost analysis of a prenatal remote monitoring (RM) program compared with conventional care (CC) for women diagnosed with gestational hypertensive disorders (GHD). INTRODUCTION: We investigated where the cost savings were distributed by dividing our patient population into three subgroups, according to the gestational age (GA) at the time of delivery: (1) <34 weeks; (2) 34-37 weeks; and (3) >37 weeks of GA. MATERIALS AND METHODS: Health care costs were calculated from patient-specific hospital bills at Ziekenhuis Oost Limburg (Genk, Belgium) in 2015-2016...
October 30, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30372366/diabetes-management-through-remote-patient-monitoring-the-importance-of-patient-activation-and-engagement-with-the-technology
#13
Dejun Su, Tzeyu L Michaud, Paul Estabrooks, Robert J Schwab, Leslie A Eiland, Geri Hansen, Mary DeVany, Donglan Zhang, Yan Li, José A Pagán, Mohammad Siahpush
BACKGROUND: The documented efficacy and promise of telemedicine in diabetes management does not necessarily mean that it can be easily translated into clinical practice. An important barrier concerns patient activation and engagement with telemedicine technology. OBJECTIVE: To assess the importance of patient activation and engagement with remote patient monitoring technology in diabetes management among patients with type 2 diabetes. METHODS: Ordinary least squares and logistic regression analyses were used to examine how patient activation and engagement with remote patient monitoring technology were related to changes in hemoglobin A1c (HbA1c) for 1,354 patients with type 2 diabetes monitored remotely for 3 months between 2015 and 2017...
October 27, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30372365/for-a-more-reliable-measure-of-wrist-blood-pressure-using-smartwatch
#14
Nawras Georgi, Aline Corvol, Régine Le Bouquin Jeannès
BACKGROUND: If blood pressure (BP) measurement is important to monitor blood hypertension and other cardiac diseases, and can be taken using a wrist device, learned societies recommend to take it in specific conditions. In a telemedicine context, patients are likely to perform it without any help from a medical practitioner. Therefore, the device must guide individuals using it. MATERIALS AND METHODS: A smartwatch application integrating an Attitude and Heading Reference System algorithm was developed...
October 27, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30362903/social-media-and-suicide-a-review-of-technology-based-epidemiology-and-risk-assessment
#15
Ali Pourmand, Jeffrey Roberson, Amy Caggiula, Natalia Monsalve, Murwarit Rahimi, Vanessa Torres-Llenza
INTRODUCTION: Suicide is a significant public health problem among teenagers and young adults in the United States, placing significant stress on emergency departments (EDs) to effectively screen and assess for the presence of suicidality in a rapid yet efficient manner. METHODS: A literature search was performed using PubMed and MEDLINE with the following terms: "Social media," "Suicide," "Facebook," "Twitter," "MySpace," "Snapchat," "Ethics," "Digital Media," and "Forums and Blog...
October 26, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30359550/telehealth-for-the-assessment-of-patients-referred-for-pediatric-urological-care-a-preliminary-cost-savings-analysis-and-satisfaction-survey
#16
Santiago Vallasciani, Badawiya Abdo, Zainab Rauf, Abeeda Anjum, Sanaa Ghulman, Hanan Alghammas, Waleed AlTaweel
BACKGROUND: Almost one-fifth of the population of Saudi Arabia lives in rural areas and may still lack access to specialty healthcare. Because of the growing demand for telehealth services, we initiated the virtual clinic (VC) concept for new referrals to the pediatric urology clinic (PUC), the primary tertiary care unit in Riyadh. METHODS: We conducted a retrospective analysis of costs and timing involved with the VC practice for a 1-year period. The cost analysis is based on savings realized by patients as a result of the VC evaluation...
October 25, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30359209/tablet-based-hearing-test-among-child-clinical-populations-performance-and-preference
#17
Kyoko Nagao, Alexa S Bullard, Lauren E Pasko, Olivia Pereira, Cassidy Walter, Mackenzie Hammond, Jenna Pellicori-Curry, Thierry Morlet
Background and Introduction: Tablet-based automated audiometry applications are a recent alternative method to perform pure-tone hearing testing. Children, in particular, might benefit from such apps because of the game-like interface. However, how children perceive this alternative approach has not been well studied. This study examined children's preference of hearing test and a relationship between their test preference and hearing test results. MATERIALS AND METHODS: Forty children 6-12 years of age completed a pure-tone hearing test in both the tablet-based automated (tablet) method and the conventional method...
October 25, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30359184/access-to-better-health-and-clear-skies-telemedicine-and-greenhouse-gas-reduction
#18
Justin Whetten, Julianna Montoya, Howard Yonas
INTRODUCTION: This study estimates the reduction in greenhouse gas (GHG) emissions resulting from 2,020 neuro-emergent telemedicine consultations. We then estimate potential GHG reduction if the program was expanded nationwide. MATERIALS AND METHODS: Travel distances in miles were calculated for each avoided patient transfer using hospital location data and ArcGIS tools. Potential GHG reductions from program expansion were calculated based on state and national stroke Diagnosis-Related Groups (DRGs)...
October 25, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30325700/mobile-self-help-interventions-as-augmentation-therapy-for-patients-with-anorexia-nervosa
#19
Youl-Ri Kim, Valentina Cardi, Gi Young Lee, Sohyun An, Jione Kim, Gemma Kwon, Jong Won Kim, Jin-Sup Eom, Janet Treasure
BACKGROUND: It has been suggested that patients with anorexia nervosa (AN) who are resistant to first-line treatment would benefit from second-level interventions targeting specific features, an adaptive form of intervention. Guided self-help programs administered via mobile technology have the dual focus of instigating behavior change and managing anxiety associated with eating disorders in the moment and in users' naturalistic environments. INTRODUCTION: We evaluated the feasibility, acceptability, and preliminary augmentative effects of mobile-based, guided self-help interventions (Recovery vodcasts) after initial unsuccessful first-line treatments for patients with AN...
October 25, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30358524/a-novel-emergency-department-based-telemedicine-program-how-do-older-patients-fare
#20
Peter W Greenwald, Michael Stern, Sunday Clark, Baria Hafeez, Kriti Gogia, Hanson Hsu, Mary Mulcare, Rahul Sharma
INTRODUCTION: When we started using telemedicine to treat low acuity patients in the emergency department (ED), we assumed that this voluntary treatment pathway would primarily be used by younger patients. We were surprised to find that a significant portion of patients evaluated by telemedicine were older adults. MATERIALS AND METHODS: We conducted a retrospective cohort study of quality assurance data. Adult ED patients at an urban academic medical center who had their care provided by telemedicine from July 2016 to September 2017 were included...
October 24, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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