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https://www.readbyqxmd.com/read/29767806/telephone-support-and-telemonitoring-for-low-income-older-adults
#1
Suyong Jeong, Hanna Choi, Seok Hyun Gwon, Jeongeun Kim
The objective of the current pilot study was to determine whether nurse-led telephone counseling improves health behavior, self-care, and physiological indices for low-income older adults using a telemonitoring system. The control group (n = 15) was provided with weekly health education only, and the intervention group (n = 20) was given additional telephone support by nurses. At baseline and 8 weeks, data on health and self-care behaviors were collected using a self-reported questionnaire, and blood pressure and fasting blood glucose levels were assessed...
May 16, 2018: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/29759110/effects-of-a-multi-component-nutritional-telemonitoring-intervention-on-nutritional-status-diet-quality-physical-functioning-and-quality-of-life-of-community-dwelling-older-adults
#2
Marije N van Doorn-van Atten, Annemien Haveman-Nies, Marit M van Bakel, Monique Ferry, Maite Franco, Lisette C P G M de Groot, Jeanne H M de Vries
This study aimed to evaluate the effects of an intervention including nutritional telemonitoring, nutrition education, and follow-up by a nurse on nutritional status, diet quality, appetite, physical functioning and quality of life of Dutch community-dwelling elderly. We used a parallel arm pre-test post-test design with 214 older adults (average age 80 years) who were allocated to the intervention group (n 97) or control group (n 107), based on the municipality. The intervention group received a 6-month intervention including telemonitoring measurements, nutrition education and follow-up by a nurse...
May 2018: British Journal of Nutrition
https://www.readbyqxmd.com/read/29742959/long-term-impact-of-a-six-month-telemedical-care-programme-on-mortality-heart-failure-readmissions-and-healthcare-costs-in-patients-with-chronic-heart-failure
#3
Ines Frederix, Lien Vanderlinden, Anne-Sophie Verboven, Maria Welten, Donna Wouters, Gilles De Keulenaer, Bavo Ector, Ivan Elegeert, Pierre Troisfontaines, Caroline Weytjens, Wilfried Mullens, Paul Dendale
Aims The TElemonitoring in the MAnagement of Heart Failure (TEMA-HF) 1 long-term follow-up study assessed whether an initial six-month telemonitoring (TM) programme compared with usual care (UC) would result in reduced all-cause mortality, heart failure admissions and healthcare costs in chronic heart failure (CHF) patients at long-term follow-up. Methods Of the 160 patients included in the multi-centre, randomised controlled telemonitoring trial (TEMA-HF 1, time point t0 ); 142 CHF patients (65% male; age: 76 ± 10 years; EF: 36 ± 15%) were alive and entered the follow-up study (time point: t1 ) with a final evaluation at 79 months (time point: t2 )...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29739438/automated-electrohysterographic-detection-of-uterine-contractions-for-monitoring-of-pregnancy-feasibility-and-prospects
#4
C Muszynski, T Happillon, K Azudin, J-B Tylcz, D Istrate, C Marque
BACKGROUND: Preterm birth is a major public health problem in developed countries. In this context, we have conducted research into outpatient monitoring of uterine electrical activity in women at risk of preterm delivery. The objective of this preliminary study was to perform automated detection of uterine contractions (without human intervention or tocographic signal, TOCO) by processing the EHG recorded on the abdomen of pregnant women. The feasibility and accuracy of uterine contraction detection based on EHG processing were tested and compared to expert decision using external tocodynamometry (TOCO) ...
May 8, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29730178/comparative-effectiveness-of-disease-management-with-information-communication-technology-for-preventing-hospitalization-and-readmission-in-adults-with-chronic-congestive-heart-failure
#5
REVIEW
Wilbert S Aronow, Tatyana A Shamliyan
OBJECTIVES: Critical appraisal of all available evidence regarding the role of noninvasive communication technology for improving patient survival and reducing hospital admissions in adults with chronic heart failure (HF). DESIGN: Systematic literature review and grading of the quality of evidence according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Working Group approach. SETTING AND PARTICIPANTS: Four databases were searched in March 2018 to find 2 high-quality meta-analyses and published and unpublished data from 58 randomized controlled trials (RCTs) that compared noninvasive communication technology with usual care in community-dwelling adults with HF...
May 2, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29726455/challenges-of-a-hl7-cda-guideline-for-telehealth-based-dmp-systems
#6
Nikola Tanjga, René Baranyi, Thomas Grechenig, Christian Gossy, Stefan Welte, Peter Kastner, Robert Modre-Osprian
BACKGROUND: Disease management programs (DMP) are a modern way of treating health conditions and are becoming a part of standard care. One telehealth DMP service has been in regular operation since 2017, named "HerzMobil Tirol". OBJECTIVES: This paper investigates, if the electronic health record standard HL7 CDA, which is widely accepted in the health care industry, could be used for telehealth DMP services as well. It is already in use in a legally required integrated element of healthcare in Austria called ELGA...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29726454/is-austria-ready-for-telemonitoring-a-readiness-assessment-among-doctors-and-patients-in-the-field-of-diabetes
#7
Domenik Muigg, Peter Kastner, Robert Modre-Osprian, Daniela Haluza, Georg Duftschmid
BACKGROUND: Telemonitoring offers new opportunities in the treatment of chronically ill patients and could help to improve their quality of life while reducing healthcare costs. OBJECTIVES: The willingness to use telemonitoring is examined for both physicians and patients. From the perspective of the most important stakeholders, advantages and disadvantages as well as barriers for telemonitoring are analysed. METHODS: A Telehealth Readiness Assessment was carried out with physicians (n = 41) and patients (n = 47) in a cross-sectional study...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29726452/healthebikes-smart-e-bike-prototype-for-controlled-exercise-in-telerehabilitation-programs
#8
Patrick Mayr, Markus Falgenhauer, Robert Modre-Osprian, Peter Hofmann, Heimo Traninger, Michael Rath, Günter Schreier
E-Bikes in telerehabilitation programs could be a new intervention for more sustainable rehabilitation results. The aim is to design and build a prototype of an E-Bike usable for rehabilitation - a HEALTHeBIKE. It should avoid over-exercising, work independently of the environment and it should enable cycling in a group despite different reference exercise intensities. To achieve these goals, requirements for this system architecture have been identified. A system architecture including an Arduino microcontroller, an Android smartphone and a telemonitoring platform was presented...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29726436/development-of-a-computer-aided-dosage-and-telemonitoring-system-for-patients-under-oral-anticoagulation-therapy
#9
Heiko Krumm, Nils Reiss, Malte Burkert, Thomas Schmidt, Steffen Biehs, Christian Bohr, Fabian Gürtler, Hendrik Horn, Philipp Kreutzer, Philipp Mewes, Hendrik Miller, Christian Riest, Christian Römer, Albert Seebold, Gertrude Sprung, Oliver Ziegler
In this paper, we present a system that allows patients who require anticoagulation medicine an opportunity to independently manage their dosage concentration with the help of two machine learning algorithms. The basic idea is to predict the next dosage by using a neuronal network and the model predictive control approach, both based on the history of data already available from patients. This machine learning system is expanded by an smartphone application for the patients, and a website for the doctors to support their patients...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29724704/implementation-and-evaluation-of-a-smartphone-based-telemonitoring-program-for-patients-with-heart-failure-mixed-methods-study-protocol
#10
Patrick Ware, Heather J Ross, Joseph A Cafazzo, Audrey Laporte, Emily Seto
BACKGROUND: Meta-analyses of telemonitoring for patients with heart failure conclude that it can lower the utilization of health services and improve health outcomes compared with the standard of care. A smartphone-based telemonitoring program is being implemented as part of the standard of care at a specialty care clinic for patients with heart failure in Toronto, Canada. OBJECTIVE: The objectives of this study are to (1) evaluate the impact of the telemonitoring program on health service utilization, patient health outcomes, and their ability to self-care; (2) identify the contextual barriers and facilitators of implementation at the physician, clinic, and institutional level; (3) describe patient usage patterns to determine adherence and other behaviors in the telemonitoring program; and (4) evaluate the costs associated with implementation of the telemonitoring program from the perspective of the health care system (ie, public payer), hospital, and patient...
May 3, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29713049/maximum-home-blood-pressure-readings-are-associated-with-left-atrial-diameter-in-essential-hypertensives
#11
Toshiki Kaihara, Yuki Imaizumi, Kazuo Eguchi, Kazuomi Kario
We tested the hypothesis that the maximum value of home systolic BP (MSBP) is a marker of hypertensive target organ damage (TOD). We conducted a cross-sectional study of 220 hypertensives. The subjects performed HBP monitoring using a telemonitoring system and measured their HBP for 7 days. Mean, maximum, standard deviation, and coefficient of variation of SBPs were used as independent variables. Brachial-ankle pulse wave velocity, left ventricular mass index (LVMI), mean carotid intima-media thickness, and left atrial diameter index (LADI) were used as dependent variables...
May 1, 2018: Journal of Human Hypertension
https://www.readbyqxmd.com/read/29703807/self-monitoring-and-telemonitoring-titration-of-antihypertensive-treatment
#12
(no author information available yet)
No abstract text is available yet for this article.
April 26, 2018: Drug and Therapeutics Bulletin
https://www.readbyqxmd.com/read/29674306/diabeo-app-software-and-telemedicine-versus-usual-follow-up-in-the-treatment-of-diabetic-patients-protocol-for-the-telesage-randomized-controlled-trial
#13
Nathalie Jeandidier, Lucy Chaillous, Sylvia Franc, Pierre-Yves Benhamou, Pauline Schaepelynck, Hélène Hanaire, Bogdan Catargi, Anne Farret, Pierre Fontaine, Bruno Guerci, Yves Reznik, Alfred Penfornis, Sophie Borot, Pierre Serusclat, Yacine Kherbachi, Geneviève D'Orsay, Bruno Detournay, Pierre Simon, Guillaume Charpentier
BACKGROUND: Self-management of diabetes minimizes the risk of macrovascular and microvascular complications, but understanding and/or adherence to self-management recommendations is often suboptimal. DIABEO is a smartphone app (downloaded via the internet) used to calculate bolus insulin doses. A previous study (TELEDIAB 1) showed that the use of DIABEO was associated with a significant improvement in glycemic control in patients with poorly controlled type 1 diabetes mellitus, particularly when combined with teleconsultations with physicians...
April 19, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29649789/improving-fatigue-in-multiple-sclerosis-by-smartphone-supported-energy-management-the-ms-telecoach-feasibility-study
#14
Marie D'hooghe, Geert Van Gassen, Daphne Kos, Olivier Bouquiaux, Melissa Cambron, Danny Decoo, Andreas Lysandropoulos, Bart Van Wijmeersch, Barbara Willekens, Iris-Katharina Penner, Guy Nagels
BACKGROUND: Fatigue is a frequently occurring, often disabling symptom in MS with no single effective treatment. In current fatigue management interventions, personalized, real-time follow-up is often lacking. The objective of the study is to assess the feasibility of the MS TeleCoach, a novel intervention offering telemonitoring of fatigue and telecoaching of physical activity and energy management in persons with MS (pwMS) over a 12-week period. The goal of the MS TeleCoach, conceived as a combination of monitoring, self-management and motivational messages, is to enhance levels of physical activity thereby improving fatigue in pwMS in an accessible and interactive way, reinforcing self-management of patients...
March 27, 2018: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/29621908/cost-utility-analysis-on-telemonitoring-of-users-with-pacemakers-the-poniente-study
#15
Antonio Lopez-Villegas, Daniel Catalan-Matamoros, Emilio Robles-Musso, Rafael Bautista-Mesa, Salvador Peiro
Introduction Few studies have confirmed the cost-saving of telemonitoring of users with pacemakers (PMs). The purpose of this controlled, non-randomised, non-masked clinical trial was to perform an economic assessment of telemonitoring (TM) of users with PMs and check whether TM offers a cost-utility alternative to conventional follow-up in hospital. Methods Eighty-two patients implanted with an internet-based transmission PM were selected to receive either conventional follow-up in hospital ( n = 52) or TM ( n = 30) from their homes...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29557669/telemonitoring-in-copd-the-chromed-study-a-randomized-clinical-trial
#16
Paul P Walker, Pasquale P Pompilio, Paolo Zanaboni, Trine S Bergmo, Kaiu Prikk, Andrei Malinovschi, Josep M Montserrat, Jo Middlemass, Silvana Šonc, Giulia Munaro, Dorjan Marušič, Ruth Sepper, Roberto Rosso, A Niroshan Siriwardena, Christer Janson, Ramon Farre, Peter M A Calverley, Raffaele L Dellaca'
RATIONALE: Early detection of COPD exacerbations using tele-monitoring of physiological variables might reduce the frequency of hospitalisation. OBJECTIVES: To evaluate the efficacy of home monitoring of lung mechanics by the forced oscillation technique (FOT) and cardiac parameters in older COPD patients with co-morbidities. METHODS: This multicentre, randomized clinical trial recruited 312 GOLD grade II-IV COPD patients (median age 71 years [IQR:66-76], 49...
March 20, 2018: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/29549068/effect-of-seasonal-variation-on-clinical-outcome-in-patients-with-chronic-conditions-analysis-of-the-commonwealth-scientific-and-industrial-research-organization-csiro-national-telehealth-trial
#17
Ahmadreza Argha, Andrey Savkin, Siaw-Teng Liaw, Branko George Celler
BACKGROUND: Seasonal variation has an impact on the hospitalization rate of patients with a range of cardiovascular diseases, including myocardial infarction and angina. This paper presents findings on the influence of seasonal variation on the results of a recently completed national trial of home telemonitoring of patients with chronic conditions, carried out at five locations along the east coast of Australia. OBJECTIVE: The aim is to evaluate the effect of the seasonal timing of hospital admission and length of stay on clinical outcome of a home telemonitoring trial involving patients (age: mean 72...
March 16, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29525490/mobile-technology-and-telemedicine-for-shoulder-range-of-motion-validation-of-a-motion-based-machine-learning-software-development-kit
#18
Prem N Ramkumar, Heather S Haeberle, Sergio M Navarro, Assem A Sultan, Michael A Mont, Eric T Ricchetti, Mark S Schickendantz, Joseph P Iannotti
BACKGROUND: Mobile technology offers the prospect of delivering high-value care with increased patient access and reduced costs. Advances in mobile health (mHealth) and telemedicine have been inhibited by the lack of interconnectivity between devices and software and inability to process consumer sensor data. The objective of this study was to preliminarily validate a motion-based machine learning software development kit (SDK) for the shoulder compared with a goniometer for 4 arcs of motion: (1) abduction, (2) forward flexion, (3) internal rotation, and (4) external rotation...
March 7, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29507256/telehealth-in-the-elderly-with-chronic-heart-failure-what-is-the-evidence
#19
Robyn A Clark
BACKGROUND: In a series of studies over the past decade we have measured the effectiveness of telehealth for elderly heart failure patients (>70 years) on rehospitalisation, mortality, adherence, satisfaction, cost effectiveness, health related quality of life, age and types of technology. METHODS: Evidence has been derived from a Cochrane systematic review and meta-analysis (1 original and 2 updates: 2007-2016), two sub-analysis of this data and a large NHMRC funded multicentre randomised controlled trial (CHAT study 2010)...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29507255/what-have-we-learned-from-the-csiro-national-nbn-telehealth-trial
#20
Branko Celler, Marlien Varnfield, Rajiv Jayasena
The CSIRO National NBN Telehealth Trial investigated the effects of introducing at home telemonitoring of vital signs for the management of a heterogeneous group of chronically ill patients. Patients suffering from a wide range of chronic conditions who were frequently admitted to hospital, were selected from nominated hospital lists. The impact of telemonitoring was analysed using a wide range of health and wellbeing outcomes as well as numerous health economic metrics derived from Medicare Medical Benefits Scheme (MBS) and Pharmaceutical Benefits Scheme (PBS) data and Hospital Health Roundtable data...
2018: Studies in Health Technology and Informatics
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