2,561 results match your criteria Journal of Telemedicine and Telecare [Journal]


Experience with telepathology in combination with diagnostic assistance systems in countries with restricted resources.

J Telemed Telecare 2019 Apr 21:1357633X19840475. Epub 2019 Apr 21.

3 IPath Telemedicine Network gemeinnützige GmbH, Aurich, Germany.

Introduction: We describe the use of telepathology in countries with restricted resources using two diagnosis assistance systems (Isabel and Memem7) in addition to the diagnoses made by experts in pathology via the iPath-Network.

Methods: A total of 156 cases, largely from Afghanistan, were analysed; 18 cases had to be excluded because of poor image quality.

Results: Of the remaining 138 cases (100%), a responsible physician provided a tentative diagnosis for 61. Read More

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April 2019
1 Read

Comparing PTSD treatment retention among survivors of military sexual trauma utilizing clinical video technology and in-person approaches.

J Telemed Telecare 2019 Apr 11:1357633X19832419. Epub 2019 Apr 11.

1 VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.

Introduction: Interventions such as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) have demonstrated efficacy for the treatment of post-traumatic stress disorder (PTSD) following military sexual trauma (MST). However, MST survivors report a number of logistical and social barriers that impede treatment engagement. In an effort to address these barriers, the Veterans Health Administration offers remote delivery of services using clinical video technology (CVT). Read More

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http://dx.doi.org/10.1177/1357633X19832419DOI Listing

The impact of telehealth care on health-related quality of life of patients with heart failure: Results from the Danish TeleCare North heart failure trial.

J Telemed Telecare 2019 Apr 11:1357633X19832713. Epub 2019 Apr 11.

Department of Health Science and Technology, Aalborg University, Denmark.

Aim: The aim of this study was to assess the impact on health-related quality of life (HRQoL) of a telehealth care solution compared with usual practice of patients with heart failure (HF).

Methods: A randomized controlled trial with a telehealth care solution (Telekit) as the intervention (with a focus on self-empowerment achieved by engaging patients in their own illness through self-monitoring) combined with usual care and usual care as the control. The primary outcome was a change in HRQoL as measured by the Short Form-36 (SF-36) questionnaire Physical Component Summary (PCS) score. Read More

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April 2019
2 Reads

Paediatric tele-emergency care: A study of two delivery models.

J Telemed Telecare 2019 Apr 9:1357633X19839610. Epub 2019 Apr 9.

1 University of Iowa, Iowa City, IA, USA.

Introduction: Tele-emergency models have been utilized for decades, with growing evidence of their effectiveness. Due to the variety of tele-emergency department (tele-ED) models used in practice, however, it is challenging to build standardized metrics for ongoing evaluation. This study describes two tele-ED programs, one specialized and one general, that provide care to paediatric populations. Read More

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April 2019
5 Reads

Home-based video visits for pediatric patients with poorly controlled type 1 diabetes.

J Telemed Telecare 2019 Mar 14:1357633X19828173. Epub 2019 Mar 14.

2 Center for Health and Technology, University of California, CA, USA.

Introduction: Management of type 1 diabetes (T1D) is labor-intensive, requiring multiple daily blood glucose measurements and insulin injections. Patients are seen quarterly by providers, but evidence suggests more frequent contact is beneficial. Current technology allows secure, remote sharing of diabetes data and video-conferencing between providers and patients in their home settings. Read More

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March 2019
5 Reads

Development and feasibility testing of an online virtual reality platform for delivering therapeutic group singing interventions for people living with spinal cord injury.

J Telemed Telecare 2019 Mar 1:1357633X19828463. Epub 2019 Mar 1.

4 Institute for Breathing and Sleep, Austin Health, Melbourne, Australia.

People with quadriplegia have a high risk for respiratory illness, social isolation and depression. Previous research has demonstrated that therapeutic singing interventions can not only improve breathing function and speech loudness, but also improve mood and social connectedness for people with quadriplegia. Face-to-face group attendance is difficult for this population due to difficulties with distance and travel. Read More

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The feasibility of online video calling to engage patients with cystic fibrosis in exercise training.

J Telemed Telecare 2019 Feb 25:1357633X19828630. Epub 2019 Feb 25.

1 Department of Respiratory Medicine, Royal Devon and Exeter NHS Foundation Trust Hospital, UK.

Introduction: Physical activity, including structured exercise, is an essential component in the management of cystic fibrosis. The use of telehealth such as video-calling may be a useful method for the delivery of exercise and physical activity interventions, though the feasibility of this remains unknown.

Methods: Nine patients with cystic fibrosis (three female, six male, 30. Read More

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February 2019
5 Reads

Cardiology electronic consultations: Efficient and safe but consultant satisfaction is equivocal.

J Telemed Telecare 2019 Feb 25:1357633X19828130. Epub 2019 Feb 25.

1 Division of Cardiology, David Geffen School of Medicine at UCLA, USA.

Background: Cardiovascular electronic consultation is a new service line in consultative medicine and enables care without in-person office visits. We aimed to evaluate accessibility and time saved as measures of efficiency, determine the safety of cardiology electronic consultations, and assess satisfaction by responding cardiologists.

Methods: Using a mixed-methods approach and a modified time-driven, activity-based, costing framework, we retrospectively analysed cardiology electronic consultations. Read More

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February 2019

Effectiveness of telemonitoring-enhanced support over structured telephone support in reducing heart failure-related healthcare utilization in a multi-ethnic Asian setting.

J Telemed Telecare 2019 Feb 19:1357633X18825164. Epub 2019 Feb 19.

5 Health Informatics and Population Management, Philips ASEAN Pacific, Singapore.

Aims: Our study aimed to compare the effectiveness of telemonitoring over structured telephone support in reducing heart failure-related healthcare utilization.

Methods: This was a non-randomised controlled study comparing 150 recently discharged heart failure patients enrolled into telemonitoring and 55 patients who only received structured telephone support after rejecting telemonitoring. Patient activation, knowledge and self-management levels were measured at baseline and the one year upon programme completion using the Patient Activation Measure, the Dutch Heart Failure Knowledge Scale and the Self-Care of Heart Failure Index respectively. Read More

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http://dx.doi.org/10.1177/1357633X18825164DOI Listing
February 2019

Physical, cognitive and psychosocial effects of telerehabilitation-based motor imagery training in people with multiple sclerosis: A randomized controlled pilot trial.

J Telemed Telecare 2019 Feb 11:1357633X18822355. Epub 2019 Feb 11.

5 Department of Neurology, Dokuz Eylül University, Izmir, Turkey.

Introduction: Motor imagery training delivered at home via telerehabilitation is a novel rehabilitation concept. The aim was to investigate the effects of telerehabilitation-based motor imaging training (Tele-MIT) on gait, balance and cognitive and psychosocial outcomes in people with multiple sclerosis (pwMS).

Methods: This randomized, controlled pilot trial included pwMS and healthy individuals. Read More

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February 2019

Why are acute ischemic stroke patients not receiving thrombolysis in a telestroke network?

J Telemed Telecare 2019 Feb 10:1357633X18824518. Epub 2019 Feb 10.

1 Department of Neurology, University of Arkansas for Medical Sciences, USA.

Objective: The purpose of this study was to determine reasons for not giving intravenous tissue plasminogen activator to eligible patients with acute ischemic stroke in a telestroke network.

Methods: We performed a retrospective analysis of prospectively collected data of patients who were seen as a telestroke consultation during 2015 and 2016 with the Arkansas Stroke Assistance through Virtual Emergency Support programme for possible acute ischemic stroke.

Results: Total consultations seen were 809 in 2015 and 744 in 2016, out of which 238 patients in 2015 and 247 patients in 2016 received intravenous tissue plasminogen activator. Read More

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February 2019
7 Reads

What makes a high-quality electronic consultation (eConsult)? A nominal group study.

J Telemed Telecare 2019 Feb 4:1357633X18822885. Epub 2019 Feb 4.

1 Department of Medicine, University of Ottawa, Canada.

Introduction: Poor communication between health professionals can compromise patient safety, yet specialists rarely receive feedback on their written communication. Although worldwide implementation of electronic consultation (eConsult) services is rising rapidly, little is known about the features of effective communication when specialists provide online advice to primary care providers (PCP). To inform efforts to ensure and maintain high-quality communication via eConsult, we aim to identify features of high-quality eConsult advice to incorporate into an assessment tool that can provide specialists with feedback on their correspondence. Read More

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http://dx.doi.org/10.1177/1357633X18822885DOI Listing
February 2019
2 Reads

Pharmacist-led telehealth disease management for patients with diabetes and depression.

J Telemed Telecare 2019 Jan 28:1357633X18822575. Epub 2019 Jan 28.

4 Alpert Medical School, Brown University, Providence, USA.

Introduction: The aim of this study was to determine whether a pharmacist-led telehealth disease management program is superior to usual care of nurse-led telehealth in improving diabetes medication adherence, haemoglobin A1C (A1C), and depression scores in patients with concomitant diabetes and depression.

Methods: Patients with diabetes and depression were randomized to pharmacist-led or nurse-led telehealth. Veterans with type 1 or type 2 diabetes, an A1C ≥ 7. Read More

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January 2019

Breaking down barriers to birth control access: An assessment of online platforms prescribing birth control in the USA.

J Telemed Telecare 2019 Jan 21:1357633X18824828. Epub 2019 Jan 21.

1 Ibis Reproductive Health, USA.

Introduction: In the USA, the requirement that individuals obtain a prescription for hormonal contraception is a significant barrier for women who lack the time, finances, insurance coverage or means of transportation to visit a provider. The emergence of telemedicine services has removed some of these barriers by providing women with the opportunity to conveniently obtain birth control prescriptions through their computer or smartphone.

Methods: In this article, we compare the prescribing processes and policies of online platforms that prescribe hormonal contraceptives to women in the USA, and use the recommendations of the 2016 US medical eligibility criteria for contraceptive use to evaluate whether online prescribers are providing evidence-based care. Read More

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January 2019
1 Read

Dental emergencies at sea: A study in the French maritime TeleMedical Assistance Service.

J Telemed Telecare 2019 Jan 15:1357633X18818736. Epub 2019 Jan 15.

1 Dental Faculty of Brest, University of Western Brittany, Brest, France.

Introduction: The aim of the study was to assess the frequency, features and management of dental emergencies at sea in France.

Methods: A descriptive study was carried out by retrospectively examining medical records of patients who were assisted by the French maritime TeleMedical Assistance Service (TMAS) from 2012 to 2016. Data were ranked in different categories: socio-demographic data, diagnosis, prescription, and monitoring or treatment prescribed. Read More

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http://dx.doi.org/10.1177/1357633X18818736DOI Listing
January 2019
2 Reads

National survey of telemedicine education and training in medical schools in France.

J Telemed Telecare 2019 Jan 2:1357633X18820374. Epub 2019 Jan 2.

2 French Society of Telemedicine, SFTelemed, France.

Introduction: Telemedicine is a remote medical practice using information communication technology (ICT), and has been increasing in France since 2009. With all new forms of medical practice, education and training (ET) is required for quality and safety. To date, implementation of telemedicine ET has not been assessed in France. Read More

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http://dx.doi.org/10.1177/1357633X18820374DOI Listing
January 2019
1 Read

Diagnostic validity of static telepathology supporting hospitals without local pathologists in low-income countries.

J Telemed Telecare 2018 Dec 30:1357633X18818745. Epub 2018 Dec 30.

3 Institute for Pathology, University of Wuerzburg, Germany.

Introduction: Static telepathology (TP) was used to support a hospital in Tanzania that cannot employ a resident pathologist but has a basic laboratory. Histological slides were prepared by the local technical staff and digital images were uploaded into an Internet-based system; consultant pathologists in Germany could give their opinion. The aim of the study was to examine the diagnostic validity of this project without local pathologists. Read More

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December 2018
10 Reads

A national survey of telemedicine use by US emergency departments.

J Telemed Telecare 2018 Dec 17:1357633X18816112. Epub 2018 Dec 17.

Massachusetts General Hospital, MA, USA.

Objective: Telemedicine has the potential to improve the delivery of emergency medical care: however, the extent of its adoption in United States (US) emergency departments is not known. Our objective was to characterise the prevalence of telemedicine use among all US emergency departments, describe clinical applications for which it is most commonly used, and identify emergency department characteristics associated with its use.

Methods: As part of the National Emergency Department Inventory-USA survey, we queried all 5375 US emergency departments open in 2016. Read More

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December 2018
5 Reads
1.736 Impact Factor

Effectiveness of telemonitoring versus usual care for chronic obstructive pulmonary disease: A systematic review and meta-analysis.

J Telemed Telecare 2018 Dec 12:1357633X18811757. Epub 2018 Dec 12.

Division of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Republic of Korea.

Aims: The purpose of this research was to investigate the effectiveness of telemonitoring for chronic obstructive pulmonary disease.

Methods: We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and CINAHL up to September 2018. We selected randomised controlled trials comparing telemonitoring and control groups for chronic obstructive pulmonary disease management. Read More

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December 2018

Usefulness of telemedicine for home ventilator-dependent children.

J Telemed Telecare 2018 Dec 11:1357633X18811751. Epub 2018 Dec 11.

2 Department of Paediatrics, Obstetrics and Ginecology, Universidad de Valencia, Spain.

Introduction: Medical care for ventilator-dependent children must avoid hospital confinement, which is detrimental to the patient, their family and Paediatric Intensive Care Unit. Our objective was to assess the role of telemedicine in facilitating early and permanent discharge of such patients to home care.

Methods: This was a prospective clinical study (2007-2017) in tracheotomised ventilator-dependent children. Read More

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http://dx.doi.org/10.1177/1357633X18811751DOI Listing
December 2018
2 Reads

Breaking barriers: Adjunctive use of the Ontario Telemedicine Network (OTN) to reach adolescents with obesity living in remote locations.

J Telemed Telecare 2018 Dec 10:1357633X18816254. Epub 2018 Dec 10.

1 Division of Endocrinology, The Hospital for Sick Children, Canada.

Introduction: Implementation of telemedicine has been shown to improve health outcomes, such as body mass index (BMI). However, it is unclear whether telemedicine is useful alongside traditional weight-management programmes for adolescents with complex obesity. The objective was to evaluate implementation of the Ontario Telemedicine Network (OTN), a videoconferencing programme, as an adjunctive tool to face-to-face counselling within the setting of an established interdisciplinary obesity treatment programme. Read More

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December 2018
1 Read

The transtelephonic electrocardiogram-based triage is an independent predictor of decreased hospital mortality in patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention.

J Telemed Telecare 2018 Dec 10:1357633X18814335. Epub 2018 Dec 10.

2 Division of Cardiology, University of Debrecen, Hungary.

Introduction: The transtelephonic electrocardiogram has been shown to have a great value in the management of out-of-hospital chest pain emergencies. In our previous study it not only improved the pre-hospital medical therapy and time to intervention, but also the in-hospital mortality in ST-segment elevation myocardial infarction. It was hypothesised that the higher in-hospital survival rate could be due to improved transtelephonic electrocardiogram-based pre-hospital management (electrocardiogram interpretation and teleconsultation) and consequently, better coronary perfusion of patients at the time of hospital admission. Read More

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December 2018
3 Reads

Telehealth model of care for routine follow up of renal transplant recipients in a tertiary centre: A case study.

J Telemed Telecare 2018 Nov 17:1357633X18807834. Epub 2018 Nov 17.

1 Department of Nephrology, The Royal Melbourne Hospital, Parkville, Australia.

Royal Melbourne Hospital (RMH) performs over 140 kidney transplant operations annually. Kidney transplant recipients require regular medical review, which results in loss of time and costs from travel, particularly for regional patients, and places high demand on the hospital outpatient service. The RMH renal transplant unit initiated a telehealth service in 2016 to provide cost effective, patient-centred clinical care for regional patients. Read More

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November 2018
5 Reads

Postoperative care via smartphone following carpal tunnel release.

J Telemed Telecare 2018 Nov 14:1357633X18807606. Epub 2018 Nov 14.

1 Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, USA.

Introduction: This study explores a novel smartphone application for postoperative care following carpal tunnel release (CTR). We hypothesized that a software-based 'virtual visit' for CTR could be safe, effective and convenient for the patient.

Methods: Our group developed the software application utilized in this study. Read More

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November 2018
11 Reads

Assessment of early orthodontic treatment on functional shifts by telemonitoring mandibular movements using a smart phone.

J Telemed Telecare 2018 Oct 29:1357633X18800876. Epub 2018 Oct 29.

3 Kasr El Aini Medical School, Laser Applications in Physical Medicine, Physical Therapy for Cardiovascular-Respiratory Disorders and Geriatrics, Cairo University, Egypt.

Introduction: To assess effect of orthodontic treatment on anterior or lateral functional shift in mixed dentition stage by telemonitoring mandibular movements in four-dimensions using a novel objective method that can assist in orthodontics and other dental specialties without the need of expensive, bulky or complicated equipment.

Methods: A sample of 60 patients was divided into two groups. Group I included 30 patients with normal occlusion and TMJ functions. Read More

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October 2018
2 Reads

Does patient education improve compliance to routine diabetic retinopathy screening?

J Telemed Telecare 2018 Oct 29:1357633X18804749. Epub 2018 Oct 29.

Hamilton Regional Eye Institute, St. Joseph's Healthcare Hamilton, Division of Ophthalmology, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Introduction: Diabetic retinopathy (DR) screening relies on adherence to follow-up eye care. This article assesses if a model of patient education and tele-retina screening among high-risk patients with DR can achieve increased rates of compliance within a one-year follow-up.

Methods: Between May 2014 and May 2016, DR screening was conducted in a cohort of 101 patients with diabetes in Southern Ontario. Read More

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October 2018
24 Reads

Ideal telestroke time targets: Telestroke-based treatment times in the United States stroke belt.

J Telemed Telecare 2018 Oct 23:1357633X18805661. Epub 2018 Oct 23.

1 Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, USA.

Background: Studying critical time interval requirements can enhance thrombolytic treatment for stroke patients in telestroke networks. We retrospectively examined 12 concurrent months of targeted time interval information in the South Central US telemedicine programme, Arkansas Stroke Assistance through Virtual Emergency Support (AR SAVES). Hypothesis: We hypothesised that consult data analysis would highlight areas for improvement to shorten overall door to Intra venous (IV) tissue plasminogen activator (tPA) administration time. Read More

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October 2018
16 Reads

The effectiveness of telemedicine interventions to address maternal depression: A systematic review and meta-analysis.

J Telemed Telecare 2018 Dec;24(10):639-650

2 Centre for Online Health, The University of Queensland, Australia.

Introduction Maternal depression (MD), is an overarching term for depression affecting pregnant women and mothers for up to 12 months postpartum. Because MD may have chronic and long-lasting effects, it is an important public health concern. The extent to which telemedicine may be an effective way to provide services to sufferers of MD is unknown, therefore, this review aimed to assess the available evidence. Read More

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http://journals.sagepub.com/doi/10.1177/1357633X18794332
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December 2018
19 Reads

Telementoring for hepatitis C treatment in correctional facilities.

J Telemed Telecare 2018 Dec;24(10):690-696

3 Department of Gastroenterology and Hepatology; PA-Southside Clinical School, The University of Queensland; Translational Research Institute, Princess Alexandra Hospital, Australia.

Introduction Prevalence of hepatitis C virus (HCV) is substantially higher among prisoners than the general population. In Australia until recently, only a small proportion of prisoners with HCV received antiviral therapy. The direct-acting antivirals (DAAs) for HCV are highly effective, with a low burden of side effects. Read More

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http://journals.sagepub.com/doi/10.1177/1357633X18795361
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December 2018
4 Reads

How telehealth facilitates the provision of culturally appropriate healthcare for Indigenous Australians.

J Telemed Telecare 2018 Dec;24(10):676-682

1 Centre for Online Health, The University of Queensland, Australia.

Introduction The aim of this study was to explore how telehealth facilitates or impedes the provision of culturally appropriate healthcare to Indigenous Australians from the perspective of staff at an Aboriginal Community Controlled Health Service (ACCHS). Methods An exploratory qualitative study was performed. Semi-structured interviews were conducted with nine ACCHS staff. Read More

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December 2018
11 Reads

It's important, but not important enough: eHealth as a curriculum priority in medical education in Australia.

J Telemed Telecare 2018 Dec;24(10):697-702

1 Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.

Information and communications technology has become central to the way in which health services are provided. Technology-enabled services in healthcare are often described as eHealth, or more recently, digital health. Practitioners may require new knowledge, skills and competencies to make best use of eHealth, and while universities may be a logical place to provide such education and training, a study in 2012 found that the workforce was not being adequately educated to achieve competence to work with eHealth. Read More

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December 2018

The use of telemedicine for delivering healthcare to bariatric surgery patients: A literature review.

J Telemed Telecare 2018 Dec;24(10):651-660

1 Centre for Online Health, The University of Queensland, Australia.

Introduction Bariatric weight loss surgery is one of the most effective treatments for severe obesity. Research shows that the availability of healthcare services pre and post bariatric surgery improves behavioural change and weight loss outcomes. The aim of this systematic review is to assess the evidence relating to the use of telemedicine for providing health services to bariatric surgery patients. Read More

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http://dx.doi.org/10.1177/1357633X18795356DOI Listing
December 2018
2 Reads

Telemedicine in the correctional setting: A scoping review.

J Telemed Telecare 2018 Dec;24(10):669-675

1 Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia.

Introduction The access healthcare services to inmates within correctional settings has generally been low and problematic due to specific nature of the prison setting. Telemedicine has been used as an alternative delivery mode. This study aimed to collate the current evidence related to the use of telemedicine to deliver health services within correctional settings. Read More

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http://dx.doi.org/10.1177/1357633X18800858DOI Listing
December 2018
2 Reads

Study of challenges to utilise mobile-based health care monitoring systems: A descriptive literature review.

J Telemed Telecare 2018 Dec;24(10):661-668

1 Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

Mobile health encompasses remote and wireless applications to provide health services. Despite the advantages of applying mobile-based monitoring systems, there are challenges and limitations; understanding the challenges may assist in identifying available solutions and optimising decision-making to apply mHealth technologies more practically. This study aimed to investigate the main challenges related to mHealth-based systems for health monitoring purposes. Read More

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http://dx.doi.org/10.1177/1357633X18804747DOI Listing
December 2018
15 Reads

Direct-to-consumer mobile teledermoscopy for skin cancer screening: Preliminary results demonstrating willingness-to-pay in Australia.

J Telemed Telecare 2018 Dec;24(10):683-689

6 Queensland University of Technology, Institute for Health and Biomedical Innovation, Queensland, Australia.

Introduction Internationally, teledermoscopy has been found to have clinical and economic efficacy. This study aims to identify the attributes of a mobile teledermoscopy service that consumers prefer. This preliminary study was set within a broader randomised control trial (RCT) investigating the effectiveness of direct to consumer mobile teledermoscopy. Read More

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http://journals.sagepub.com/doi/10.1177/1357633X18799582
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December 2018
13 Reads

Using telehealth to improve access to hepatitis C treatment in the direct-acting antiviral therapy era.

J Telemed Telecare 2018 Oct 18:1357633X18806651. Epub 2018 Oct 18.

1 Victorian Infectious Diseases Service, The Royal Melbourne Hospital, at The Doherty Institute, Melbourne Australia.

Introduction One-third of the Australian population lives outside major cities and this group has worse health outcomes. Telehealth is becoming an accepted way to improve patient access to specialist healthcare. Over 200,000 Australian's have hepatitis C virus (HCV) and new treatments are very effective and well tolerated. Read More

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October 2018
8 Reads

Implementation and evaluation of Stanford Health Care store-and-forward teledermatology consultation workflow built within an existing electronic health record system.

J Telemed Telecare 2018 Oct 9:1357633X18799805. Epub 2018 Oct 9.

1 Department of Dermatology, Stanford School of Medicine, Stanford, CA, USA.

Introduction Teledermatology services that function separately from patients' primary electronic health record (EHR) can lead to fragmented care, poor provider communication, privacy concerns and billing challenges. This study addresses these challenges by developing PhotoCareMD, a store-and-forward (SAF) teledermatology consultation workflow built entirely within an existing Epic-based EHR. Methods Thirty-six primary care physicians (PCPs) from eight outpatient clinics submitted 215 electronic consults (eConsults) for 211 patients to a Stanford Health Care dermatologist via PhotoCareMD. Read More

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October 2018
1 Read

Tablet-based tele-audiometry: Automated hearing screening for schoolchildren.

J Telemed Telecare 2018 Sep 30:1357633X18800856. Epub 2018 Sep 30.

School of Medicine, University of São Paulo (FMUSP), Brazil.

Introduction To assess the performance of a tablet-based tele-audiometry method for automated hearing screening of schoolchildren through a comparison of the results of various hearing screening approaches. Methods A total of 244 children were evaluated. Tablet-based screening results were compared with gold-standard pure-tone audiometry. Read More

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http://dx.doi.org/10.1177/1357633X18800856DOI Listing
September 2018
1 Read

Effectiveness of a novel, automated telephone intervention on time to hospitalisation in patients with COPD: A randomised controlled trial.

J Telemed Telecare 2018 Sep 30:1357633X18800211. Epub 2018 Sep 30.

3 Washington University in Saint Louis School of Medicine, USA.

Introduction Owing to its capacity to perform remote assessments, telemedicine is rising as a new force in chronic obstructive pulmonary disease (COPD) management. We conducted an eight month randomised-controlled-trial to study the effect of an automated telemedicine intervention on patients' time-to-hospitalisation. Methods A total of 168 patients with a diagnosis of COPD in the past 24 months were enrolled to receive the intervention at a primary care clinic. Read More

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http://dx.doi.org/10.1177/1357633X18800211DOI Listing
September 2018
7 Reads

Demographic and psychiatric predictors of engagement in psychotherapy services conducted via clinical video telehealth.

J Telemed Telecare 2018 Sep 27:1357633X18801713. Epub 2018 Sep 27.

1 VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

Introduction Military veterans are at high risk for developing mental health problems. Unfortunately, veterans have relatively low rates of engagement in mental health services compared with non-veterans. In order to address barriers to mental health care services, the Veteran's Health Administration (VHA) has implemented clinical video telehealth (CVT). Read More

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http://journals.sagepub.com/doi/10.1177/1357633X18801713
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http://dx.doi.org/10.1177/1357633X18801713DOI Listing
September 2018
16 Reads

Telementoring for improving primary care provider knowledge and competence in managing chronic pain: A randomised controlled trial.

J Telemed Telecare 2018 Sep 27:1357633X18802978. Epub 2018 Sep 27.

4 College of Nursing, University of Illinois at Chicago, USA.

Introduction Primary care providers are frequently unprepared to manage chronic pain adequately due in part to insufficient professional training. This study evaluated the effect of a telementoring intervention on knowledge and perceived competence related to chronic pain management. Methods The study design was a cluster randomised controlled trial. Read More

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http://journals.sagepub.com/doi/10.1177/1357633X18802978
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http://dx.doi.org/10.1177/1357633X18802978DOI Listing
September 2018
3 Reads

Medication safety in a German telemedicine centre: Implementation of a telepharmaceutical expert consultation in addition to existing tele-intensive care unit services.

J Telemed Telecare 2018 Sep 25:1357633X18799796. Epub 2018 Sep 25.

1 Hospital Pharmacy, University Hospital RWTH Aachen, Aachen, Germany.

Introduction Tele-intensive care unit (tele-ICU) services offer the possibility to provide specialized medical care in remote areas and to improve patient outcomes. The aim of this study was to implement and evaluate an additional telepharmaceutical expert consultation as part of tele-ICU services. Methods This is a prospective observational study conducted in the telemedicine centre of the University Hospital RWTH Aachen, Germany. Read More

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http://journals.sagepub.com/doi/10.1177/1357633X18799796
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http://dx.doi.org/10.1177/1357633X18799796DOI Listing
September 2018
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Comparison of virtual visit versus traditional clinic for management of varicose veins.

J Telemed Telecare 2018 Sep 20:1357633X18797181. Epub 2018 Sep 20.

1 Division of Vascular Surgery, Henry Ford Hospital, MI, USA.

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. Read More

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http://dx.doi.org/10.1177/1357633X18797181DOI Listing
September 2018
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Telemedicine in long-term care of glaucoma patients.

J Telemed Telecare 2018 Sep 12:1357633X18797175. Epub 2018 Sep 12.

3 Departments of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, USA.

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. Read More

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http://dx.doi.org/10.1177/1357633X18797175DOI Listing
September 2018
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Sustainable implementation of innovative, technology-based health care practices: A qualitative case study from stroke telemedicine.

J Telemed Telecare 2018 Sep 7:1357633X18792380. Epub 2018 Sep 7.

1 The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Australia.

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. Read More

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http://dx.doi.org/10.1177/1357633X18792380DOI Listing
September 2018

The effect of education through mobile phone short message service on promoting self-care in pre-diabetic pregnant women: A randomized controlled trial.

J Telemed Telecare 2018 Sep 7:1357633X18791419. Epub 2018 Sep 7.

3 Department of Nutrition, School of Para-medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

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. Read More

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http://dx.doi.org/10.1177/1357633X18791419DOI Listing
September 2018

Impact of telemedicine on the clinical outcomes and healthcare costs of patients with chronic heart failure and mid-range or preserved ejection fraction managed in a multidisciplinary chronic heart failure programme: A sub-analysis of the iCOR randomized trial.

J Telemed Telecare 2018 Sep 7:1357633X18796439. Epub 2018 Sep 7.

1 Community Heart Failure Program, Bellvitge University Hospital, Spain.

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. Read More

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September 2018
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Treating pediatric conjunctivitis without an exam: An evaluation of outcomes and antibiotic usage.

J Telemed Telecare 2018 Aug 28:1357633X18793031. Epub 2018 Aug 28.

2 Department of Family Medicine, Mayo Clinic Employee and Community Health, USA.

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. Read More

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http://dx.doi.org/10.1177/1357633X18793031DOI Listing
August 2018
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Application of telehealth intervention in Parkinson's disease: A systematic review and meta-analysis.

J Telemed Telecare 2018 Aug 28:1357633X18792805. Epub 2018 Aug 28.

1 School of Nursing, Jinan University, China.

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. Read More

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http://dx.doi.org/10.1177/1357633X18792805DOI Listing

Telehealth interventions for schizophrenia-spectrum disorders and clinical high-risk for psychosis individuals: A scoping review.

J Telemed Telecare 2018 Aug 22:1357633X18794100. Epub 2018 Aug 22.

Department of Psychiatry, Hotchkiss Brain Institute, University of Calgary, Canada.

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). Read More

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http://dx.doi.org/10.1177/1357633X18794100DOI Listing
August 2018
3 Reads