2,227 results match your criteria Telemedicine and e-Health [Journal]


Virtual Reality-Assisted Pain, Anxiety, and Anger Management in the Emergency Department.

Telemed J E Health 2019 Feb 20. Epub 2019 Feb 20.

1 Department of Emergency Medicine and School of Medicine and Health Sciences, George Washington University, Washington, District of Columbia.

Study Objective: Pain management in emergency department (ED) patients is challenging. Although both pharmacological and nonpharmacological therapies exist, they are often suboptimal. Immersive virtual reality (VR) uses distraction and possible other methods to reduce perceptions of pain. Read More

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http://dx.doi.org/10.1089/tmj.2018.0273DOI Listing
February 2019

Investigating the Need for Point-of-Care Robots to Support Teleconsultation.

Telemed J E Health 2019 Feb 20. Epub 2019 Feb 20.

1 College of Nursing, Seoul National University, Seoul, Republic of Korea.

Background: Development of a point-of-care (POC) consultation system based on telepresence robots is needed to enable effective decision-making by medical staff at care sites.

Introduction: This study aimed to identify essential features and functional requirements of teleconsultation robot systems and predict potential administrative and clinical issues.

Materials And Methods: Surveys were conducted with 90 health care professionals and additional focus group interviews with 4 physicians and 5 nurses. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0255
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http://dx.doi.org/10.1089/tmj.2018.0255DOI Listing
February 2019
1 Read

The Feasibility of Group Therapeutic Singing Telehealth for Persons with Parkinson's Disease in Rural Iowa.

Telemed J E Health 2019 Feb 20. Epub 2019 Feb 20.

2 College of Human Science Extension and Outreach, Iowa State University, Ames, Iowa.

Introduction: Group therapeutic singing (GTS) may be an effective treatment for voice and respiratory impairments in persons with Parkinson's disease (PD). However, it remains unknown if GTS can be effectively delivered through telemedicine.

Methods: Participants with PD from rural areas were recruited to complete a prerecorded GTS program, once a week for 8 weeks. Read More

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http://dx.doi.org/10.1089/tmj.2018.0315DOI Listing
February 2019

An Exploration of Useful Telemedicine-Based Resources for Clinical Research.

Telemed J E Health 2019 Feb 20. Epub 2019 Feb 20.

1 Department of Psychiatry and Behavioral Sciences, Biomedical Informatics Center, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.

Background: Clinical trials are key to ensuring high-quality, effective, and safe health care interventions, but there are many barriers to their successful and timely implementation. Difficulties with participant recruitment and enrollment are largely affected by difficulties with obtaining informed consent. Teleconsent is a telemedicine- based approach to obtaining informed consent and offers a unique solution to limitations of traditional consent approaches. Read More

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http://dx.doi.org/10.1089/tmj.2018.0221DOI Listing
February 2019

"SILAB for Africa": An Innovative Information System Supporting the Veterinary African Laboratories.

Telemed J E Health 2019 Feb 15. Epub 2019 Feb 15.

3 Animal health Department, Veterinary Public health Institute of Abruzzo and Molise Regions (IZSAM), Teramo, Italy.

To support African veterinary laboratory services, the Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise puts in place an operational system called "SILAB for Africa" (SILABFA); this is a web application used by a laboratory information management system to support laboratory diagnostic activities and to meet the needs of various African countries. SILABFA was designed to collect and manage all necessary information on samples, tests, and test results. The system involves the entry of sample data on arrival, the tracking of samples through the various sections of the laboratory, and the collection of test results. Read More

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http://dx.doi.org/10.1089/tmj.2018.0208DOI Listing
February 2019

Teleneurology Network to Improve Access to Neurologists for Patients in Rural Areas: A Real-World Experience.

Telemed J E Health 2019 Feb 14. Epub 2019 Feb 14.

1 Department of Neurology, Medical University of South Carolina, Charleston, South Carolina.

Background: The need for neurologists has been steadily increasing over the past few years. The implementation of teleneurology networks could serve as a potential solution to this need.

Methods: A retrospective review of the Medical University of South Carolina (MUSC) Teleneurology records for all consults performed between August 2014 and July 2018 was conducted. Read More

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http://dx.doi.org/10.1089/tmj.2018.0290DOI Listing
February 2019

Antibiotic Prescribing Practices: Is There a Difference Between Patients Seen by Telemedicine Versus Those Seen In-Person?

Telemed J E Health 2019 Feb 14. Epub 2019 Feb 14.

2 Department of Emergency Medicine, Weill Cornell Medical Center, New York, New York.

Background: Direct-to-consumer telemedicine is becoming part of mainstream medicine, but questions exist regarding the quality of care provided. We assessed antibiotic stewardship, one measure of quality, by comparing antibiotic prescription rates for acute respiratory infections (ARIs) between patients seen by telemedicine and patients seen in-person in two urban emergency departments (EDs).

Methods: In two urban EDs where low-acuity patients in the ED have the option of being seen by telemedicine rather than in-person, we analyzed telemedicine and in-person visits of patients ≥18 years who received ARI diagnoses between July 2016 and September 2017. Read More

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http://dx.doi.org/10.1089/tmj.2018.0250DOI Listing
February 2019

Is the Internet Different from Traditional Mass Media in Promoting Patient Compliance with Mature Treatments?

Telemed J E Health 2019 Feb 13. Epub 2019 Feb 13.

3 Department of Mechanical Engineering, School of Mechanical, Electronic and Control Engineering, Beijing Jiaotong University, Beijing, People's Republic of China.

Background: Through mass media, some patients tend to seek mature treatment-related health information whereas some prefer information related to emerging treatments, which may influence patient compliance, specifically, following the medical diagnoses and treatment regimens. Given that traditional mass media (TMM) and the internet (INT) may promote the publication of different treatment-related information, this study aims to identify the difference between TMM and the INT in influencing patient compliance with mature treatments (PCMTs).

Materials And Methods: Our subjects were Chinese who had received therapies within a month and had experience of seeking health information through mass media. Read More

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http://dx.doi.org/10.1089/tmj.2018.0292DOI Listing
February 2019

The Accuracy of Large Vessel Occlusion Recognition Scales in Telestroke Setting.

Telemed J E Health 2019 Feb 13. Epub 2019 Feb 13.

1 Department of Neurology and Medical University of South Carolina, Charleston, South Carolina.

Introduction: A significant proportion of acute ischemic stroke (AIS) patients who are evaluated through telestroke consultation are transferred to thrombectomy-capable stroke centers (TSCs) for concern of large vessel occlusion (LVO). Patient triage selection is commonly based on the clinical suspicion of LVO, which lacks specificity and could result in unnecessary transfers. In this study, we aimed to assess the accuracy of the most commonly used LVO recognition scales in telestroke setting. Read More

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http://dx.doi.org/10.1089/tmj.2018.0232DOI Listing
February 2019

Teledermatology Outcomes in the Providence Veterans Health Administration.

Telemed J E Health 2019 Feb 13. Epub 2019 Feb 13.

1 Providence Veterans Affairs Medical Center, Dermatoepidemiology Unit, Providence, Rhode Island.

Background: As technology evolves, so does the integration of technology into health care delivery. Telemedicine, the use of information technology to provide remote health care, aims to improve patient access to quality care across a wide range of barriers.

Introduction: Our objective was to determine whether teleconsultation leverages specialist expertise at one site within the United States' largest integrated health system. Read More

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http://dx.doi.org/10.1089/tmj.2018.0242DOI Listing
February 2019

Smartphone Application Versus Pedometer to Promote Physical Activity in Prostate Cancer Patients.

Telemed J E Health 2019 Feb 13. Epub 2019 Feb 13.

1 Department of Rehabilitation Medicine and Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Background: Recently, the application of smartphone in medical field has received great attention.

Introduction: The objective of this study was to compare the effectiveness of smartphone-based and conventional pedometer-based exercise monitoring systems in promoting home exercise among prostate cancer patients.

Methods: Prostate cancer patients who have undergone surgery or androgen deprivation therapy were recruited. Read More

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http://dx.doi.org/10.1089/tmj.2018.0233DOI Listing
February 2019
1 Read

Use of Teledermatology to Improve Dermatological Access in Rural Areas.

Telemed J E Health 2019 Feb 11. Epub 2019 Feb 11.

1 Healthcare Administration Program, Lewis College of Business, Marshall University, South Charleston, West Virginia.

Introduction: Dermatological access in rural regions has been impacted due to an acute, global dermatologist shortage coupled with a striking disparity in dermatologist density between urban and rural areas. As a result, the dermatological arena has been under notable pressure to amplify access. Teledermatology has entailed the use of technology to provide dermatological services to individuals located at a remote distance. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0130
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http://dx.doi.org/10.1089/tmj.2018.0130DOI Listing
February 2019
6 Reads

Telesurveillance: Exploring the Use of Mobile Phone Imaging in the Follow-Up of Orthopedic Patients with Hand Trauma.

Telemed J E Health 2019 Feb 8. Epub 2019 Feb 8.

Department of Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.

Background: Intra-articular phalangeal fractures involving the proximal interphalangeal joint (PIPJ) are notoriously difficult injuries to treat and often require regular follow-up to assess progress, guide treatment, and determine outcomes. Some patients often have to travel long distances for follow-up care. The aim of our study was to assess the clinical outcomes of intra-articular fractures of the PIPJ through use of clinical pictures sent through a mobile phone. Read More

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http://dx.doi.org/10.1089/tmj.2018.0210DOI Listing
February 2019
1 Read

Telehealth Decreases Rural Emergency Department Wait Times for Behavioral Health Patients in a Group of Critical Access Hospitals.

Telemed J E Health 2019 Feb 8. Epub 2019 Feb 8.

3 Union Hospital, Richard Lugar Center for Rural Health, Terre Haute, Indiana.

Background: Telehealth has been proposed as an important care delivery strategy to increase access to behavioral health care, especially in rural and medically-underserved settings where mental health care provider shortage areas predominate, to speed access to behavioral health care, and reduce health disparities.

Introduction: This study was conducted to determine the effects of telehealth-based care delivery on clinical, temporal, and cost outcomes for behavioral health patients in rural emergency departments (EDs) of four Midwestern critical access hospitals (CAHs).

Materials And Methods: Observational matched cohort study of adult (age ≥18 years) behavioral health patients treated in participating CAH EDs from 2015 to 2017 (N = 287). Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0227
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http://dx.doi.org/10.1089/tmj.2018.0227DOI Listing
February 2019
4 Reads

Implementation and Utility of an Automated Text Messaging System to Facilitate Symptom Self-Monitoring and Identify Risk for Post-traumatic Stress Disorder and Depression in Trauma Center Patients.

Telemed J E Health 2019 Feb 7. Epub 2019 Feb 7.

2 Technology Applications Center for Healthful Lifestyles, College of Nursing, Medical University of South Carolina, Charleston, South Carolina.

Background and Introduction: Comprehensive monitoring and follow-up after traumatic injury is important for psychological recovery. However, scalable services to facilitate this are limited. Automated text message-based symptom self-monitoring (SSM) may be a feasible approach. Read More

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http://dx.doi.org/10.1089/tmj.2018.0170DOI Listing
February 2019
1 Read

Development and Assessment of a Mobile Health Application for Monitoring the Linkage Among Treatment Factors of Type 1 Diabetes Mellitus.

Telemed J E Health 2019 Feb 6. Epub 2019 Feb 6.

1 Graduate Program in Applied Computing, Institute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, Brazil.

Background: In the daily routine of type 1 diabetes mellitus (T1DM), the patients deal with many data and consider many variables to perform actions, decisions, and regimen adjustments. There is a need to apply filtering techniques to extract relevant information and provide appropriate data visualization methods to assist in clinical tasks and decision making.

Objective: To present Soins DM, a mobile health tool, for monitoring the linkage among treatment factors of T1DM with an interactive data visualization approach. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0329
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http://dx.doi.org/10.1089/tmj.2018.0329DOI Listing
February 2019
2 Reads

Center and Drivers.

Telemed J E Health 2019 Feb;25(2):83-84

Editors-in-Chief.

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http://dx.doi.org/10.1089/tmj.2019.29017.crdDOI Listing
February 2019

Facilitators and Barriers for Implementing an Internet Clinic for the Treatment of Pressure Injuries.

Telemed J E Health 2019 Feb 1. Epub 2019 Feb 1.

3 Alberta Health Services , Alberta, Canada .

Background: Pressure injuries (PIs) represent a frequent, often preventable, secondary complication of spinal cord injury (SCI) with serious consequences to health, societal participation, and quality of life. Specialized knowledge and service delivery related to treatment and prevention are typically located within major health centers.

Introduction: For persons with SCI living at home, it can be challenging to access specialized PI care. Read More

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http://dx.doi.org/10.1089/tmj.2018.0196DOI Listing
February 2019

Rubrum Coelis: The Contribution of Real-Time Telementoring in Acute Trauma Scenarios-A Randomized Controlled Trial.

Telemed J E Health 2019 Feb 1. Epub 2019 Feb 1.

1 Israel Defense Forces Medical Corps, Tel Hashomer, Israel.

Background: Most deaths in military trauma occur soon after wounding, and demand immediate on scene interventions. Although hemorrhage predominates as the cause of potentially preventable death, airway obstruction and tension pneumothorax are also frequent. First responders caring for casualties in operational settings often have limited clinical experience. Read More

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http://dx.doi.org/10.1089/tmj.2018.0173DOI Listing
February 2019
1 Read

A Mixed-Methods Study of Users' Journey Mapping Experience and Acceptance of Telehealthcare Technology in Taiwan.

Telemed J E Health 2019 Jan 29. Epub 2019 Jan 29.

2 Institute of Management of Technology, National Chiao-Tung University , HsinChu, Taiwan, Republic of China .

Background: The integration of telehealthcare technologies into geriatric care has clear advantages, but poses challenges for key stakeholders, including the telehealthcare service industry, smart device developers, marketers and, of course, users. The purpose of this study was to gain insight into user experience and acceptance of telehealthcare technology in Taiwan.

Materials And Methods: Taking an integrated mixed-methods approach, 51 participants-33 women (64. Read More

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http://dx.doi.org/10.1089/tmj.2018.0155DOI Listing
January 2019
1 Read

Implementing a Home-Based Telehealth Group Adherence Intervention with Adolescent Transplant Recipients.

Telemed J E Health 2019 Jan 25. Epub 2019 Jan 25.

2 Department of Psychiatry, University of Colorado School of Medicine, Aurora, Colorado.

Introduction: To improve access to care and engage adolescent transplant recipients for adherence-promoting interventions, innovative solutions utilizing technology are needed.

Materials And Methods: This study describes the implementation of a five-session group intervention targeting medication adherence in adolescent transplant recipients through home-based telemedicine.

Results: Seven videoconferencing groups were conducted with a total of 33 participants living a median of 57 miles away from their transplant medical center. Read More

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http://dx.doi.org/10.1089/tmj.2018.0164DOI Listing
January 2019
1 Read

Exploring the Effects of Online Rating and the Activeness of Physicians on the Number of Patients in an Online Health Community.

Telemed J E Health 2019 Jan 24. Epub 2019 Jan 24.

Department of Business Administration, School of Management, Harbin Institute of Technology, Harbin, China.

Introduction: With the rapid development of information technology and online communities, patients in growing numbers choose to consult physicians in online health communities (OHCs) for information and treatment. Although many researchers have examined OHCs, the impact of physicians' online rating and activeness on patient consultation choice, which is reflected by the number of patients in OHCs, has rarely been discussed.

Methods: A computer program was developed to download the required data. Read More

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http://dx.doi.org/10.1089/tmj.2018.0192DOI Listing
January 2019
1 Read

The Head Down Generation: Musculoskeletal Symptoms and the Use of Smartphones Among Young University Students.

Telemed J E Health 2019 Jan 24. Epub 2019 Jan 24.

3 Health Promotion Graduate Program and ICETI - Cesumar Institute of Science, Technology and Innovation, Cesumar University Center, Maringa, Brazil.

Background: Smartphones offer a variety of mobile applications for diverse purposes and access to services that contribute to an increased time of interaction with the device, influencing the users' health and behavior.

Introduction: The time of interaction with smartphones is more intense with the younger generation, and physical, psychological, and social complications are reported. This research aims at identifying the factors associated with musculoskeletal symptoms due to the use of smartphones in university students in Brazil. Read More

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http://dx.doi.org/10.1089/tmj.2018.0231DOI Listing
January 2019
1 Read

Using Persuasive Systems Design Model to Evaluate "Cuida tu Ánimo": An Internet-Based Pilot Program for Prevention and Early Intervention of Adolescent Depression.

Telemed J E Health 2019 Jan 22. Epub 2019 Jan 22.

6 Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany.

Background: "Cuida tu Ánimo" (CTA) [Take Care of Your Mood] is an internet-based program for prevention and early intervention of adolescent depression implemented in Chile and Colombia. In the pilot application of the program, participants interacted with the program through a website that provided psychoeducational information, chat, and telephone appointments as well as monitoring and feedback messages. To date, most similar programs were not developed taking design features into consideration. Read More

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http://dx.doi.org/10.1089/tmj.2018.0272DOI Listing
January 2019
4 Reads

Webside Manner: A Key to High-Quality Primary Care Telemedicine for All.

Telemed J E Health 2019 Jan 16. Epub 2019 Jan 16.

Department of Pediatrics, University of Rochester Medical Center, Rochester, New York.

Evaluation of telemedicine, including videoconferencing, specifically focused on primary care, has demonstrated quality as good as in-person care, reduced cost, elimination of socioeconomic disparities in access, and high levels of patient satisfaction. Distinctly different care models are currently marketed by provider organizations as telemedicine. Inclusion (or not) of videoconferencing capacity constitutes a distinguishing feature that is likely to impact effectiveness, but provider organizations, regulatory agencies, and payers have largely overlooked this distinction. Read More

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http://dx.doi.org/10.1089/tmj.2018.0274DOI Listing
January 2019
1 Read

The Effects of a Mobile Wellness Intervention with Fitbit Use and Goal Setting for Workers.

Telemed J E Health 2019 Jan 16. Epub 2019 Jan 16.

1 Convergence Research Center for Wellness, Daegu Gyeonbuk Institute of Science and Technology (DGIST), Daegu, South Korea.

Background and Introduction: There is strong evidence that worksite wellness programs can significantly improve the health profile of participating workers. To date, little is known about research on the effects of mobile wellness interventions in worksite settings. Furthermore, no studies have been conducted to evaluate mobile wellness interventions with activity trackers and tailoring strategies for physically inactive workers in manufacturing companies. Read More

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http://dx.doi.org/10.1089/tmj.2018.0185DOI Listing
January 2019
1 Read

What Is a Quarter Worth?

Telemed J E Health 2019 Jan;25(1):1-2

Editors-in-Chief.

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http://dx.doi.org/10.1089/tmj.2019.29015.crdDOI Listing
January 2019
1 Read

Application of Telemedicine for the Control of Patients with Acute and Chronic Heart Diseases.

Telemed J E Health 2018 Dec 15. Epub 2018 Dec 15.

2 Internal Medicine, Hospital Universitario de Torrejón , Madrid, Spain .

Introduction: Telemedicine (TM) has transformed the field of emergency cardiology, particularly the treatment of acute myocardial infarction (AMI). The ability to record an electrocardiogram (EKG) in the early prehospital phase, thus avoiding any delay in diagnosing myocardial infarction with direct transfer to the cath-lab for primary angioplasty, has proven to significantly reduce treatment times and mortality.

Materials And Methods: We analyzed the available evidence and organizational models based on a support by TM in cardiology, including the applications of TM in cardiovascular disease based on a review of the literature. Read More

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http://dx.doi.org/10.1089/tmj.2018.0199DOI Listing
December 2018
1 Read

Home-Based Telemedicine for Children with Medical Complexity.

Telemed J E Health 2019 Jan 10. Epub 2019 Jan 10.

2 Advocate Children's Hospital, Oak Lawn, Illinois.

Background: Children with medical complexity (CMC) are high utilizers of health care services. Telehealth encounters may provide a means to improve care outcomes for this population.

Objective: To evaluate the feasibility, usability, and impact of an in-home telehealth device in the care of CMC. Read More

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http://dx.doi.org/10.1089/tmj.2018.0186DOI Listing
January 2019
2 Reads

Opinions on the Role of Telehealth in a Large Midwest Academic Health Center: A Case Study.

Telemed J E Health 2019 Jan 9. Epub 2019 Jan 9.

1 Department of Family and Community Medicine, University of Cincinnati, Cincinnati, Ohio.

Introduction: Varying terms such as telemedicine, telehealth, and e-Health have increasingly been incorporated into medical education and clinical practice. While there is some variability in this adoption, our interest was in the opinions about the role these terms have in a large Midwestern academic health center (medical school and practice plan) in Cincinnati, Ohio.

Materials And Methods: Two separate studies were conducted, one with medical students and the other with clinicians. Read More

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http://dx.doi.org/10.1089/tmj.2018.0259DOI Listing
January 2019
10 Reads

Preliminary Agreement on Tracking Sleep Between a Wrist-Worn Device Fitbit Alta and Consensus Sleep Diary.

Telemed J E Health 2019 Jan 2. Epub 2019 Jan 2.

Department of Systems Engineering and Engineering Management, City University of Hong Kong, Kowloon, Hong Kong.

Background: Sleep is related to various kinds of health outcomes. Many studies traditionally collect data on sleep using questionnaires or sleep diaries. An increasing popular alternative is a wrist-worn device. Read More

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http://dx.doi.org/10.1089/tmj.2018.0202DOI Listing
January 2019
1 Read

Implementation of Telehealth Resources in Primary Care in Brazil and Its Association with Quality of Care.

Telemed J E Health 2018 Dec 28. Epub 2018 Dec 28.

Nescon, Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Background: Although several reviews on the relation between telemedicine and health care outcomes have pointed out some evidence, they have also underscored the need for further investigation.

Introduction: Brazil has a national telehealth program implemented in 2007, involving teleconsulting and distance education actions in primary care.

Objective: This study aims to describe the implementation of telehealth in primary care in Brazil and to identify if there is an association between telehealth and quality of care. Read More

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http://dx.doi.org/10.1089/tmj.2018.0166DOI Listing
December 2018
2 Reads

The Impact of Individuals' Attitudes Toward Health Websites on Their Perceived Quality of Health Information: An Empirical Study.

Telemed J E Health 2018 Dec 26. Epub 2018 Dec 26.

Department of Information Management, School of Economics and Management, Beijing Jiaotong University , Beijing, China .

Background: A growing number of patients have increasingly used health websites to search and gather health information. Nevertheless, few studies have focused on the driving factors of internet health information quality from the perspective of psychology. Accordingly, this study explores how the attitudes of individuals toward health websites affect their perceived quality of internet health information through the mediation of seeking behavior on treatment information by employing regulatory focus theory. Read More

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http://dx.doi.org/10.1089/tmj.2018.0217DOI Listing
December 2018
1 Read

Patient-Centered Methods for Designing and Developing Health Information Communication Technologies: A Systematic Review.

Telemed J E Health 2018 Dec 21. Epub 2018 Dec 21.

2 Department of Media and Information, Michigan State University, East Lansing, Michigan.

Background: Chronic disease management and maintaining healthy behaviors to prevent disease are important lifelong considerations. Adherence to prescribed management and behaviors often falls short of physician recommendations, which can result in negative health outcomes. Information communication technologies (ICTs) offer an approach to combat this issue. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0236
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http://dx.doi.org/10.1089/tmj.2018.0236DOI Listing
December 2018
1 Read

Nonmydriatic Fundus Photography in Patients with Acute Vision Loss.

Telemed J E Health 2018 Dec 20. Epub 2018 Dec 20.

1 Department of Ophthalmology, Emory University School of Medicine , Atlanta, Georgia .

Background: Acute visual loss is a common chief complaint in emergency department (ED) patients, but the scarcity of ophthalmologists in most EDs limits its evaluation.

Introduction: Our objective was to evaluate whether nonmydriatic fundus photography (NMFP) in the ED helps triage patients with acute visual loss.

Materials And Methods: We included 213 patients with acute visual loss evaluated in the ED with NMFP as part of the Fundus Photography versus Ophthalmoscopy Trial Outcomes in the ED studies. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0209
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http://dx.doi.org/10.1089/tmj.2018.0209DOI Listing
December 2018
2 Reads

Vortex Whistle and Smart Phone Application for Peak Flow Recordings in Asthmatic Children: A Feasibility Study.

Telemed J E Health 2018 Dec 20. Epub 2018 Dec 20.

1 Department of Pediatrics, Stavanger University Hospital, Stavanger, Norway.

Introduction: Variable airflow obstruction that can be confirmed by diurnal variability of peak expiratory flow (PEF) >13% is an important characteristic of asthma. Home monitoring of PEF may be helpful to diagnose and monitor asthma. In this feasibility study, we aimed to study if asthmatic children can measure PEF at home twice daily during a 4-week period using a device designed as a "whistle" and a smart phone software application. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0270
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http://dx.doi.org/10.1089/tmj.2018.0270DOI Listing
December 2018
3 Reads

Free for Caring? The Effect of Offering Free Online Medical-Consulting Services on Physician Performance in e-Health Care.

Telemed J E Health 2018 Dec 19. Epub 2018 Dec 19.

3 Department of Mechatronics Engineering, Harbin Institute of Technology, Harbin, China .

Introduction: In online medical-consulting platforms, physicians answer medical questions and share health care knowledge with patients, which will bring them both economic returns and social returns. Little research has studied the free online medical-consulting services (FOMCS) and their influences on the performance of patients.

Methods: An OLS specification-regression model with robust standard errors clustered at the physician level based on panel data in physician-month level, including 48,406 physicians in 4,452 hospitals in 139 months (August 2006-December 2017) from the largest online health care platform in China. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0216
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http://dx.doi.org/10.1089/tmj.2018.0216DOI Listing
December 2018
7 Reads

Comparison of a Novel Handheld Telehealth Device with Stand-Alone Examination Tools in a Clinic Setting.

Telemed J E Health 2018 Dec 18. Epub 2018 Dec 18.

3 Department of Telemedicine, University of Virginia , Charlottesville, Virginia.

Background And Objective: Research demonstrates that telemedicine is effective in pediatric settings but little is published to validate the quality of the data acquired by remote peripheral examination devices to accurately inform clinical decision-making.

Introduction: The primary aim was to compare a novel Food and Drug Administration (FDA)-cleared multifunctional remote examination device (Tyto) with other stand-alone digital examination devices. The secondary aim was to ascertain whether either device produced images or sounds better able to provide clinical information to clinicians caring for children. Read More

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http://dx.doi.org/10.1089/tmj.2018.0214DOI Listing
December 2018
1 Read

Effect of Lifestyle Coaching Including Telemonitoring and Telecoaching on Gestational Weight Gain and Postnatal Weight Loss: A Systematic Review.

Telemed J E Health 2018 Dec 6. Epub 2018 Dec 6.

1 Faculty of Health and Social Work, Research Unit Healthy Living, University Colleges Leuven-Limburg , Genk, Belgium .

Background: Obesity during pregnancy, excessive gestational weight gain (GWG), and postpartum weight retention (PPWR) are associated with health risks for mothers and their offspring. Face-to-face lifestyle interventions can reduce GWG and PPWR, but they are resource-demanding and effects on long-term maternal and fetal outcomes are scarce.

Objectives: To explore the existing literature about the effect of technology-supported lifestyle interventions including telemonitoring and-coaching on GWG and PPWR. Read More

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http://dx.doi.org/10.1089/tmj.2018.0139DOI Listing
December 2018
2 Reads

Collaboration Between Medical Professionals: Special Interest Groups in the Brazilian Telemedicine University Network (RUTE).

Telemed J E Health 2018 Dec 11. Epub 2018 Dec 11.

5 Department of Health Informatics, Federal University of São Paulo , São Paulo, Brazil .

Background and Introduction: In Brazil, the Telemedicine University Network (RUTE) initiative promotes collaboration between university hospitals, teaching hospitals, health professionals, and students using information and communication technology infrastructure to support special interest groups (SIGs) in health care. Health professionals in institutions belonging to RUTE plan a program of video conferences and/or web conferences to discuss specific themes. This article presents the results of an analysis of collaboration in these SIGs. Read More

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http://dx.doi.org/10.1089/tmj.2018.0075DOI Listing
December 2018
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Impact of Telemedicine in Pediatric Postoperative Care.

Telemed J E Health 2018 Dec 5. Epub 2018 Dec 5.

2 Institute for Medical Engineering and Science (IMES), Massachusetts Institute of Technology , Cambridge, Massachusetts.

Background: A shortage of pediatricians and long wait times in the hospitals render more efficient follow-up visits increasingly important. Virtual visits between physician and patient offer a solution to this problem. Increased awareness, improved technology, and efficient scheduling methods will contribute to the quality and adoption of telemedicine programs. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0246
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http://dx.doi.org/10.1089/tmj.2018.0246DOI Listing
December 2018
7 Reads

Creating a Web Infrastructure for the Support of Clinical Protocols and Clinical Management: An Example in Teledermatology.

Telemed J E Health 2018 Nov 30. Epub 2018 Nov 30.

2 Internal Medicine Department of UFSC, Federal University of Santa Catarina , Florianópolis, Brazil .

Introduction: We describe a teledermatology infrastructure, implemented as part of a statewide large-scale telemedicine network, designed to provide comprehensive support for examination and clinical management protocols, which includes telediagnostic and patient triage and referral. It was implemented as a web-based system and an associated mobile application that supports both the primary healthcare facility team and the specialist during the patient care process.

Methods: We describe the process models, protocols and technology employed, and the requirements generated for their development. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0197
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http://dx.doi.org/10.1089/tmj.2018.0197DOI Listing
November 2018
2 Reads

Over Half of Family Medicine Residency Program Directors Report Use of Telehealth Services.

Telemed J E Health 2018 Nov 28. Epub 2018 Nov 28.

2 Robert Graham Center , American Academy of Family Physicians, Washington, District of Columbia.

Background: Little is known about the adoption of telehealth services among family medicine residency programs.

Introduction: Using the 2015 Council of Academic Family Medicine Educational Research Alliance Program Directors Fall Survey section on telehealth, the authors investigated how residency programs used telehealth services during calendar year 2015.

Materials And Methods: The authors used bivariate analyses to examine how family medicine residency program characteristics vary by telehealth usage. Read More

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http://dx.doi.org/10.1089/tmj.2018.0134DOI Listing
November 2018
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Feasibility and Acceptability of an Electronic Parenting Skills Intervention for Parents of Alcohol-Using Adolescent Trauma Patients.

Telemed J E Health 2018 Nov 28. Epub 2018 Nov 28.

1 The Warren Alpert Medical School of Brown University , Providence, Rhode Island.

Background: Identifying problem drinkers and providing brief intervention (BI) for those who screen positive are required within all level I trauma centers. While parent-adolescent relationships impact adolescent alcohol use, parenting skills are rarely included in adolescent alcohol BIs within pediatric trauma centers.

Introduction: The primary objective of this study was to examine the feasibility and acceptability of an electronic parenting skills intervention for parents of injured adolescents who report alcohol or drug use. Read More

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http://dx.doi.org/10.1089/tmj.2018.0201DOI Listing
November 2018
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Use of Telehealth Screening to Detect Diabetic Retinopathy and Other Ocular Findings in Primary Care Settings.

Telemed J E Health 2018 Nov 27. Epub 2018 Nov 27.

1 Wills Eye Hospital, Thomas Jefferson University , Philadelphia, Pennsylvania.

Purpose: To determine the incidence of diabetic retinopathy (DR) and other ocular findings in previously diagnosed diabetes using telehealth retinal screening with nonmydriatic fundus photography (nFP) in primary care physicians' offices.

Methods: A retrospective study based on electronic chart review was performed. All diabetic patients who participated in the Wills Eye Hospital (WEH) telehealth retinal screening program from July 1, 2012 to February 20, 2017 were included. Read More

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http://dx.doi.org/10.1089/tmj.2018.0016DOI Listing
November 2018
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Patient Acceptance of e-Health Services in Saudi Arabia: An Integrative Perspective.

Telemed J E Health 2018 Nov 16. Epub 2018 Nov 16.

2 Department of Management Information Systems, Faculty of Business Studies, University of Dhaka , Dhaka, Bangladesh .

Background: e-Health has been expansively considered as a technological intervention for fundamental enhancement in the healthcare sector to mitigate the enormous demand and supply of healthcare in both developed and developing nations. In 2000, the Saudi government established a committee for health reform to develop an information technology strategic plan for healthcare and for deploying e-health applications within the country. The objective of e-health systems was to provide better healthcare to patients and to increase the efficiency of healthcare organizations. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0107
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http://dx.doi.org/10.1089/tmj.2018.0107DOI Listing
November 2018
12 Reads

Hang on: It Is Worth the Ride.

Telemed J E Health 2018 Nov;24(11):825-826

Editors-in-Chief.

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http://dx.doi.org/10.1089/tmj.2018.29013.crdDOI Listing
November 2018
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The Effects of a Theory-Based Patient Portal e-Learning Program for Older Adults with Chronic Illnesses.

Telemed J E Health 2018 Nov 15. Epub 2018 Nov 15.

6 SeniorNet , Ft Myers, Florida.

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. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0184
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http://dx.doi.org/10.1089/tmj.2018.0184DOI Listing
November 2018
10 Reads

A Randomized Controlled Trial Comparing Telehealth Self-Management to Standard Outpatient Management in Underserved Black and Hispanic Patients Living with Heart Failure.

Telemed J E Health 2018 Nov 10. Epub 2018 Nov 10.

1 Department of Medicine, Northwell Health , Manhasset, New York.

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. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0219
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http://dx.doi.org/10.1089/tmj.2018.0219DOI Listing
November 2018
17 Reads

Differences in Attitudes Toward Online Interventions in Psychiatry and Psychotherapy Between Health Care Professionals and Nonprofessionals: A Survey.

Telemed J E Health 2018 Nov 9. Epub 2018 Nov 9.

Department of Applied Research, Neuropsychiatric Center of Hamburg-Altona , Hamburg, Germany .

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. Read More

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https://www.liebertpub.com/doi/10.1089/tmj.2018.0225
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http://dx.doi.org/10.1089/tmj.2018.0225DOI Listing
November 2018
14 Reads