the international council on medical & care compunetics


December, 2014


The impact of nurse short message services and telephone follow‐ups on diabetic adherence: which one is more effective?

Zolfaghari M et al, Journal of Clinical Nursing, 2012

To compare the effectiveness of two methods of follow-up: short message service and telephone follow-up on type 2 diabetes adherence for three months.

Using telemedicine approaches may preserve appropriate blood glucose levels and may improve adherence to diabetes control recommendations in diabetic patients.
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16 January 2012 | No Comments »
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A text message-based intervention to bridge the healthcare communication gap in the rural developing world

Mahmud N et al, Technology and Health Care, 18(2)

Healthcare delivery in the rural developing world is limited by a severe shortage of health workers as well as profound communicative and geographic barriers. Understaffed hospitals are forced to provide care for patients that reside at a great distance from the institutions themselves, sometimes more than 100 miles away. Community health workers (CHWs), volunteers from local villages, have been integral in bridging this patient-physician gap, but still lose enormous of amounts of time in transit between hospital and village.
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16 May 2011 | No Comments »
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Patient adherence to recommendations after teleconsultation: survey of patients from a telemedicine centre in Switzerland

Rimner T et al, Journal of Telemedicine and Telecare, 2011

We investigated patients’ adherence to recommendations after telephone triage at the Swiss Centre for Telemedicine. We studied cases where the medical problem was assessed as not requiring an immediate face-to-face consultation. Two weeks after teleconsultation, follow-up telephone interviews were conducted with 1129 self-care patients. The patients were asked if they had adhered to the telephone recommendations and whether they had had a subsequent face-to-face consultation.
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15 May 2011 | No Comments »
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Online interventions for social marketing health behavior change campaigns: a meta-analysis of psychological architectures and adherence factors

Cugelman B et al, J Med Internet Res, 13(1)

Researchers and practitioners have developed numerous online interventions that encourage people to reduce their drinking, increase their exercise, and better manage their weight. Motivations to develop eHealth interventions may be driven by the Internet’s reach, interactivity, cost-effectiveness, and studies that show online interventions work. However, when designing online interventions suitable for public campaigns, there are few evidence-based guidelines, taxonomies are difficult to apply, many studies lack impact data, and prior meta-analyses are not applicable to large-scale public campaigns targeting voluntary behavioral change.
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14 March 2011 | No Comments »
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iPhone Apps for Smoking Cessation A Content Analysis

Abroms LC et al, American Journal of Preventive Medicine, 40(3)

With the proliferation of smartphones such as the iPhone, mobile phones are being used in novel ways to promote smoking cessation.

This study set out to examine the content of the 47 iPhone applications (apps) for smoking cessation that were distributed through the online iTunes store, as of June 24, 2009.
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14 March 2011 | No Comments »
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Impact of implementing alerts about medication black-box warnings in electronic health records

Yu DT et al, Pharmacoepidemiology and Drug Safety, 20(2)

The Food and Drug Administration issues black-box warnings (BBWs) regarding medications with serious risks, yet physician adherence to the warnings is low.

We evaluated the impact of delivering BBW-based alerts about drug–drug, drug–disease, and drug–laboratory interactions for prescription medications in outpatients in an electronic health record with clinical decision support. We compared the frequency of non-adherence to all BBWs about drug–drug, drug–disease, and drug–laboratory interactions for 30 drugs/drug classes, and by individual drugs/drug groups with BBWs between the pre- and post-intervention periods. We used multivariate analysis to identify independent risk factors for non-adherence to BBWs.
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13 February 2011 | No Comments »
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Protocol Adherence and Safety of Intravenous Thrombolysis After Telephone Consultation With a Stroke Center

Uchino K et al, Journal of Stroke and Cerebrovascular Diseases, 2010

Intravenous tissue plasminogen activator (tPA) for acute ischemic stroke must be provided in an appropriate setting. The best way to provide thrombolysis in small community hospitals remains uncertain. Medical records were reviewed of tPA treatments at a stroke center between January 2002 and October 2005. The stroke center provides phone consultation for acute stroke to smaller hospitals in the region. Subjects were classified into 3 groups: tPA started at referring hospitals before transfer (treat and transfer group), tPA started at the stroke center after transfer (transfer and treat group), and the control group of patients who presented directly to the stroke center and received tPA (stroke center group). We recorded the patient and treatment characteristics, protocol deviations, symptomatic intracranial hemorrhage (ICH), and in-hospital deaths. There were 133 patients in the treat and transfer group, 35 patients in the transfer and treat group, and 86 patients in the stroke center group.
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18 June 2010 | No Comments »
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Hypertension telemanagement in blacks

Finkelstein, Joseph, and Eunme Cha, Circulation. Cardiovascular Quality and Outcomes, 2(3)

We propose evaluation of a multi-component home automated telemanagement system providing integrated support to both clinicians and patients in implementing hypertension treatment guidelines. In a randomized clinical study, 550 blacks with hypertension are followed for 18 months. The major components of the intervention and control groups are identical and are based on the current standard of care. For the purpose of this study, we define “standard of care” as the expected evidence-based care provided according to the current hypertension treatment guidelines. Although intervention and control groups are similar in terms of their care components, they differ in the mode of care delivery. For the control group the best attempt is made to deliver all components of a guideline-concordant care in a routine clinical environment whereas for the intervention group the routine clinical environment is enhanced with health information technology that assists clinicians and patients in working together in implementing treatment guidelines. The home automated telemanagement system guides patients in following their individualized treatment plans and helps care coordination team in monitoring the patient progress.
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27 March 2010 | No Comments »
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Comparison of trial participants and open access users of a web-based physical activity intervention regarding adherence, attrition, and repeated participation

Wanner, Miriam et al, J Med Internet Res, e3

Web-based interventions are popular for promoting healthy lifestyles such as physical activity. However, little is known about user characteristics, adherence, attrition, and predictors of repeated participation on open access physical activity websites.

The focus of this study was Active-online, a Web-based individually tailored physical activity intervention. The aims were (1) to assess and compare user characteristics and adherence to the website (a) in the open access context over time from 2003 to 2009, and (b) between trial participants and open access users; and (2) to analyze attrition and predictors of repeated use among participants in a randomized controlled trial compared with registered open access users.
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15 February 2010 | No Comments »
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Improved Adherence and Outcomes for Pediatric Liver Transplant Recipients by Using Text Messaging

Miloh, Tamir et al, Pediatrics, 124(5)

The goal was to improve immunosuppressant adherence for pediatric patients with orthotopic liver transplants by using text messaging (TM).

A prospective study of sending TM reminders to the primary medication administrator (patient or caregiver) for pediatric transplant recipients was performed. Patient records were reviewed, comparing the year before and the year of the study. The SD of serum tacrolimus levels was used as an indicator of adherence.
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6 November 2009 | No Comments »
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Adherence in Internet Interventions for Anxiety and Depression

Christensen, Helen et al, J Med Internet Res, 2009;11(2):e13

Open access websites which deliver cognitive and behavioral interventions for anxiety and depression are characterised by poor adherence. We need to understand more about adherence in order to maximize the impact of Internet-based interventions on the disease burden associated with common mental disorders.
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25 April 2009 | No Comments »
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