ICMCC

the international council on medical & care compunetics

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26
July, 2014
Saturday

self care

Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study

Cafazzo JA et al, J Med Internet Res, 14(3)

BACKGROUND
The use of mHealth apps has shown improved health outcomes in adult populations with type 2 diabetes mellitus. However, this has not been shown in the adolescent type 1 population, despite their predisposition to the use of technology. We hypothesized that a more tailored approach and a strong adherence mechanism is needed for this group.
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15 May 2012 | No Comments »
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Perceptions and Experiences of Heart Failure Patients and Clinicians on the Use of Mobile Phone-Based Telemonitoring

Seto E et al, J Med Internet Res, 14(1)

Background:
Previous trials of heart failure telemonitoring systems have produced inconsistent findings, largely due to diverse interventions and study designs.

Objectives:
The objectives of this study are (1) to provide in-depth insight into the effects of telemonitoring on self-care and clinical management, and (2) to determine the features that enable successful heart failure telemonitoring.
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15 February 2012 | No Comments »
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Personal characteristics and the law of attrition in randomized controlled trials of eHealth services for self-care

Blanson Henkemans OA et al, Gerontechnology, 10(3)

Objective
Contribute to understanding of determinants of attrition in Randomized Controlled Trials (RCTs) on eHealth services for self-care and to developing a strategy to attend to them.

Background
RCTs are considered the “gold standard” in empirical research on medical interventions. However, RCTs of eHealth services for self-care are often faced with Eysenbach’s Law of Attrition; that is, the phenomenon of people dropping out of the study early or being unavailable for follow-up studies.
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4 January 2012 | No Comments »
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Patient web portals to improve diabetes outcomes: a systematic review

Osborn CY et al, Current Diabetes Reports, 10(6)

Patient web portals (PWPs), defined as the integration of electronic medical records and patient health records, have been related to enhanced patient outcomes. A literature review was conducted to characterize the design and evaluation of PWPs to improve health care processes and outcomes in diabetes.
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4 October 2011 | No Comments »
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A preliminary study of a cloud-computing model for chronic illness self-care support in an underdeveloped country

Piette JD et al, American Journal of Preventive Medicine, 40(6)

BACKGROUND
Although interactive voice response (IVR) calls can be an effective tool for chronic disease management, many regions of the world lack the infrastructure to provide these services. PURPOSE This study evaluated the feasibility and potential impact of an IVR program using a cloud-computing model to improve diabetes management in Honduras.
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25 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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Design of medical devices–a home perspective

Bitterman N. European Journal of Internal Medicine, 22(1)

Health care services are moving out to the community and into the home; e-health services, remote monitoring technology and self-management are replacing hospitalization and visits to medical clinics and custom-tailored medicines are making inroads into normative treatment. These developments have great implications for the scope and design of home health care equipment. The paper discusses the unique nature of home medical devices, from a human-environment-machine perspective, focusing on the nature of users, environment and tasks performed. We call for increased awareness and active continuous involvement of health care personnel together with bioengineers, human factors experts, architects, designers and end users–patients and caregivers–in defining the objectives of health care devices and services at home in terms of “all family” use, integrated into the overall surroundings (”smart home”), and as part of a collaborative patient-physician disease management team.

15 May 2011 | No Comments »
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Impact of Telehealth on Patient Self-management of Heart Failure: A Review of Literature

Radhakrishnan K, Jacelon C. The Journal of Cardiovascular Nursing, 2011

PURPOSE
The objective of the study was to explore the impact of telehealth interventions on individuals’ self-care of heart failure (HF).

BACKGROUND
Heart failure is a chronic illness that requires a complex treatment regimen over a long period. Historically, effective self-care has been difficult for this population. There is a need for innovative and effective approaches to improve individual self-care. Telehealth can potentially help individuals with HF follow the plan of care resulting in improved health outcomes and a better quality of life.
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13 May 2011 | No Comments »
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Telemonitoring in patients with heart failure

Swedberg K et al, N Engl J Med, 364(11)

In their article on the Telemonitoring to Improve Heart Failure Outcomes (Tele-HF) trial (ClinicalTrials.gov number, NCT00303212), Chaudhry et al. (Dec. 9 issue) report neutral effectiveness of remote telemonitoring in patients with heart failure, in contrast to the results of a previous meta-analysis.
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27 March 2011 | No Comments »
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Innovation in sexually transmitted disease and HIV prevention: internet and mobile phone delivery vehicles for global diffusion

Swendeman D, Rotheram-Borus MJ. Current Opinion in Psychiatry, 23(2)

PURPOSE OF REVIEW:
Efficacious behavioral interventions and practices have not been universally accepted, adopted, or diffused by policy makers, administrators, providers, advocates, or consumers. Biomedical innovations for sexually transmitted disease (STD) and HIV prevention have been embraced but their effectiveness is hindered by behavioral factors. Behavioral interventions are required to support providers and consumers for adoption and diffusion of biomedical innovations, protocol adherence, and sustained prevention for other STDs. Information and communication technology such as the Internet and mobile phones can deliver behavioral components for STD/HIV prevention and care to more people at less cost.
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6 September 2010 | No Comments »
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Systematic review of home telemonitoring for chronic diseases: the evidence base

Paré G et al, J Am Med Inform Assoc, 14(3)

Objective
Home telemonitoring represents a patient management approach combining various information technologies for monitoring patients at distance. This study presents a systematic review of the nature and magnitude of outcomes associated with telemonitoring of four types of chronic illnesses: pulmonary conditions, diabetes, hypertension, and cardiovascular diseases.
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25 July 2010 | No Comments »
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Home telemonitoring in patients with chronic heart failure: a chance to improve patient care?

Schmidt S et al, Deutsches Ärzteblatt International, 107(8)

Background:
Telemonitoring can improve the medical care, quality of life, and prognosis of chronically ill patients. This review article summarizes the current status of health services research on telemonitoring, focusing on patients with chronic congestive heart failure.
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25 June 2010 | No Comments »
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Development of a health management support system for patients with diabetes mellitus at home

Tani S et al, Journal of Medical Systems, 34(3)

Recently, a patient with diabetes mellitus (DM) type 2 has been increasing in Japan. The patient should be managed not only by a specialist but also by himself focusing his attention on the improvement of his lifestyle at home. In the present study, we tried to develop a health management support system by which a diabetic patient in early stage can easily enter his daily life information, i.e. the biological information such as the data of blood sugar levels and blood pressure levels etc., the information of exercise and diet and send the information to the medical institution with a personal digital assistant (PDA). Afterwards, the patient can receive health instruction information by the physician in charge for self-care at his home with a PDA.
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31 May 2010 | No Comments »
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Patient use and compliance with medical advice delivered by a web-based triage system in primary care

Nijland N et al, J Telemed Telecare, 16(1)

We studied a web-based triage system which was accessible to the general public in the Netherlands. In a retrospective analysis we investigated the type of complaints that were submitted and the kind of advice provided. Over a period of 15 months, 13,133 different people began using the web-based triage system and 3812 patients went right through the triage process to the end. The most frequent complaints were common cold symptoms, such as cough and a sore throat (22%), itch problems (13%), urinary complaints (12%), diarrhoea (10%), headache (8%) and lower back pain (8%).
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31 May 2010 | No Comments »
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Patient and Parent Views on a Web 2.0 Diabetes Portal—the Management Tool, the Generator, and the Gatekeeper: Qualitative Study

Nordfeldt S et al, J Med Internet Res, 12(2)

Background:
The Internet has undergone rapid development, with significant impact on social life and on modes of communication. Modern management of type 1 diabetes requires that patients have access to continuous support and learning opportunities. Although Web 2.0 resources can provide this support, few pediatric clinics offer it as part of routine diabetes care.
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30 May 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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Reviewing Health Tools: A Community Matter

Tenderich, Amy, Journal of Participatory Medicine, Launch Issue

High-quality product reviews will be an important part of this new journal, with its focus on supporting and encouraging people to participate in their own healthcare. But how should we go about evaluating various interactive applications and devices that bill themselves as “health tools”?
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1 November 2009 | No Comments »
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Information Highway to the Home and Back: A Smart Systems Review

Manning, Bryan, and Luis Kun, Handbook of Digital Homecare, 2009

This chapter examines a range of issues emerging from the convergence of multiple technologies that, though they can radically assist and change the face of health and social care delivery, are critically dependent on their gaining acceptance by society to the point that they submerge into the fabric of daily life. The main role of these technologies is to enable an evolutionary transition toward far more effective joined-up services and optimisation of scarce clinical and care resources. Interoperability is central to this spanning multiple levels starting with the full range of human, organisational, sociological and political dialogues; then moving to system and process interaction; and thence to data and information transfers, analysis and manipulation.
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5 October 2009 | No Comments »
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Utility and preliminary effects of online digital assistance (ODA) for behavioral attack prevention in migraine

Kleiboer, Annet et al, Telemedicine and e-Health, 15(7)

There were two objectives of this research. First was to establish the utility of online digital assistance (ODA), a generic software-based method designed to support behavioral training (BT) in migraine. The second was to test whether ODA can produce additional effects in BT. Utility (feasibility and acceptability) was based on 44 patients with migraine who received ODA as an adjuvant to BT delivered to small groups by lay trainers with migraine at home. ODA tracking files were used to determine ODA feasibility. Acceptability was assessed by a structured interview. To examine ODA effects, 31 patients with migraine who received ODA during BT and at 6 months’ follow-up were compared with a matched group of 31 participants who received BT only.
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14 September 2009 | No Comments »
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Utility and Preliminary Effects of Online Digital Assistance (ODA) for Behavioral Attack Prevention in Migraine

Kleiboer, Annet et al, Telemedicine and e-Health, ahead of print

There were two objectives of this research. First was to establish the utility of online digital assistance (ODA), a generic software-based method designed to support behavioral training (BT) in migraine. The second was to test whether ODA can produce additional effects in BT. Utility (feasibility and acceptability) was based on 44 patients with migraine who received ODA as an adjuvant to BT delivered to small groups by lay trainers with migraine at home. ODA tracking files were used to determine ODA feasibility. Acceptability was assessed by a structured interview. To examine ODA effects, 31 patients with migraine who received ODA during BT and at 6 months’ follow-up were compared with a matched group of 31 participants who received BT only.
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24 August 2009 | No Comments »
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