The cost-effectiveness of telestroke in the Pacific Northwest region of the USA
Conclusions Our results support previous models showing good value, overall. However, costs and ICERs varied by stroke severity, with telestroke being most cost-effective for severe strokes. Telestroke was least cost effective for the spokes if spokes paid for more than half of implementation costs. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: Nelson, R. E., Okon, N., Lesko, A. C., Majersik, J. J., Bhatt, A., Baraban, E. Tags: RESEARCH/Original Articles Source Type: research

Smartphone hearing screening in mHealth assisted community-based primary care
Conclusion Smartphone-based hearing screening allows CHWs to bring hearing health care to underserved communities at a primary care level. Active noise monitoring and data management features allow for quality control and remote monitoring for surveillance and follow-up. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: Yousuf Hussein, S., Wet Swanepoel, D., Biagio de Jager, L., Myburgh, H. C., Eikelboom, R. H., Hugo, J. Tags: RESEARCH/Original Articles Source Type: research

Optimizing and validating the technical infrastructure of a novel tele-cystoscopy system
Discussion We created and tested the feasibility of a tele-cystoscopy system that was deemed suitable for medical diagnosis by a group of experts. We further validated tele-cystoscopy video quality using both experts and recently validated crowd-sourcing. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: Hougen, H. Y., Lobo, J. M., Corey, T., Jones, R., Rheuban, K., Schenkman, N. S., Krupski, T. L. Tags: RESEARCH/Original Articles Source Type: research

Availability, spatial accessibility, utilisation and the role of telehealth for multi-disciplinary paediatric cerebral palsy services in Queensland
Conclusions Traditional methods of delivering services to CP patients do not meet their needs. Clinicians have found telehealth is a feasible and satisfactory delivery method. However, the use of telehealth is still limited. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: Edirippulige, S., Reyno, J., Armfield, N. R., Bambling, M., Lloyd, O., McNevin, E. Tags: RESEARCH/Original Articles Source Type: research

Association between remote implantable cardioverter defibrillator monitoring and beta-blocker utilization: An analysis from the EFFECT study
Discussion In a ‘real-world’ setting, we did not find an association between RM and the achieved dose of beta-blockers. However, we reported outcome benefits in achieving the effective dose of beta-blockers during follow-up and in adopting RM. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 19, 2016 Category: Information Technology Authors: DOnofrio, A., Stabile, G., Capucci, A., Amellone, C., De Simone, A., Leoni, L., Morani, G., Bianchi, V., Campari, M., Valsecchi, S., Buja, G., On behalf of the EFFECT study investigators Tags: RESEARCH/Original Articles Source Type: research

Reality versus regulation
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: Mars, M., Scott, R. E. Tags: Tailpiece Source Type: research

Use of short messaging services to assess depressive symptoms among refugees in South Africa: Implications for social services providing mental health care in resource-poor settings
Conclusion Despite potential implementation barriers (network delay/phone theft), depression screening using SMS may be viable for refugee mental health services in low-resource settings. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: Tomita, A., Kandolo, K. M., Susser, E., Burns, J. K. Tags: RESEARCH/Original Article Source Type: research

Telemedicine compared with standard care in type 2 diabetes mellitus: A randomized trial in an outpatient clinic
Conclusions In the direct comparison of home video consultations vs standard outpatient treatment in type 2 diabetes mellitus, telemedicine was a safe and available option with favourable outcomes after six months treatment. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: Rasmussen, O. W., Lauszus, F., Loekke, M. Tags: RESEARCH/Original Article Source Type: research

Tele-health services for the elderly: A novel southern Italy family needs-oriented model
We examined the effects of a telehealth system, i.e. tele-monitoring of vital parameters and neurological/psychological tele-counseling, within a family-centred service provided by a local day centre. We evaluated the clinical and neurobehavioral symptoms of 18 elderly patients (aged 65 years and over) and the care burden of their 20 caregivers, besides the usability of the tool. Results The one-way repeated analysis revealed a significant worsening in daily living activities (p < 0.01 and p = 0.02, respectively for Activities of Daily Living (ADL) and Independent IADL (IADL)) versus a significant improvement of the pa...
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: De Cola, M. C., De Luca, R., Bramanti, A., Berte, F., Bramanti, P., Calabro, R. S. Tags: RESEARCH/Original Article Source Type: research

Pilot randomised controlled trial of Help4Mood, an embodied virtual agent-based system to support treatment of depression
Conclusion Help4Mood is acceptable to some patients receiving treatment for depression although none used it as regularly as intended. Changes in depression symptoms in individuals who used the system regularly reached potentially meaningful levels. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: Burton, C., Szentagotai Tatar, A., McKinstry, B., Matheson, C., Matu, S., Moldovan, R., Macnab, M., Farrow, E., David, D., Pagliari, C., Serrano Blanco, A., Wolters, M., for the Help4Mood Consortium Tags: RESEARCH/Original Article Source Type: research

Does nutritional counseling in telemedicine improve treatment outcomes for diabetes? A systematic review and meta-analysis of results from 92 studies
Conclusion The inclusion of nutritional counseling as part of a telemedicine program does not make a significant difference to diabetes outcomes. Incorporating nutritional counseling into telemedicine programs via SMS is at least as effective as counseling via telephone or videoconference. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: Su, D., McBride, C., Zhou, J., Kelley, M. S. Tags: RESEARCH/Original Article Source Type: research

Cost-analysis of teledentistry in residential aged care facilities
Discussion Teledental asynchronous patient assessments were the lowest cost service model. Access to oral health professionals is generally low in RACFs; however, the real-time consultation could potentially achieve better outcomes due to two-way communication between the nurse and a remote oral health professional via health promotion/disease prevention delivered in conjunction with the oral examination. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: Marino, R., Tonmukayakul, U., Manton, D., Stranieri, A., Clarke, K. Tags: RESEARCH/Original Article Source Type: research

A proof-of-concept evaluation of a cloud-based store-and-forward telemedicine app for screening for oral diseases
Conclusion This study provided evidence that a robust system for store-and-forward screening for dental problems can be developed, and leads to the need for further testing of its robustness to confirm the accuracy and reliability of the teledentistry system. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - August 14, 2016 Category: Information Technology Authors: Estai, M., Kanagasingam, Y., Xiao, D., Vignarajan, J., Huang, B., Kruger, E., Tennant, M. Tags: RESEARCH/Original Article Source Type: research

Tele-ophthalmology: Opportunities for improving diabetes eye care in resource- and specialist-limited Sub-Saharan African countries
Tele-ophthalmology using portable retinal imaging technology, mobile phone and Internet connectivity offers a solution to improve access to diabetic retinopathy (DR) screening services in sub-Saharan African (SSA) countries where the burden of diabetes is increasing and there is limited access to eye care services and specialists. The Zimbabwe Retinopathy Telemedicine Project (ZRTP) established routine DR screening at a hospital-based diabetic clinic in the urban capital city, Harare. A handheld ‘point and shoot’ digital camera operated by a trained nurse was used to acquire retina images of 203 diabetic patien...
Source: Journal of Telemedicine and Telecare - June 25, 2016 Category: Information Technology Authors: Matimba, A., Woodward, R., Tambo, E., Ramsay, M., Gwanzura, L., Guramatunhu, S. Tags: RESEARCH/Original articles Source Type: research

Teledermatology as a means to improve access to inpatient dermatology care
Many hospitals have limited inpatient dermatology consultation access. Most dermatologists are outpatient-based and may find the distance and time to complete inpatient consultations prohibitive. Teledermatology may improve access to inpatient dermatology care by reducing barriers of distance and time. We conducted a prospective two-phase pilot study at two academic hospitals comparing time needed to complete inpatient consultations after resident dermatologists initially evaluated patients, called average handling time (AHT), and time needed to respond to the primary team, called time to response (TTR), with and without t...
Source: Journal of Telemedicine and Telecare - June 25, 2016 Category: Information Technology Authors: Sharma, P., Kovarik, C. L., Lipoff, J. B. Tags: RESEARCH/Original articles Source Type: research