Journal of Telemedicine and Telecare This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Technology support to a telehealth in the home service: Qualitative observations
Discussion In the setting described, an iterative approach to the development of telehealth services to the home using consumer technologies was needed. The efficient management of consumer devices in multiple settings will become critical as telehealth services grow in scale. Effective collaboration between clinical and technical stakeholders and further workforce education in telehealth can be key enablers for the transition of face-to-face care to a telehealth mode of delivery. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - June 25, 2016 Category: Information Technology Authors: Taylor, A., Wade, V., Morris, G., Pech, J., Rechter, S., Kidd, M., Carati, C. Tags: RESEARCH/Original articles Source Type: research

Impact on clinical events and healthcare costs of adding telemedicine to multidisciplinary disease management programmes for heart failure: Results of a randomized controlled trial
Conclusions Among patients managed in the setting of a comprehensive HF programme, the addition of telemedicine may result in better outcomes and reduction of costs. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - June 25, 2016 Category: Information Technology Authors: Comin-Colet, J., Enjuanes, C., Verdu-Rotellar, J. M., Linas, A., Ruiz-Rodriguez, P., Gonzalez-Robledo, G., Farre, N., Moliner-Borja, P., Ruiz-Bustillo, S., Bruguera, J. Tags: RESEARCH/Original articles Source Type: research

Impact of long-term use of eHealth systems in adolescents with type 1 diabetes treated with sensor-augmented pump therapy
Telemedicine in diabetes includes telemonitoring and transmission of important data (self monitoring of blood glucose data, insulin therapy, pump setting, etc.) from the patient s home to the diabetic unit, with a real-time health feedback. Moreover, an eHealth approach is thought to facilitate diabetes management and to improve compliance to CSII/SAP treatment in adolescents, but to date, limited literature related to this topic is available and long-term studies are still lacking. The main aim of this study was to compare the long-term effect on glycometabolic control of eHealth intervention and traditional care in T1DM ...
Source: Journal of Telemedicine and Telecare - June 25, 2016 Category: Information Technology Authors: Schiaffini, R., Tagliente, I., Carducci, C., Ullmann, N., Ciampalini, P., Lorubbio, A., Cappa, M. Tags: RESEARCH/Original articles Source Type: research

Early e-consultation face-to-face conversions
We examined e-consultation content from a sample of e-consultations that had subsequent F2F visits in the same specialty as the e-consultation within 28 days of the e-consultation. Results Out of 5115 e-consultations, there were a total of 547 (10.7%) early F2F conversions. One hundred and fifty-one e-consultations with subsequent early F2F conversions were reviewed in eight specialties. In 64% of the F2F conversions, specialists recommended the F2F consultations. In 75% there were complex diagnostic or treatment considerations. In only 1% was there a sense of medical urgency or a stated need for physical examination. Di...
Source: Journal of Telemedicine and Telecare - June 25, 2016 Category: Information Technology Authors: Pecina, J. L., North, F. Tags: RESEARCH/Original articles Source Type: research

Feasibility of telemedicine or telephone-based family intervention for rural paediatric obesity: Cluster randomized control trial
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Mani, S., Joseph, L. H., Sharma, S. Tags: Tailpiece Source Type: research

Using TV white space spectrum to practise telemedicine: A promising technology to enhance broadband internet connectivity within healthcare facilities in rural regions of developing countries
This report also introduces "Project Kgolagano," a Botswana-based initiative representing the first endeavour to utilize TVWS internet connection for practising telemedicine. TV "white space" refers to the previously unused, wasted spectrum within TV radiofrequency channels that can now be leveraged to obtain broadband internet access. TVWS represents a less costly, faster, and farther-reaching internet connection that is a promising option for connecting the previously unconnected populations of remote and underserved areas. The Botswana-University of Pennsylvania Partnership, Microsoft, Botswana Innovation Hub, Vista Lif...
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Chavez, A., Littman-Quinn, R., Ndlovu, K., Kovarik, C. L. Tags: Education & amp;amp; Practice Source Type: research

Theoretical examination of behavioural feedback in the application of teledietetics to weight reduction
This study examined the theoretical framework of the theory of planned behaviour, which suggests that behavioural feedback contributes to the intention to initiate and maintain weight loss. Methods A quasi-experiment involving adults aged 20–50 years with a body mass index greater than 23 kg/m2 was conducted. The experimental group (EG) comprised 25 participants who used electronic dietary records for self-monitoring. The control group (CG) comprised 25 participants who used paper-format dietary records for self-monitoring. Data pertaining to the theory of planned behaviour were obtained using a self-administered qu...
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Chung, L. M., Fong, S. S., Law, Q. P., Ma, A. W., Chow, L. P., Chung, J. W. Tags: Research/Original Articles Source Type: research

Speed and accuracy of mobile BlackBerry Messenger to transmit chest radiography images from a small community emergency department to a geographically remote referral center
Conclusion Systematic transmission of CXR images from a small ED to a remote large center using mobile phones may be a safe and effective strategy to rapidly communicate important patient information. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Scheuermeyer, F., Grunau, B., Cheyne, J., Grafstein, E., Christenson, J., Ho, K. Tags: Research/Original Articles Source Type: research

Randomized controlled equivalence trial comparing videoconference and in person delivery of cognitive processing therapy for PTSD
This study highlighted research and clinical challenges in providing services to the newest veteran generation in general as well as unique challenges with VTC. One complicating factor to the statistical power of this study was a treatment dropout rate twice the original estimate. Factors that could have influenced this high dropout rate are explored. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Maieritsch, K. P., Smith, T. L., Hessinger, J. D., Ahearn, E. P., Eickhoff, J. C., Zhao, Q. Tags: Research/Original Articles Source Type: research

Prenatal diagnosis and telemedicine consultation of fetal urologic disorders
This study is a retrospective case series, describing all the patients who had a prenatally diagnosed urologic anomaly that required prenatal urologic consultation. From 2009–2013, approximately 1300 anomalies were recorded in the Arkansas Fetal Diagnosis and Management (AFDM) database, 14% of which were urologic anomalies. Twenty-six cases required prenatal urologic consultation, 25 of which were conducted via telemedicine. Teleconsultation allowed patients to combine maternal-fetal medicine and urologic consultations in one visit, saving time and effort and ultimately, for most patients, providing reassurance that ...
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Rabie, N. Z., Canon, S., Patel, A., Zamilpa, I., Magann, E. F., Higley, J. Tags: Research/Original Articles Source Type: research

Monitoring medication adherence in multiple sclerosis using a novel web-based tool: A pilot study
Monitoring medication adherence in multiple sclerosis (MS) can be time consuming and expensive; however, non-adherence is common and is very costly in terms of lost therapeutic benefit and unused medications. To address this problem, we employed a web-based system to monitor and potentially modify medication adherence. Participants (n = 30) were randomized either to routine care or to the MS Home Automated Telehealth (MS HAT) system. Weekly interferon beta-1a intramuscular (INFbeta-1a IM) injections and daily vitamin D adherence were tracked over a six-month period using multiple modalities: self-reported adherence, calend...
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Settle, J. R., Maloni, H. W., Bedra, M., Finkelstein, J., Zhan, M., Wallin, M. T. Tags: Research/Original Articles Source Type: research

Improved glycemic control in veterans with poorly controlled diabetes mellitus using a Specialty Care Access Network-Extension for Community Healthcare Outcomes model at primary care clinics
Discussion Care of veteran patients with poorly controlled diabetes by PCPs who participated in SCAN-ECHO program leads to improvement in glycemic control. This model of health care delivery can be effective in remote or rural areas with limited availability of specialists. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Watts, S. A., Roush, L., Julius, M., Sood, A. Tags: Research/Original Articles Source Type: research

E-virtual reality exposure therapy in acrophobia: A pilot study
Virtual reality therapy is already used for anxiety disorders as an alternative to in vivo and in imagino exposure. To our knowledge, however, no one has yet proposed using remote virtual reality (e-virtual reality). The aim of the present study was to assess e-virtual reality in an acrophobic population. Six individuals with acrophobia each underwent six sessions (two sessions per week) of virtual reality exposure therapy. The first three were remote sessions, while the last three were traditional sessions in the physical presence of the therapist. Anxiety (STAI form Y-A, visual analog scale, heart rate), presence, t...
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Levy, F., Leboucher, P., Rautureau, G., Jouvent, R. Tags: Research/Original Articles Source Type: research

Effect of telemetric monitoring in the first 30 days of continuous positive airway pressure adaptation for obstructive sleep apnoea syndrome - a controlled pilot study
Obstructive sleep apnoea syndrome (OSAS) is characterised by repetitive collapse of the upper airway during sleep. Continuous positive airway pressure (CPAP) applied via a mask is the standard treatment for OSAS. CPAP adherence is crucial in therapy to prevent the deleterious consequences of OSAS. We hypothesised that a combination of supervision by telemetry together with targeted telephone support in the first month of CPAP would increase CPAP adherence and treatment success. A total of 113 OSAS patients followed by telemetry-triggered interventions used the device for 5.3 h/night on 28/30 nights, significantly more than...
Source: Journal of Telemedicine and Telecare - May 19, 2016 Category: Information Technology Authors: Frasnelli, M., Baty, F., Niedermann, J., Brutsche, M. H., Schoch, O. D. Tags: Research/Original Articles Source Type: research

Tele-ECG and 24-hour physician support over telephone for rural doctors can help early treatment of acute myocardial infarction in rural areas
We observed that many patients of acute myocardial infarction (AMI) were reaching our hospital out of the 12 hour window period for thrombolysis. This led to poor patient outcomes. There were multiple reasons for the delay, prominent among them was lack of diagnostic facilities in the rural health care centers. We therefore planned a Tele-Electrocardiography (Tele-ECG) based pilot project in Kangra District of Himachal Pradesh in India, which was funded by the Indian Council of Medical Research. The intention was to reduce the pre-hospital delay in AMI by enabling the rural doctors of Kangra using Tele-ECG facility and a 2...
Source: Journal of Telemedicine and Telecare - March 15, 2016 Category: Information Technology Authors: Vivek, C., Vikrant, K. Tags: Letter to the Editor Source Type: research