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.

A systematic review of the use of telehealth in speech, language and hearing sciences
Discussion The advancement of information and communication technologies provides more favourable conditions for providing distance care in several areas. Most of studies concluded that the telehealth procedure had advantages over the non-telehealth alternative approach (85.5%); however, 13.6% reported that it was unclear whether the telehealth procedure had advantages. Some barriers still need to be overcome, such as technology, training, regulation, acceptance and recognition of the benefits of this practice by the public and professionals. The need for speech-language pathologists and audiologists to adapt to this new h...
Source: Journal of Telemedicine and Telecare - September 18, 2015 Category: Information Technology Authors: Regina Molini-Avejonas, D., Rondon-Melo, S., de La Higuera Amato, C. A., Samelli, A. G. Tags: RESEARCH/Original Articles Source Type: research

A web based cross-platform application for teleconsultation in radiology
The growing complexity of radiologic examinations and interventional procedures requires frequent exchange of knowledge. Consequently a simple way to share and discuss patient images between radiology experts and with colleagues from other medical disciplines is needed. Aims of this work were the development and initial performance evaluation of a fast and user friendly, platform independent teleconsultation system for medical imaging. A local back end system receives DICOM images and generates anonymized JPEG files that are uploaded to an internet webserver. The front end running on that webserver comprises an image viewe...
Source: Journal of Telemedicine and Telecare - September 2, 2015 Category: Information Technology Authors: Kammerer, F. J., Hammon, M., Schlechtweg, P. M., Uder, M., Schwab, S. A. Tags: RESEARCH/Preliminary Communication Source Type: research

Investigating the quality of video consultations performed using fourth generation (4G) mobile telecommunications
The use of fourth-generation (4G) mobile telecommunications to provide real-time video consultations were investigated in this study with the aims of determining if 4G is a suitable telecommunications technology; and secondly, to identify if variation in perceived audio and video quality were due to underlying network performance. Three patient end-points that used 4G Internet connections were evaluated. Consulting clinicians recorded their perception of audio and video quality using the International Telecommunications Union scales during clinics with these patient end-points. These scores were used to calculate a mean op...
Source: Journal of Telemedicine and Telecare - September 2, 2015 Category: Information Technology Authors: Caffery, L. J., Smith, A. C. Tags: RESEARCH/Original Articles Source Type: research

Telehealth on heart failure: results of the Recap project
This study aims to investigate this, and to determine some practicalities that must be considered when designing and implementing a telehealth programme for heart failure. To achieve this, daily measurements of blood pressure, pulse, SpO2 and weight were collected from 534 patients suffering from heart failure. In addition, they were asked to fill in the European heart failure self-care behaviour scale questionnaire and the EQ-5D quality of life questionnaire, before and after the monitoring period. Two telehealth systems were used, the Motiva platform provided by Philips and the standalone unit provided by Docobo, the Doc...
Source: Journal of Telemedicine and Telecare - September 2, 2015 Category: Information Technology Authors: Varon, C., Alao, M., Minter, J., Stapleton, M., Thomson, S., Jaecques, S., Rocca, H.-P. B., Huffel, S. V. Tags: RESEARCH/Original Articles Source Type: research

If home telemonitoring reduces mortality in heart failure, is this just due to better guideline-based treatment?
Conclusion: Patients who choose HTM have a better prognosis than those who do not but this does not appear to be mediated through greater prescription of key HF medications. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 2, 2015 Category: Information Technology Authors: Dierckx, R., Cleland, J. G., Pellicori, P., Zhang, J., Goode, K., Putzu, P., Boyalla, V., Clark, A. L. Tags: RESEARCH/Original Articles Source Type: research

Electronic consultations (e-consults) to improve access to specialty care: A systematic review and narrative synthesis
Discussion E-consults are feasible in a variety of settings, flexible in their application, and facilitate timely specialty advice. More extensive and rigorous studies are needed to inform the e-consult process and describe its effect on access to specialty visits, cost and clinical outcomes. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - September 2, 2015 Category: Information Technology Authors: Vimalananda, V. G., Gupte, G., Seraj, S. M., Orlander, J., Berlowitz, D., Fincke, B. G., Simon, S. R. Tags: RESEARCH/Systematic Review Source Type: research

Safety of Clinical and Non-Clinical Decision Makers in Telephone Triage: A Narrative Review
Patient safety is a persistent problem in telephone triage research; however, studies have not differentiated between clinicians’ and non-clinicians’ respective safety. Currently, four groups of decision makers perform aspects of telephone triage: clinicians (physicians, nurses), and non-clinicians (emergency medical dispatchers (EMD) and clerical staff). Using studies published between 2002–2012, we applied Donabedian’s structure-process-outcome model to examine groups’ systems for evidence of system completeness (a minimum measure of structure and quality). We defined system completeness as ...
Source: Journal of Telemedicine and Telecare - September 2, 2015 Category: Information Technology Authors: Wheeler, S. Q., Greenberg, M. E., Mahlmeister, L., Wolfe, N. Tags: RESEARCH/Review Article Source Type: research

Point-of-care monitoring of warfarin treatment in community dwelling elderly - A randomised controlled study
The objective of this study was to assess clinical effectiveness and costs of launching point-of-care monitoring of warfarin treatment in community dwelling frail elderly patients. A prospective multicentre controlled randomised study over 12 months comparing a point-of-care strategy with usual monitoring routines was carried out in primary healthcare centres and anticoagulation clinics in southeast Sweden. The subjects were community dwelling elderly across rural southeast Sweden on chronic warfarin treatment. Main outcome measures were time in therapeutic range (TTR), rate of treatment-related adverse events and costs. T...
Source: Journal of Telemedicine and Telecare - July 3, 2015 Category: Information Technology Authors: Davidson, T., Lindelof, A., Wallen, T., Lindahl, T. L., Hallert, C. Tags: RESEARCH/Original articles Source Type: research

Evaluation of a Telehealth Service for COPD and HF patients: Clinical outcome and patients' perceptions
NHS Croydon Health Services and NHS Croydon Clinical Commissioning Group have been providing telehealth services for the past 36 months. The aim of this study was to measure the impact of telehealth when implemented as a service within a standard patient care pathway. To measure the clinical outcomes, the number of A&E visits and hospital admissions, recorded on the NHS Secondary Uses Service database, were compared before and after the implementation of the telehealth service. The number of all events despite its cause and the number of events related to the patients’ diagnosed condition were collected. To elici...
Source: Journal of Telemedicine and Telecare - July 3, 2015 Category: Information Technology Authors: Odeh, B., Kayyali, R., Nabhani-Gebara, S., Philip, N., Robinson, P., Wallace, C. R. Tags: RESEARCH/Original articles Source Type: research

TulaSalud: An m-health system for maternal and infant mortality reduction in Guatemala
In this study, rural populations served by tele-CFs were selected as the intervention group while the control group was composed of the rural population served by CFs without Information and Communication Technology (ICT) tools. As well as the achievement of important process results (116,275 medical consultations, monitoring of 6,783 pregnant women, and coordination of 2,014 emergency transfers), the project has demonstrated a statistically significant decrease in maternal mortality (p < 0.05) and in child mortality (p = 0.054) in the intervention group compared with rates in the control group. As a result of the telem...
Source: Journal of Telemedicine and Telecare - July 3, 2015 Category: Information Technology Authors: Martinez-Fernandez, A., Lobos-Medina, I., Diaz-Molina, C. A., Chen-Cruz, M. F., Prieto-Egido, I. Tags: RESEARCH/Original articles Source Type: research

Internet-based questionnaire to self-assess autonomy and obtain a life-at-home services enforcement plan: a retrospective validation study
Conclusion Our study confirms the potential of the website www.jesuisautonome.fr. to improve the delivery of health and social care services. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - July 3, 2015 Category: Information Technology Authors: Koskas, P., Scemama, E., Wolfowicz, B. Tags: RESEARCH/Original articles Source Type: research

A cost-effectiveness analysis of teledietetics in short-, intermediate-, and long-term weight reduction
Discussion A dietetic service delivered as a teledietetics model is more cost-effective than the face-to-face dietetics model in weight reduction. (Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - July 3, 2015 Category: Information Technology Authors: Chung, L., Law, Q., Fong, S., Chung, J., Yuen, P. Tags: RESEARCH/Original articles Source Type: research

Telepsychology for Posttraumatic Stress Disorder: A systematic review
The effectiveness of psychological services provided remotely, telepsychology, for the management of Posttraumatic Stress Disorder (PTSD) was evaluated. Eleven studies (n = 472 participants) were identified from electronic database searches. Study quality was assessed, with studies characterised by small and underpowered samples. Effect sizes and associated confidence intervals (CIs) were calculated to determine the direction and magnitude of treatment change. Short-term treatment gains were reported for internet and video-based interventions. This included significant medium to large improvements (d range = 0.66–3.2...
Source: Journal of Telemedicine and Telecare - July 3, 2015 Category: Information Technology Authors: Bolton, A., Dorstyn, D. Tags: RESEARCH/Review articles Source Type: research

The use of mobile apps to improve nutrition outcomes: A systematic literature review
We conducted a systematic review to determine if the use of nutrition apps resulted in improved outcomes, including knowledge and behavior, among healthy adults. Using app(s), cellular phone, iPads, mobile phone, mobile telephone, smart phone, mobile and mHealth as search terms with diet, food and nutrition as qualifiers we searched PubMed, CINAHL (January 2008--October 2013) and Web of Science (January 2008--January 2014). Inclusion criteria were peer-reviewed randomized controlled trials, non-controlled trials, and cohort studies published in English that used apps to increase nutrition knowledge or improve behavior rela...
Source: Journal of Telemedicine and Telecare - July 3, 2015 Category: Information Technology Authors: DiFilippo, K. N., Huang, W.-H., Andrade, J. E., Chapman-Novakofski, K. M. Tags: RESEARCH/Review articles Source Type: research

A comparison of telemedicine teaching to in-person teaching for the acquisition of an ultrasound skill - a pilot project
Telemedicine is widely used for medical education but few studies directly investigate how telemedicine teaching compares to conventional in-person teaching. Here we determine whether telemedicine teaching is as effective as in-person teaching for the acquisition of an ultrasound skill important in trauma care. Nurses with no prior ultrasound experience (n = 10) received study material and a teaching session on how to locate and image the hepatorenal space (Morison’s pouch). One group of nurses was taught in-person (In-person Group) and the other group was taught via telemedicine (Telemedicine Group). Telemedicine al...
Source: Journal of Telemedicine and Telecare - June 3, 2015 Category: Information Technology Authors: Brisson, A.-M., Steinmetz, P., Oleskevich, S., Lewis, J., Reid, A. Tags: RESEARCH/Preliminary Communication Source Type: research