User preferences for text message-delivered skin cancer prevention and early detection
Evidence is needed for the acceptability and user preferences of receiving skin cancer-related text messages. We prepared 27 questions to evaluate attitudes, satisfaction with program characteristics such as timing and spacing, and overall satisfaction with the Healthy Text program in young adults. Within this randomised controlled trial (age 18–42 years), 546 participants were assigned to one of three Healthy Text message groups; sun protection, skin self-examination, or attention-control. Over a 12-month period, 21 behaviour-specific text messages were sent to each group. Participants’ preferences were compar...
Source: Journal of Telemedicine and Telecare - June 3, 2015 Category: Information Technology Authors: Finch, L., Youl, P., Marshall, A. L., Soyer, H. P., Baade, P., Janda, M. Tags: RESEARCH/Original Articles Source Type: research

Use of a voice and video internet technology as an alternative to in-person urgent care clinic visits
This study aimed to determine the feasibility of patient-initiated online Internet urgent care visits, and to describe patient characteristics, scope of care, provider adherence to protocols, and diagnostic and therapeutic utilization. A total of 456 unique patients were seen via Internet-based technology during the study period, generating 478 consecutive total patient visits. Of the 82 patients referred for an in-person evaluation, 75 patients (91.5%) reported to the clinic as instructed. None of the 82 patients recommended for in-person evaluation required an emergency department referral, hospital admission or urgent c...
Source: Journal of Telemedicine and Telecare - June 3, 2015 Category: Information Technology Authors: Brunett, P. H., DiPiero, A., Flores, C., Choi, D., Kum, H., Girard, D. E. Tags: RESEARCH/Original Articles Source Type: research

The effect of telemedicine on the duration of treatment in dementia patients
We studied 442 patients who met the DSM-IV-TR criteria for dementia and whose treatment was initiated at the Kangwon National University Hospital (KNUH) in Chuncheon. Over a five-year period, there were 259 patients who regularly visited the KNUH dementia clinic in person, and 168 patients who received medical services from the dementia clinic via telemedicine. The telemedicine patients attended a public health centre in Hongcheon, a facility located in a rural area about 50 km south east of the KNUH. The mean treatment duration was significantly longer for the telemedicine group than for the clinical visit group (P < 0...
Source: Journal of Telemedicine and Telecare - June 3, 2015 Category: Information Technology Authors: Cheong, C.-K., Lim, K.-H., Jang, J.-W., Jhoo, J. H. Tags: RESEARCH/Original Articles Source Type: research

Telerehabilitation and recovery of motor function: a systematic review and meta-analysis
Recent advances in telecommunication technologies have boosted the possibility to deliver rehabilitation via the internet (i.e. telerehabilitation). Several studies have shown that telerehabilitation is effective to improve clinical outcomes in disabling conditions. The aim of this review was to determine whether telerehabilitation was more effective than other modes of delivering rehabilitation to regain motor function, in different populations of patients. We searched PubMed, Embase and the Cochrane library retrieving 2360 records. Twelve studies were included involving different populations (i.e. neurological, total kne...
Source: Journal of Telemedicine and Telecare - June 3, 2015 Category: Information Technology Authors: Agostini, M., Moja, L., Banzi, R., Pistotti, V., Tonin, P., Venneri, A., Turolla, A. Tags: RESEARCH/Systematic Reviews Source Type: research

Web-based interventions for comorbid depression and chronic illness: a systematic review
Web-based interventions offer potential benefits for managing and treating depression in the context of chronic physical illness, however their use with this population has yet to be quantitatively assessed. The present systematic review examined the biopsychosocial data from 11 independent studies (N = 1348 participants), including randomised controlled and quasi-experimental designs most commonly performed with diabetes and multiple sclerosis. Study quality was evaluated using the Downs and Black (1998) index, with most studies being statistically underpowered although internal validity was demonstrated. Treatment outcom...
Source: Journal of Telemedicine and Telecare - June 3, 2015 Category: Information Technology Authors: Charova, E., Dorstyn, D., Tully, P., Mittag, O. Tags: RESEARCH/Systematic Reviews Source Type: research

Telestroke, tele-oncology and teledialysis: a systematic review to analyse the outcomes of active therapies delivered with telemedicine support
We conducted a systematic review of studies involving telemedicine supervision of active treatment for rural patients in the fields of stroke, medical oncology and nephrology. Searches were performed on the MEDLINE, CINAHL and INFORMIT databases. A total of 521 articles were found, and an additional 42 articles were identified by searching the reference lists. After removing duplicates, screening the abstracts and assessing the full text of the articles, 14 articles remained. Nine concerned telestroke, two concerned tele-oncology and three concerned teledialysis. Most studies did not undertake randomisation, allocation con...
Source: Journal of Telemedicine and Telecare - June 3, 2015 Category: Information Technology Authors: Jhaveri, D., Larkins, S., Sabesan, S. Tags: RESEARCH/Systematic Reviews Source Type: research

Development and current status of an advanced telehealth consultation system in Japan
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Shimoda, T., Yoshimura, S., Yoshida, Y., Okazaki, M., Gotou, T., Tamura, S., Ogasawara, K. Tags: Letter to the Editor Source Type: research

Early effects of upgrading to a high bandwidth digital network for telepsychiatry assessments in rural South Australia
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Bidargaddi, N., Schrader, G., Roeger, L., Bassal, A., Jones, L., Strobel, J. Tags: TAILPIECE/Correspondence Source Type: research

Telemedical diabetic retinopathy screening in Hungary: a pilot programme
Our aim was to introduce the Hungarian pilot telemedical screening program for diabetic retinopathy (DRP) and also to evaluate the efficacy of non-mydriatic fundus photographs. A total of 502 eyes of 251 diabetic patients were photographed with a non-mydriatic digital fundus camera in a tertiary diabetology care center. These three 45°-field images were transmitted to the reading center via Internet, where they were graded by two independent ophthalmologists. After non-mydriatic photography (NM method), 28 patients were also examined in mydriasis by an ophthalmologist (O method) and were also photographed in mydriasis ...
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Szabo, D., Fiedler, O., Somogyi, A., Somfai, G. M., Biro, Z., Olvedy, V., Hargitai, Z., Nemeth, J. Tags: RESEARCH/Original articles Source Type: research

Technical aspects of clinical videoconferencing: a large scale review of the literature
Telemedicine has been increasingly researched during the past few decades and the technology used by health care providers and recipients has changed dramatically. However, little has been published on technical characteristics of video consultations and how these characteristics have changed over time due to rapid advancement of information and communication technology. We aimed to summarize various types of technologies used for interactive videoconferencing between health care providers and patients, and identify the trend of their change from 2002 to 2012. A comprehensive electronic search was performed using PubMed, E...
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Fatehi, F., Armfield, N. R., Dimitrijevic, M., Gray, L. C. Tags: RESEARCH/Original articles Source Type: research

Internal e-consultations in an integrated multispecialty practice: a retrospective review of use, content, and outcomes
E-consultations are being offered within clinic walls as an option for specialist advice without a face-to-face consultation appointment. In a six month time frame, nearly 100% of primary care internists and family medicine providers in a multispecialty practice had used an e-consultation at least once. Specialists also used e-consultations for advice from other specialists. E-consultations were often questions about interpreting images or laboratory tests, or questions about management of chronic conditions such as osteoporosis, hypertension, or headaches. Although e-consultations were offered as an alternative to face-to...
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: North, F., Uthke, L. D., Tulledge-Scheitel, S. M. Tags: RESEARCH/Original articles Source Type: research

Effect of short message service as a reminder on breast self-examination in breast cancer patients: a randomized controlled trial
This study was a single-blind randomized controlled trial to assess the effectiveness of SMS as a reminder for breast self-examination (BSE). Participants who underwent surgery for breast cancer were recruited and randomized to the intervention group or the control group. Subjects in the intervention group received one text message on the first day of every month that reminded them to complete monthly BSE and the other text message on the fifteenth day of every month that contained information about breast cancer. Primary and secondary outcomes were self-reported BSE adherence and the frequency of ...
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Chung, I. Y., Kang, E., Yom, C. K., Kim, D., Sun, Y., Hwang, Y., Jang, J. Y., Kim, S.-W. Tags: RESEARCH/Original articles Source Type: research

A randomized controlled trial on Stroke telerehabilitation: The effects on falls self-efficacy and satisfaction with care
We determined the effect of a multifaceted stroke telerehabilitation (STeleR) intervention on falls-related self-efficacy and satisfaction with care. We conducted a prospective, randomized, multisite, single-blinded trial in 52 veterans from three Veterans Affairs Medical Centers. Participants who experienced a stroke in the past 24 months were randomized to the STeleR intervention or usual care. Participants in the intervention arm were administered an exit interview to gather specific patient satisfaction data three months after their final outcome measure. The STeleR intervention consisted of three home visits, five tel...
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Chumbler, N. R., Li, X., Quigley, P., Morey, M. C., Rose, D., Griffiths, P., Sanford, J., Hoenig, H. Tags: RESEARCH/Original articles Source Type: research

A national teleradiology programme in Mali: implementation and results
We reviewed the national teleradiology programme in Mali to establish whether it improved diagnosis for patients and improved the referring doctor's ability to give an accurate diagnosis. The teleradiology programme connected the University Hospital in Bamako to all seven regional hospitals in Mali and one private health clinic. The pilot phase began in 2005 in three hospitals. Initially the implementation involved connections via broadband, but subsequently satellite antennae were provided at three remote hospitals in the north. Between 2005 and 2013, X-ray and mammogram images from 5628 patients were read by teleradiolog...
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Sangare, M., Tanner, L., Voss, S., Laureys, F., Hollow, D., Toure, M. Tags: RESEARCH/Original articles Source Type: research

Efficacy of telemedicine for thrombolytic therapy in acute ischemic stroke: a meta-analysis
The aim of this study was to assess the benefits of telemedicine in the delivery of thrombolytic therapy for patients with acute ischemic stroke. We performed a meta-analysis using combinations of the following terms: telestroke, telemedicine, tissue plasminogen activator/t-PA, and acute ischemic stroke. The primary outcome was favorable outcome based on the modified Rankin score. Secondary outcomes were incidence of symptomatic intracranial hemorrhage and overall mortality. We found no significant difference in favorable outcome between the telemedicine and control groups, and no significant difference was found between t...
Source: Journal of Telemedicine and Telecare - March 31, 2015 Category: Information Technology Authors: Zhai, Y.-k., Zhu, W.-j., Hou, H.-l., Sun, D.-x., Zhao, J. Tags: RESEARCH/Original articles Source Type: research