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A pilot study of a mobile phone application to improve lifestyle and adherence of patients with kidney disease
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Cueto-Manzano, A. M., Gallardo-Rincon, H., Martinez-Ramirez, H. R., Cortes-Sanabria, L., Rojas-Campos, E., Tapia-Conyer, R., Martinez, P., Cerrillos, I., Andrade, J., Medina, M. Tags: TAILPIECE/Correspondence Source Type: research

Telemonitoring for chronic obstructive pulmonary disease: a cost and cost-utility analysis of a randomised controlled trial
We compared the costs and cost-effectiveness of telemonitoring vs usual care for patients with chronic obstructive pulmonary disease (COPD). A total of 256 patients were randomised to either telemonitoring or usual care. In the telemonitoring arm, the touch-screen telemonitoring equipment transmitted data to clinical teams monitoring the patients. Total healthcare costs were estimated over a 12-month period from a National Health Service perspective and quality adjusted life year (QALYs) were estimated by the EQ-5D tool. Telemonitoring was not significantly more costly than usual care (mean difference per patient £20...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Stoddart, A., van der Pol, M., Pinnock, H., Hanley, J., McCloughan, L., Todd, A., Krishan, A., McKinstry, B. Tags: RESEARCH/Original articles Source Type: research

High mobile phone ownership, but low Internet and email usage among pregnant, HIV-infected women attending antenatal care in Johannesburg
We investigated mobile phone usage amongst HIV-positive pregnant women attending antenatal services in a primary care clinic in Johannesburg (n = 50). We conducted a semi-structured interview and asked them about their mobile phone, Internet and email use. The median age of the women was 28 years, 36% had moved one or more times in the past year, and most were employed or recently employed, albeit earning low wages. Nearly all women (94%) reported that they did not share their phone and 76% of the SIM cards were registered to the woman herself. The median time with the current phone was one year (range 1 month-6 years) and...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Clouse, K., Schwartz, S. R., Van Rie, A., Bassett, J., Vermund, S. H., Pettifor, A. E. Tags: RESEARCH/Original articles Source Type: research

Feasibility and accuracy of using mobile phone images of electrocardiograms to initiate the cardiac catheterization process
We assessed the feasibility of interpreting the presence of ST-segment elevation myocardial infarction (STEMI) using ECGs captured and transmitted by mobile phones. Transmitted ECGs were interpreted by four independent and blinded physicians, who classified them as STEMI, non-STEMI or indeterminate. After 2–4 weeks the same physicians were given the original paper ECGs for interpretation. In total, 87 ECGs were randomly selected for review. The overall agreement between the digital image readings and the printed copy readings was 94%. Of the 87 patients, 65 (75%) had cardiac catheterization following a STEMI ECG and ...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Rosenberg, M., Silvestri, S., Duran, A., Porter, J., McAleer, J., Papa, L. Tags: RESEARCH/Original articles Source Type: research

Effect of real-time teledermatology on diagnosis, treatment and clinical improvement
We assessed the effect of real-time teledermatology consultations on diagnosis and disease management, patients’ quality of life and time- and cost-savings. All consecutive patients with skin diseases attending teledermatology clinics at two rural hospitals in Jordan were included in the study. Patients were interviewed at their initial visit and again after eight weeks. Various questionnaires and forms, including quality of life questionnaires, were used to collect the data. Ninety teledermatology consultations were performed for 88 patients between September 2013 and January 2014. A diagnosis was established as par...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Al Quran, H. A., Khader, Y. S., Ellauzi, Z. M., Shdaifat, A. Tags: RESEARCH/Original articles Source Type: research

Client satisfaction with telehealth services in home health care agencies
We assessed client satisfaction with the home telemonitoring service provided by 14 home health care agencies in five US states. Clients were randomised to two groups. Telehealth services (health monitoring and patient safety) were provided to 450 experimental subjects. Control subjects (n = 409) received usual care. Clients were asked to rate their satisfaction with their service providers on 25 items, at baseline, 6 months post-discharge (to home) and 12 months post-discharge. The mean age of the clients was 78 years. Out of the initial 859 subjects, 490 had dropped out of the study by the 12-month follow-up, an overall ...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Grant, L. A., Rockwood, T., Stennes, L. Tags: RESEARCH/Original articles Source Type: research

A randomised clinical trial of the effectiveness of home-based health care with telemonitoring in patients with COPD
We studied the effect of telemonitoring in addition to usual care compared to usual care alone in patients with chronic obstructive pulmonary disease (COPD). A total of 110 patients with moderate to severe COPD were recruited from a specialist respiratory service in Northern Ireland. Patients had at least two of: emergency department admissions, hospital admissions or emergency general practitioner (GP) contacts in the 12 months before the study. Exclusion criteria were patients who had any respiratory disorder other than COPD, or were cognitively unable to learn the process of monitoring. Patients were randomised to recei...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: McDowell, J. E., McClean, S., FitzGibbon, F., Tate, S. Tags: RESEARCH/Original articles Source Type: research

A pilot study of tele-anaesthesia by virtual private network between an island hospital and a mainland hospital in Japan
We studied the use of tele-anaesthesia between Sado General Hospital (SGH) located on Sado Island and Yokohama City University Hospital (YCUH) located in mainland Japan. The two sites were connected via a virtual private network (VPN). We investigated the relationship between the bandwidth of the VPN and both the frame rate and the delay time of the tele-anaesthesia monitoring system. The tool used for communication between the two hospitals was free videoconferencing software (FaceTime), which can be used over Wi-Fi connections. We also investigated the accuracy of the commands given during teleanaesthesia: any commands f...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Miyashita, T., Mizuno, Y., Sugawara, Y., Nagamine, Y., Koyama, Y., Miyazaki, T., Uchimoto, K., Iketani, Y., Tojo, K., Goto, T. Tags: RESEARCH/Original articles Source Type: research

A cross-sectional study of the quality of telephone triage in a primary care out-of-hours service
We evaluated the quality of telephone triage and the appropriateness of the decisions resulting from it at a primary care out-of-hours service. Four simulated clinical cases were used in the Incognito Standardized Patient method: an adult with nosebleed, an adult with fever, a child with fever and a child with vomiting. There was a set of obligatory questions for each case, translated from those used in a previous study. Quality was assessed by the proportion of questions asked by the call-handlers during telephone triage versus those that should have been asked. A total of 22 out-of-hours doctors were involved in the stud...
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Pasini, A., Rigon, G., Vaona, A. Tags: RESEARCH/Original articles Source Type: research

Next steps for the JTT: Richard Wootton's legacy and beyond
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - March 9, 2015 Category: Information Technology Authors: Wade, V., Krupinski, E. A. Tags: LEADER/Editorial Source Type: research

Management of psychiatric appointments by telephone
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - January 7, 2015 Category: Information Technology Authors: Zanjani, F., Davis, T., Newsham, P., Kruger, T. M., Munk, N., Schoenberg, N., Martin, C. Tags: TAILPIECE/Correspondence Source Type: research

Feasibility of smartphone-delivered diabetes self-management education and training in an underserved urban population of adults
(Source: Journal of Telemedicine and Telecare)
Source: Journal of Telemedicine and Telecare - January 7, 2015 Category: Information Technology Authors: Bain, T. M., Jones, M. L., O'Brian, C. A., Lipman, R. Tags: TAILPIECE/Communication Source Type: research

The Dr Pheo blog and virtual counselling for rare diseases
Patients with suspected or diagnosed rare diseases face challenges. Their own physicians usually do not have a large experience in a particular rare disease, specialists may not be easily accessible, and medical knowledge on rare diseases is either not readily available or too general to be applied to the patients’ individual situations. As a specialist with experience in pheochromocytoma, I therefore started a blog to disseminate knowledge about the tumour and to discuss readers’ questions about it (http://drpheo.blogspot.com/). Between 2009 and 2014, the blog was viewed 81,223 times and received 1286 comments...
Source: Journal of Telemedicine and Telecare - January 7, 2015 Category: Information Technology Authors: Yu, R. Tags: EDUCATION & amp;amp; PRACTICE/Praxis Source Type: research

A review of telerehabilitation for cardiac patients
We conducted a literature review of telerehabilitation interventions on cardiac patients. We searched for studies evaluating some form of telerehabilitation in cardiac patients. A total of 116 publications were screened initially, of which 37 publications were eligible for further review. We assessed study strength, based on the level of evidence and the quality of the intervention. The majority of the articles (70%) represented the highest level of evidence. Most interventions were of good (46%) or fair (51%) quality. Most studies evaluated the efficacy of the telerehabilitation interventions (84%), while 38% reported on ...
Source: Journal of Telemedicine and Telecare - January 7, 2015 Category: Information Technology Authors: Frederix, I., Vanhees, L., Dendale, P., Goetschalckx, K. Tags: RESEARCH/Systematic reviews Source Type: research

A systematic review of telehealth tools and interventions to support family caregivers
We conducted a systematic review of studies employing telehealth interventions which focused on family caregivers’ outcomes. The Embase, CINHAL, Cochrane and PubMed databases were searched using combinations of keywords including "telehealth," "telemedicine," "telecare," "telemonitoring," "caregiver" and "family." The initial search produced 4205 articles, of which 65 articles met the inclusion criteria. The articles included 52 experimental studies, 11 evaluation studies, one case study and one secondary analysis. Thirty-three articles focused on family caregivers of adult and older patients, while 32 articles focus...
Source: Journal of Telemedicine and Telecare - January 7, 2015 Category: Information Technology Authors: Chi, N.-C., Demiris, G. Tags: RESEARCH/Systematic reviews Source Type: research