Journal of Telemedicine and Telecare最新文献_第3页

Telephone versus video consultations: A systematic review of consumer and provider preferences. 电话与视频咨询：对消费者和供应商偏好的系统回顾。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-28 DOI: 10.1177/1357633X251341199

Centaine L Snoswell, Helen M Haydon, Soraia de Camargo Catapan, Jaimon T Kelly, Emma E Thomas, Laura J Neil, Monica L Taylor, Anthony C Smith, Liam J Caffery

{"title":"Telephone versus video consultations: A systematic review of consumer and provider preferences.","authors":"Centaine L Snoswell, Helen M Haydon, Soraia de Camargo Catapan, Jaimon T Kelly, Emma E Thomas, Laura J Neil, Monica L Taylor, Anthony C Smith, Liam J Caffery","doi":"10.1177/1357633X251341199","DOIUrl":"https://doi.org/10.1177/1357633X251341199","url":null,"abstract":"IntroductionAs telehealth services are increasingly utilised and mature, it is important to continue to assess the preferences of both consumers and providers to ensure that these services are being used in the most acceptable and effective manner. This review aims to analyse both consumer and provider preferences for telephone and video consultations.MethodsA systematic search of MEDLINE, CINAHL and Embase databases was conducted in April 2023 to identify studies that investigated consumer or provider preferences for either telephone or video consultations. Data were extracted and synthesised narratively with the main reported findings from each article categorised in regard to modality preference (i.e. preference for either telephone or video; no preference between modality, equivalency, or mixed preference statements).ResultsA total of 78 articles were included in the analysis. Studies were published between 2003 and 2023, with the majority (86%) published after 2020. While most studies used quantitative survey methods (69.2%), five used qualitative (6.4%) and 19 used a mixed methods approach (24.4%). The majority of included studies (54% of consumer studies and 76% of provider studies) reported video as the preferred telehealth modality over telephone.DiscussionAlthough video is mostly preferred over telephone, a number of consumer studies reported equivalent preference for telephone and video consultations and highlighted the benefits of each modality for different purposes.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251341199"},"PeriodicalIF":3.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telemedicine and digital health for chronic conditions in pediatrics: A systematic review. 儿科慢性病的远程医疗和数字健康：系统综述。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-07 DOI: 10.1177/1357633X251334423

Britta Exner, Isabel V Frielitz-Wagner, Fabian-S Frielitz

{"title":"Telemedicine and digital health for chronic conditions in pediatrics: A systematic review.","authors":"Britta Exner, Isabel V Frielitz-Wagner, Fabian-S Frielitz","doi":"10.1177/1357633X251334423","DOIUrl":"https://doi.org/10.1177/1357633X251334423","url":null,"abstract":"BackgroundThe prevalence of chronic diseases in children and adolescents has significantly increased. The COVID-19 pandemic accelerated telemedicine adoption, leading to improved healthcare access and outcomes. Despite its benefits, telemedicine is still not fully integrated into standard care. Previous reviews have been limited in scope. This systematic review aims to provide a comprehensive overview of recent trials on web or app-based telemedicine for chronically ill children and adolescents, identifying interventions and outcomes for future healthcare strategies.MethodsA comprehensive search was conducted on PubMed on November 21, 2023, and updated on January 9, 2025. Results were filtered to include prospective intervention studies involving children and adolescents with chronic conditions and limited to publications from 2017 onwards. A total of 8699 results were retrieved, and 1506 titles were screened for eligibility, resulting in 116 studies included in the review.ResultsThese studies covered 45 different conditions, with the highest numbers for diabetes, asthma, and obesity. Telemedicine interventions varied, including gamification, video meetings, integrated devices, psychological components, symptom tracking, and educational content. Most studies reported high feasibility and patient satisfaction. Clinical outcomes improved in some cases, and none were worse than standard care. The heterogeneity limited direct comparisons and meta-analysis, and small sample sizes in many studies affected the generalizability and statistical significance of the findings.ConclusionsOur study highlights the potential of telemedicine in managing chronic illnesses among children, emphasizing the need for standardized methodologies, larger sample sizes, and continued investment in infrastructure and equitable policies to fully realize its benefits in improving accessibility, convenience, cost savings, and overall health outcomes.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251334423"},"PeriodicalIF":3.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of telerehabilitation on post-COVID-19 individuals with long-term dyspnea: A randomized controlled study. 远程康复对covid -19后长期呼吸困难患者的影响：一项随机对照研究

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-05 DOI: 10.1177/1357633X251333903

Canan Demir, Cihan Caner Aksoy, Gulhan Yilmaz Gokmen, Dilber Durmaz

{"title":"Effect of telerehabilitation on post-COVID-19 individuals with long-term dyspnea: A randomized controlled study.","authors":"Canan Demir, Cihan Caner Aksoy, Gulhan Yilmaz Gokmen, Dilber Durmaz","doi":"10.1177/1357633X251333903","DOIUrl":"https://doi.org/10.1177/1357633X251333903","url":null,"abstract":"ObjectiveThis study aimed to determine the effectiveness of telerehabilitation in managing ongoing dyspnea and associated issues following coronavirus disease 2019 (COVID-19), and observe changes over time.DesignThe study included 36 participants who previously had COVID-19 but continued to experience dyspnea (mean age, 42.44 ± 15.51 years). The participants were randomly allocated into three groups: telerehabilitation (TRG), home exercise (HEG), and control (CG). Dyspnea level, exercise capacity, muscle oxygenation, respiratory function, and fatigue were evaluated at baseline, at 6th, and at 12th weeks. Telerehabilitation was performed supervised and synchronously via video-calls.ResultsAt the 6-week assessment, TRG showed significant improvements in dyspnea, fatigue (p < 0.001), exercise capacity (p = 0.001), and respiratory muscle strength (p < 0.001). By the 12th week, these gains were maintained, with no further changes from week 6. In HEG, dyspnea and fatigue improved at weeks 6 and 12 (p < 0.001), with no additional changes between these time points. In CG, only dyspnea improved at both assessments (p < 0.001); other parameters remained unchanged. TRG achieved greater benefits compared to CG in reducing dyspnea and fatigue at week 6 (p = 0.001 and p = 0.003, respectively), but no group differences were found at week 12 (p > 0.05). No changes in muscle oxygenation were observed in any groups or evaluation points (p > 0.05).ConclusionsTelerehabilitation effectively improved and sustained dyspnea, fatigue, respiratory muscle strength, and exercise capacity in patients with post-COVID, while home-based exercises only reduced dyspnea and fatigue. Supervised and structured telerehabilitation may be a viable approach to managing post-COVID-19 symptoms.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"1357633X251333903"},"PeriodicalIF":3.5,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation and early outcomes of a telehealth visit model to deliver tecovirimat for mpox infection in New York City. 在纽约市提供治疗mpox感染的替科维林的远程保健访问模式的实施和早期成果。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-08-25 DOI: 10.1177/1357633X231194796

Justin Chan, David J DiTullio, Patricia Pagan Pirallo, Mary Foote, Dorothy Knutsen, Angelica Cifuentes Kottkamp, Tristan D McPherson, Vikramjit Mukherjee, Robert Pitts, Andrew Wallach, Marcia Wong, Dana Mazo, Ofole Mgbako

{"title":"Implementation and early outcomes of a telehealth visit model to deliver tecovirimat for mpox infection in New York City.","authors":"Justin Chan, David J DiTullio, Patricia Pagan Pirallo, Mary Foote, Dorothy Knutsen, Angelica Cifuentes Kottkamp, Tristan D McPherson, Vikramjit Mukherjee, Robert Pitts, Andrew Wallach, Marcia Wong, Dana Mazo, Ofole Mgbako","doi":"10.1177/1357633X231194796","DOIUrl":"10.1177/1357633X231194796","url":null,"abstract":"The 2022 mpox outbreak in New York City posed challenges to rapidly scaling up treatment capacity. We describe a telehealth treatment model launched during this outbreak that facilitated healthcare provider treatment capacity, and was able to adhere to a Centers for Disease Control and Prevention (CDC)-sponsored expanded access investigational new drug (EA-IND) protocol for tecovirimat. Sixty-nine patients were evaluated and prescribed tecovirimat for mpox through telehealth visits at NYC Health + Hospitals/Bellevue and NYU Langone Health from June to August 2022. Thirty-two (46.4%) were previously diagnosed with HIV. Forty-four (63.8%) reported full recovery, with the remainder lost to follow-up. Most patients (n = 60, 87.0%) attended at least one follow-up visit (either in person or through telehealth) after starting treatment. We observed favorable treatment outcomes, with no serious adverse events, hospitalizations, or deaths related to mpox. While equitable access to telehealth remains a limitation that needs to be addressed, this telehealth model enabled a rapid scale-up of tecovirimat prescription during the mpox outbreak, and should be considered as an important tool used to respond to future infectious disease outbreaks.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"534-539"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the use of telemedicine across different opioid use disorder treatment models: A scoping review. 了解远程医疗在不同阿片类药物使用障碍治疗模式中的使用：范围审查。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-09-04 DOI: 10.1177/1357633X231195607

Joseph Tay Wee Teck, Jenna L Butner, Alex Baldacchino

{"title":"Understanding the use of telemedicine across different opioid use disorder treatment models: A scoping review.","authors":"Joseph Tay Wee Teck, Jenna L Butner, Alex Baldacchino","doi":"10.1177/1357633X231195607","DOIUrl":"10.1177/1357633X231195607","url":null,"abstract":"IntroductionThe COVID-19 pandemic has instigated the development of telemedicine-mediated provision of medications for opioid use disorder such as buprenorphine and methadone, referred to as TMOUD in this study. As services start to return to pre-pandemic norms, there is a debate around the role of TMOUD as addition to or replacement of the conventional cascade of care for people with opioid use disorder (PWOUD). This scoping review is designed to characterize existing TMOUD services and provide insights to enable a more nuanced discussion on the role of telemedicine in the care of PWOUD.MethodsThe literature search was conducted in OVID Medline, CINAHL, and PsycINFO, from inception up to and including April 2023, using the Joanna Briggs Institute methodology for scoping reviews. The review considered any study design that detailed sufficient descriptive information on a given TMOUD service. A data extraction form was developed to collect and categorize a range of descriptive characteristics of each discrete TMOUD model identified from the obtained articles.ResultsA total of 45 articles met the inclusion criteria, and from this, 40 discrete TMOUD services were identified. In total, 33 services were US-based, three from Canada, and one each from India, Ireland, the UK, and Norway. Through a detailed analysis of TMOUD service characteristics, four models of care were identified. These were TMOUD to facilitate inclusion health, to facilitate transitions in care, to meet complex healthcare needs, and to maintain opioid use disorder (OUD) service resilience.ConclusionsCharacterizing TMOUD according to its functional benefits to PWOUD and OUD services will help support evidence-based policy and practice. Additionally, particular attention is given to how digital exclusion of PWOUD can be mitigated against.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"500-514"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring disparities in virtual healthcare and outcomes in chronic obstructive pulmonary disease patients during the COVID-19 pandemic. 衡量新冠肺炎大流行期间慢性阻塞性肺病患者在虚拟医疗保健和结果方面的差异。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-09-27 DOI: 10.1177/1357633X231202283

Medha R Cherabuddi, Al Muthanna Shadid, Liyan Obeidat, Michelle Jesse, Patrick Bradley

{"title":"Measuring disparities in virtual healthcare and outcomes in chronic obstructive pulmonary disease patients during the COVID-19 pandemic.","authors":"Medha R Cherabuddi, Al Muthanna Shadid, Liyan Obeidat, Michelle Jesse, Patrick Bradley","doi":"10.1177/1357633X231202283","DOIUrl":"10.1177/1357633X231202283","url":null,"abstract":"IntroductionThe use of virtual healthcare increased with the COVID-19 pandemic, even among chronic obstructive pulmonary disease (COPD) patients. We measured disparities in virtual compared to traditional healthcare and outcomes in COPD patients during the pandemic.MethodsThis study retrospectively identified adult patients with virtual or in-person primary care encounters at a large, Midwestern hospital system between March 1, 2020, and June 30, 2020. Data regarding age, sex, race, smoking, area deprivation index (ADI), COPD diagnosis, visit type (office, telephone, video, E-visit, virtual, or hybrid of office and virtual), and time to hospital admission in the following 12 months were collected. Analysis was performed using chi-square, analysis of variance, Kruskal-Wallis rank sum, and Cox proportional modeling.ResultsThis study identified 86,715 patients. Of those, 4702 had COPD and were more likely to be 65 years or older, White, have higher ADI, use telephone or hybrid visits compared to the rest of the study population and majority had smoking history. Office, telephone, and hybrid visits were used frequently, consistently seen across sex, race, ADI, and smoking categories. Increasing age was associated with increased use of office and telephone visits, and decreased use of video visits. Higher ADI was associated with telephone visits, and lower ADI was associated with video visits. There were no significant differences in overall, COPD, or COVID-19 hospital admission rates across visit types.DiscussionComplex disparities in utilizing traditional healthcare are also reflected in virtual healthcare in COPD patients, and do not significantly affect hospital admissions.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"558-562"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

iColon, a patient-focused mobile application for perioperative care in colorectal surgery: Results from 444 patients. iColon，一个以患者为中心的移动应用程序，用于结直肠手术的围手术期护理：444名患者的结果。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-10-11 DOI: 10.1177/1357633X231203064

Elisa Bertocchi, Giuliano Barugola, Gaia Masini, Massimo Guerriero, Nicola Menestrina, Irene Gentile, Francesca Meoli, Lorenza Sanfilippo, Mario Lauria, Roberta Freoni, Giacomo Ruffo

{"title":"iColon, a patient-focused mobile application for perioperative care in colorectal surgery: Results from 444 patients.","authors":"Elisa Bertocchi, Giuliano Barugola, Gaia Masini, Massimo Guerriero, Nicola Menestrina, Irene Gentile, Francesca Meoli, Lorenza Sanfilippo, Mario Lauria, Roberta Freoni, Giacomo Ruffo","doi":"10.1177/1357633X231203064","DOIUrl":"10.1177/1357633X231203064","url":null,"abstract":"AimThe aim of this study is to assess if a patient-focused mobile application can increase compliance with active Enhanced Recovery After Surgery (ERAS) items and thereby improve surgery-related outcomes and patient satisfaction.MethodThis is a prospective observational study of patients admitted for elective colorectal surgery, under the ERAS protocol, and having access to the mobile application iColon during all perioperative phases.ResultsThe 444 participants were included in the study. The overall adherence to the use of iColon was 62.4%. The overall adherence to active ERAS items was 74.1%. Adherence to the use of iColon significantly impacted adherence to active ERAS items. The use of the application was negatively related with factors such as age, type of disease, and postoperative complications. In the postdischarge phase, low adherence to active ERAS items typically indicates an increased likelihood of readmission; however, the use of iColon correlated significantly with a reduction in the 30-day readmission rate. A survey regarding patient satisfaction and confidence in using iColon resulted in positive feedback in more than 94% of cases, while 92.7% reported better quality of care.ConclusionOur findings suggest that digital health tools are beneficial and effective in the follow up of patients after early discharge. Our mobile application, iColon, represents user-friendly technology that is well-accepted. It has real-world implications in increasing adherence to active ERAS items, which results in an improvement in perceived quality of care by its users.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"585-591"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41218047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To connect or not connect: long-term adoption of video consultations, and reasons for discontinuing use. 连接或不连接：长期采用视频咨询，以及停止使用的原因。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-10-03 DOI: 10.1177/1357633X231203267

Irene Muli, Helena Hvitfeldt, Åsa Cajander, Lovisa Jäderlund Hagstedt, Nadia Davoody, Marina Taloyan, Maria Hägglund

{"title":"To connect or not connect: long-term adoption of video consultations, and reasons for discontinuing use.","authors":"Irene Muli, Helena Hvitfeldt, Åsa Cajander, Lovisa Jäderlund Hagstedt, Nadia Davoody, Marina Taloyan, Maria Hägglund","doi":"10.1177/1357633X231203267","DOIUrl":"10.1177/1357633X231203267","url":null,"abstract":"IntroductionThis study investigates factors related to long-term and short-term adoption of video consultations (VCs) and reasons for discontinuing use among primary care patients.MethodsA sample of primary care patients using VCs with healthcare providers were invited to take a survey in a cross-sectional study. Participants were asked about their intention to continue to have video consultations in the future, and those indicating no intention to use VCs in the future (short-term adopters) were asked about their reasons for this. Prevalence and statistical differences between long-term and short-term adopters were investigated.ResultsThere were several statistically significant differences between long-term and short-term adopters (76% vs. 24%). Long-term adopters consisted of more middle-aged individuals (35-54 years) and the majority worked full-time (56%). They had more positive opinions of VCs and used VCs and video meetings for other purposes to a larger extent. They chose VCs because of the lack of time to go to the healthcare centre and because their provider offered them. The most common reason for discontinuing use was a preference for face-to-face consultations, with the youngest age group (16-34 years) reporting this to a larger extent.DiscussionYounger and older age groups may be less likely to continue the use of VCs, potentially preserving the digital divide. Additionally, disparities in using similar technologies might contribute to the digital divide. Moreover, convenience, positive opinions of VCs, and experience with VCs were related to long-term adoption. Further studies are needed to explore non-use, age's influence, and address usability issues.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"572-584"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Economic assessment of the impact of telecare on the use of social care resources using a zero-inflated, hierarchical linear statistical model. 使用零膨胀的分层线性统计模型对远程医疗对社会护理资源使用的影响进行经济评估。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-09-10 DOI: 10.1177/1357633X231198555

Joe We Moss, Josh Bracewell, Errol Waters, Dianne Wright, Nick Hex

{"title":"Economic assessment of the impact of telecare on the use of social care resources using a zero-inflated, hierarchical linear statistical model.","authors":"Joe We Moss, Josh Bracewell, Errol Waters, Dianne Wright, Nick Hex","doi":"10.1177/1357633X231198555","DOIUrl":"10.1177/1357633X231198555","url":null,"abstract":"IntroductionThere is an ever-increasing demand for social care in the UK, with expenditure predicted to double to £56 billion by 2038/39. Many councils are under budget restrictions putting pressure on the number of services provided and their quality. Telecare complements social care and involves the implementation of technology to keep individuals more independent.MethodsThis study utilised a retrospective time-series analysis of data provided by Lancashire County Council between the period January-2013 to March-2018. A generalised linear mixed model (GLMM) was used to control for potential confounders. Two groups were identified: those using telecare (telecare group, n = 699) and those who did not (control group, n = 839).ResultsThe fixed effects data showed that telecare group start £75 per week lower in cost and as time progressed this reduced further by 9p per service user per week. In contrast, control group costs rose 5p per week per user. This effect was independent of age but was affected by measure of dependency. Analysis was then utilised to make predictions based on weighted averages. The scenario showed a total difference of £4,949 per service user over the whole year. A second scenario pro-rata'd costs for the full year showed a difference of £6,214, where telecare would avoid costs of £17 million per year.DiscussionThis analysis demonstrates that there is evident potential for the use of telecare to reduce social care resource use and costs. This study also highlights the use of a GLMM as a novel method of analysing observed data by controlling confounders.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"540-546"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of videoconference-delivered psychotherapy for children, adolescents, and their parents: A meta-analysis of randomized controlled trials. 视频会议心理治疗对儿童、青少年及其父母的有效性：随机对照试验的荟萃分析。

IF 3.5 3区医学

Journal of Telemedicine and Telecare Pub Date : 2025-05-01 Epub Date: 2023-09-16 DOI: 10.1177/1357633X231199784

Elena von Wirth, Sarah Willems, Manfred Döpfner, Lea Teresa Kohl

{"title":"Effectiveness of videoconference-delivered psychotherapy for children, adolescents, and their parents: A meta-analysis of randomized controlled trials.","authors":"Elena von Wirth, Sarah Willems, Manfred Döpfner, Lea Teresa Kohl","doi":"10.1177/1357633X231199784","DOIUrl":"10.1177/1357633X231199784","url":null,"abstract":"IntroductionOver the last years, videoconference-delivered psychotherapy (VCP) has been more commonly used in clinical practice. This meta-analysis is the first to evaluate the effectiveness of VCP for children and adolescents with a mental disorder and their parents.MethodsA systematic literature search was performed to identify randomized controlled trials (RCTs) that compared the effectiveness of VCP for youths with a mental disorder to a control condition. Twelve studies were included. Two reviewers independently extracted data and rated study quality.ResultsEffect size estimates for measures of children's symptoms of mental disorders were large for comparison between VCP and waitlist (posttreatment: Hedges's g = -1.26, k = 5) and negligible for comparisons between VCP and in-person treatment (posttreatment: g = 0.00, k = 6; follow-up: g = -0.05, k = 3). Similarly, effect size estimates for measures of children's functional impairments were large for comparison between VCP and waitlist (posttreatment: g = -1.10, k = 3) and negligible for comparisons between VCP and in-person treatment (posttreatment: g = -0.23, k = 3; follow-up: g = 0.04, k = 2). VCP more effectively reduced symptoms in children with an internalizing disorder (g = -0.88, k = 5) compared to externalizing disorders (g = 0.25, k = 2) or tic disorders (g = -0.08, k = 3).DiscussionThe results provide preliminary evidence that VCP is an effective treatment for youths with a mental disorder and their parents. VCP was equally effective as in-person treatment in reducing children's symptoms and functional impairments. Limitations include the limited number of RCTs and incomplete reporting of methodological features.","PeriodicalId":50024,"journal":{"name":"Journal of Telemedicine and Telecare","volume":" ","pages":"463-474"},"PeriodicalIF":3.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10261181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0