Telemedicine journal and e-health : the official journal of the American Telemedicine Association最新文献

{"title":"Digital Platform for Cognitive Rehabilitation and Remote Caregiver Support in Mild Cognitive Impairment: A Multicenter Usability and Clinical Efficacy Study.","authors":"Valentina Laganà, Raffaele Di Lorenzo, Giusi Torchia, Jolanda Buonocore, Noemi Iaccino, Giovanni Canino, Rosanna Colao, Natalia Caravona, Roberto Bruno Bossio, Franco Galati, Mariarosaria Lupo, Pasqualina Insardà, Giovanni Frontera, Francesca Abate, Luciano Arcudi, Maria Pompea Bernardi, Antonio Gambardella, Gennarina Arabia","doi":"10.1177/15305627261421032","DOIUrl":"10.1177/15305627261421032","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine has gained increasing relevance as an innovative approach to support continuity of care for individuals with cognitive impairment. However, evidence regarding usability and short-term clinical effectiveness in patients with amnestic mild cognitive impairment (aMCI) is still limited. The present study aimed to assess the usability, feasibility, and preliminary clinical efficacy of a dedicated telemedicine platform integrating cognitive telerehabilitation and teleconsultation services for individuals with aMCI and their caregivers.</p><p><strong>Methods: </strong>A multicenter prospective study was conducted across 10 Centers for Cognitive Disorders and Dementia in the Calabria region, Italy. Subjects with aMCI (aged 50-80 years) and their caregivers were enrolled and participated in a 4-week intervention. The program included asynchronous tablet-based cognitive telerehabilitation and scheduled teleconsultations providing educational and psychological support. Usability was evaluated using the System Usability Scale (SUS). Secondary outcomes included adherence, satisfaction, changes in neuropsychological measures, and caregiver burden, assessed before and after the intervention.</p><p><strong>Results: </strong>A total of 285 participants (144 patients, 141 caregivers) were enrolled, and 267 completed the study (retention rate: 93.6%). The overall mean SUS score was 79.03 ± 16.89, indicating good-to-excellent usability across patients, caregivers, and health care professionals. Significant improvements were observed in global cognition, episodic memory, disease insight, anxiety, depressive symptoms, neuropsychiatric manifestations, and caregiver burden (all <i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>This telemedicine platform demonstrated high usability, strong adherence, and positive clinical effects after a short intervention period. These findings support the feasibility and potential value of digital telerehabilitation solutions for individuals with aMCI and their caregivers.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"588-598"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146184220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumer Preferences for Telephone and Video Consultations: A Multinominal Regression Analysis Using National Survey Data.","authors":"Laura J Neil, Roshni Mendis, Jaimon T Kelly, Helen M Haydon, Anthony C Smith, Centaine L Snoswell","doi":"10.1177/15305627261426080","DOIUrl":"10.1177/15305627261426080","url":null,"abstract":"<p><p>ObjectivesTo examine the explanatory variables for consumers' selection of either telephone consultation or video consultation for specific health conditions, using multinomial regression analysis conducted on a national survey dataset.MethodsA cross-sectional survey was conducted involving a sample of Australian adults who had used a telehealth service in 2021. An online sampling service by Qualtrics® enabled the recruitment of consumers that represented the Australian population in terms of gender, age, location (state or territory), and place of residence (urban or remote). Data collected included demographics, recent telehealth experience, and preferences for telephone or video consultation for different scenarios including varying time lengths and reasons for seeking a general practitioner.ResultsA total of 1,069 consumers completed the survey. In-person consultations at a clinic were the top preference in all clinical scenarios presented, except when needing a prescription or to receive test results. In these cases, telephone consultation was preferred. General videoconferencing experience in day-to-day life increased the likelihood of consumers choosing video consultations over in-person clinic visits for their general practitioner appointments. In addition, consumers' preferences for telephone consultations appear to be increased by internet connection issues and needing support to access technology.ConclusionsThis paper revealed that there are a variety of reasons influencing consumer preferences for health care modalities. It also demonstrated that increased exposure to videoconferencing increased consumer preferences for video consultations, particularly when seeking advice for chronic conditions, and decreased their likelihood of choosing telephone over in-person appointments, and that consumers avoid video consultations when they are experiencing technological issues or when they need support. The results of this survey give valuable insights into consumer preferences for telehealth and factors that may influence telehealth uptake within our health system.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"566-587"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147535626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The View Is Based on Perspective.","authors":"Charles R Doarn","doi":"10.1177/15305627261450358","DOIUrl":"10.1177/15305627261450358","url":null,"abstract":"","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"545-546"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Constraint to Strategy: A Necessity-Based Perspective on Telemedicine Usage in Japan and China.","authors":"Hanshu Wang, Keisuke Shinoda, Xiuzhu Gu","doi":"10.1177/15305627261421484","DOIUrl":"10.1177/15305627261421484","url":null,"abstract":"<p><strong>Objective: </strong>Although public interest in telemedicine is growing, limited research has examined the necessary conditions for its usage. Therefore, this study aims to identify these conditions in Japan and China.</p><p><strong>Methods: </strong>A self-developed questionnaire was administered between 2022 and 2023, yielding 787 valid responses in Japan and 840 in China. In addition, 241 Japanese and 194 Chinese supplemental responses were collected in 2025. Factor analysis and necessary condition analysis (NCA) were applied.</p><p><strong>Results: </strong>Based on the initial samples, eight factors were extracted: cost and accessibility, social influence, safety and reliability, adaptive readiness, technology confidence, perceived data security, facilitating conditions, and perceived usefulness. NCA revealed cross-national differences. Japanese participants mainly regarded perceived usefulness (<i>d</i> = 0.12-0.31) and facilitating conditions (<i>d</i> = 0.15-0.29) as necessary conditions, whereas Chinese participants perceived a broader set of prerequisites. Subgroup analyses further indicated that safety and reliability were the most critical necessary conditions for experienced users in both countries (Japan: <i>d</i> = 0.44; China: <i>d</i> = 0.28). Hierarchical clustering analysis further revealed three bottleneck trajectories of constraints: gradual-bottleneck users (progressive constraints), high-bottleneck users (sudden demand surges), and early-bottleneck users (persistent initial constraints). Crucially, the supplemental samples further confirmed the reliability and validity of the eight-factor structure and the temporal consistency of the necessary conditions for sustained usage.</p><p><strong>Conclusion: </strong>The findings highlight the need for tailored telemedicine strategies. In particular, maintaining safety and reliability represents a nonnegotiable prerequisite for sustained telemedicine usage in both countries. The developed instrument, combined with NCA, offers a transferable approach for identifying constraints and developing more adaptive and equitable telemedicine strategies.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"516-529"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146160087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Constant State of Flux.","authors":"Charles R Doarn","doi":"10.1177/15305627261444824","DOIUrl":"10.1177/15305627261444824","url":null,"abstract":"","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"437"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147725477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Access to Cellphones for Telehealth Among People Experiencing Homelessness.","authors":"Rudolfo Agustin, Kelli Garber, Grace Barthold, Tina Gustin","doi":"10.1177/15305627261417926","DOIUrl":"10.1177/15305627261417926","url":null,"abstract":"<p><strong>Background: </strong>Telehealth has expanded access to health care services, yet its effectiveness relies heavily on access to communication technology, particularly cellphones. People experiencing homelessness (PEH) face significant barriers to technological access, which may limit their ability to engage in telehealth.</p><p><strong>Materials and methods: </strong>This pilot study evaluated cellphone access and barriers to use for telehealth among sheltered and unsheltered PEH at free community clinics in Virginia Beach, Virginia, through an orally administered survey. Differences in the use of telehealth between government-issued cellphone users and nongovernment-issued cellphone users in this population were examined, as well as differences in perceived barriers to cellphone access and telehealth utilization between sheltered PEH and unsheltered PEH.</p><p><strong>Results: </strong>Of the 74 participants, 53% reported being sheltered PEH and 47% were unsheltered. Of the sheltered PEH, 97% reported having a cellphone, whereas only 74% of the unsheltered PEH reported having one. Significant barriers to utilization included the cost of devices (<i>p</i> = 0.013), inability to charge phones (<i>p</i> = 0.048), and a lack of mobile data (<i>p</i> < 0.001). Nongovernment cellphone users were more likely to use their cellphones for audio-only telehealth than government cellphone users. The study findings provide insights but, given sample size, they cannot be generalized.</p><p><strong>Conclusion: </strong>PEH may have access to a cellphone; however, utilization for telehealth may be limited due to cost and technological barriers, as well as prioritization of texting and phone calls to preserve data. Overcoming these barriers is crucial to making telehealth an equitable health care tool for PEH.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"508-515"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Analysis of Factors Influencing the Intention to Use of Military Telemental Health Services Among Psychiatric Outpatients at Military Hospital.","authors":"Juyeon Kang, Soyeon Park, Kyungmi Woo","doi":"10.1177/15305627261422095","DOIUrl":"10.1177/15305627261422095","url":null,"abstract":"<p><strong>Purpose: </strong>This study analyzed the intention to use military telemental health services and its influencing factors, based on an integrated theoretical framework combining the Unified Theory of Acceptance and Use of Technology and the Health Belief Model.</p><p><strong>Methods: </strong>A questionnaire-based cross-sectional design was employed. Data were collected through an online survey conducted over a 4-week period from July 9 to August 8, 2025.</p><p><strong>Results: </strong>The mean intention-to-use score, measured on a 7-point Likert scale, was 4.57 (±1.24), indicating a relatively positive level. Intention to use was significantly higher among established patients than new patients. In the multiple regression analysis, social influence and number of visits were identified as statistically significant factors associated with intention to use.</p><p><strong>Conclusions: </strong>External factors, such as social influence and prior medical experience, were more strongly associated with intention to use than with individual perceptions of service utilization. These results indicate the need for organizations to foster positive awareness of telemental health services. Furthermore, it is essential to address potential barriers related to resources, information, and security in advance. This study will serve as a foundation for system development and for future research on intention to use military telemental health.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"530-537"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146129201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstracts ATA NEXUS 2026 May 12-14 Orlando, Florida.","authors":"","doi":"10.1177/15305627261440610","DOIUrl":"https://doi.org/10.1177/15305627261440610","url":null,"abstract":"","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":"32 5","pages":"NP1-NP21"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147937323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individuals' Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data.","authors":"Jessica S Yu, Michael Bohl, Lauren Governale, Sachie Mochida, Knox Beasley, Patrick Carroll","doi":"10.1177/15305627261416295","DOIUrl":"10.1177/15305627261416295","url":null,"abstract":"<p><strong>Introduction: </strong>The use of telemedicine, including direct-to-consumer telemedicine, has increased significantly, yet there are concerns about the quality and safety of care accessed via this model. The current study retrospectively analyzed survey data from individuals about their perceptions of the efficacy, safety, and quality of care they accessed through a telemedicine platform.</p><p><strong>Methods: </strong>An online survey, originally intended for the purposes of quality improvement, was sent to individuals who had accessed treatment via a national telemedicine platform. The survey, made available between June 30, 2025 and July 3, 2025, consisted of 22 questions that queried individuals about their experience with the platform. Data were de-identified and retrospectively analyzed, with descriptive statistics used to report on the number and percentage of participants who indicated agreement with survey items.</p><p><strong>Results: </strong>The survey was completed by 2,399 participants. Overall, participants (>80%) reported a positive experience pertaining to the quality and safety of care accessed via the platform. The majority (>90%) of participants reported a positive experience with the online clinical intake and with providers on the platform. Participants consistently (>90%) rated their overall experience with the platform as equal to or better than prior in-person health care experiences. There was variability with regard to participants' awareness of specific safety practices implemented by the platform.</p><p><strong>Discussions: </strong>Our findings indicate that the majority of individuals who engaged with the telemedicine platform had positive perceptions of the efficacy, quality, and safety of the care they received and viewed the experience as rivaling care they had previously received in an in-person setting.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"483-489"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147380314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitalizations for Ambulatory Care Sensitive Conditions and Provider-to-Provider Telephone Consultations in Brazil: An Ecological Study from TelessaúdeRS.","authors":"Luíza Emília Bezerra de Medeiros, Dimitris V Rados, Rudi Roman, Elise Botteselle de Oliveira, Natan Katz, Marcelo Rodrigues Gonçalves, Camila Giugliani","doi":"10.1177/15305627251413374","DOIUrl":"10.1177/15305627251413374","url":null,"abstract":"<p><strong>Introduction: </strong>Provider-to-provider consultations may improve primary health care (PHC), but empirical data are limited. Hospitalizations for ambulatory care sensitive conditions (ACSC) indicate PHC quality. We aim to address the effects of synchronous telephone-based discussions on ACSC hospitalizations.</p><p><strong>Methods: </strong>We performed an ecological observational temporal series study based on secondary data. All municipalities of Rio Grande do Sul (Brazil's southernmost state) were eligible; lack of data was the sole exclusion criterion. The main factor explored was the annual rate of consultations per 1,000 inhabitants from 2014 to 2019. Other factors considered included municipality typology (urban or nonurban), poverty, hospital bed rate, PHC coverage, and non-ACSC hospitalizations. The primary outcome was the rate of ACSC hospitalizations per 1,000 inhabitants from 2014 to 2019. Both comparisons between and within municipalities were assessed. The association between the exposure variables and the outcome was explored using a hierarchical multivariable model with a generalized estimating equations (GEE) analysis.</p><p><strong>Results: </strong>Out of 497 municipalities, one was excluded due to lack of data. Between 2014 and 2019, there was an increase in the usage of consultations and a reduction in ACSC hospitalizations. In the final model, time, poverty, municipality typology, hospital bed rate, non-ACSC hospitalization, and consultations were all associated with ACSC hospitalization. After adjusting for the possible confoundings, the GEE model prediction showed that a higher number of consultations between- and within-municipalities was associated with a lower rate of ACSC hospitalization.</p><p><strong>Discussion: </strong>The presented data suggest that increased consultation usage is associated with improved PHC performance.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"461-471"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147380365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}