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

{"title":"Increasing Acceptability and Outcome Expectancy for Internet-Based Cognitive Behavioral Therapy During the COVID-19 Pandemic.","authors":"Anthony Molloy,&nbsp;Page L Anderson","doi":"10.1089/tmj.2021.0393","DOIUrl":"https://doi.org/10.1089/tmj.2021.0393","url":null,"abstract":"<p><p><b><i>Background:</i></b><i>e-Health interventions for mental health have the potential to reduce burdens on health care systems, but large survey studies find low acceptability for these interventions. The COVID-19 pandemic may make attitudes toward e-health more malleable. The current study examined whether an intervention to improve attitudes toward Internet-based cognitive behavioral therapy (iCBT) has a greater impact during the COVID-19 pandemic than before the pandemic.</i><b><i>Materials and Methods:</i></b><i>Individuals (</i>N<i> = 662) recruited from a large university and surrounding community who participated in a study about the acceptability of iCBT in 2018 and 2019 were asked to participate in a follow-up survey. In the original study, participants were randomized to receive or not receive a rationale designed to increase acceptability of iCBT, and then they completed measures of acceptability and outcome expectancy for iCBT. Fifty-one participants enrolled in the follow-up study from May to July 2020. They received a treatment rationale for iCBT (or not) in keeping with randomization from the parent study and re-completed measures assessing the acceptability and outcome expectancy for iCBT.</i><b><i>Results:</i></b><i>Contrary to hypotheses, two-way analyses of covariance (ANCOVA's) demonstrated that there was no significant interaction between time point and rationale condition on acceptability or outcome expectancy for iCBT. There was a significant main effect of rationale condition on acceptability, such that participants who received a treatment rationale reported greater acceptability for iCBT. There were no significant main effects of time.</i><b><i>Conclusions:</i></b><i>A treatment rationale was effective in improving acceptability for iCBT in a general population sample, but not more so during the COVID-19 pandemic.</i></p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"888-895"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39518429","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 Difference in Practice Expense Costs Between Telehealth and In-Office Care Could Serve as the Basis for Differential Reimbursement Structures.","authors":"Elizabeth O Aremu,&nbsp;James L Heffernan,&nbsp;Joseph C Kvedar","doi":"10.1089/tmj.2021.0229","DOIUrl":"https://doi.org/10.1089/tmj.2021.0229","url":null,"abstract":"<p><p>\u0000 <b>\u0000 <i>Background:</i>\u0000 </b>\u0000 <i>There has been much recent discussion about the reimbursement of telehealth virtual visits. Advocates argue strongly for payment parity with in-person encounters, whereas payers insist that telehealth visits should be reimbursed at a lower value.</i>\u0000 <b>\u0000 <i>Methods:</i>\u0000 </b>\u0000 <i>Using the Resource-Based Relative Value Scale structure as a guideline (where physician compensation is divided into categories: time/medical decision making/malpractice expense and practice expense), we developed a framework to examine the difference in practice expense of an in-person practice compared with a scaled virtual practice.</i>\u0000 <b>\u0000 <i>Results:</i>\u0000 </b>\u0000 <i>We found that for current procedural terminology (CPT) code 99213, the total relative value unit (RVU) for a virtual visit would be 1.62. The in-office RVU for CPT code 99213 is 2.09.</i>\u0000 <i>This difference could serve as the basis for a rational discussion on differential reimbursement for virtual visits.</i>\u0000 </p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"912-916"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39532894","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":"Patient Satisfaction with Orthopedic Telemedicine Health Visits During the COVID-19 Pandemic.","authors":"Ali M Omari,&nbsp;Christopher L Antonacci,&nbsp;Jay Zaifman,&nbsp;Anmol Johal,&nbsp;Jolie Conway,&nbsp;Yusuf Mahmoud,&nbsp;Gregg R Klein,&nbsp;Frank G Alberta,&nbsp;John D Koerner","doi":"10.1089/tmj.2021.0170","DOIUrl":"https://doi.org/10.1089/tmj.2021.0170","url":null,"abstract":"<p><p><b><i>Background:</i></b><i>Telemedicine usage in orthopedic surgery has seen a dramatic increase as a result of the severe acute respiratory syndrome coronavirus 2 pandemic. The purpose of this study was to examine patient perceptions with telemedicine at a large orthopedic practice.</i><b><i>Materials and Methods:</i></b><i>An anonymous online survey was distributed to all patients who received a telemedicine health visit at our institution for musculoskeletal complaints from March 17 to June 1, 2020. Responses were scored on a 5-point Likert scale (strongly disagree, disagree, neutral, agree, and strongly agree, 1-5) and analyzed by average score and percent reaching top box.</i><b><i>Results:</i></b><i>A majority of patients (76.5%) were satisfied with their visit, and only 19.2% did not want telemedicine as a future option. Patients who presented for follow-up visits (4.11 vs. 3.94,</i> p<i> = 0.0053; 48% vs. 41%,</i> p<i> = 0.02) and utilized video (4.21 vs. 3.88,</i> p <i>< 0.001; 51% vs. 39%,</i> p <i>< 0.001) were more satisfied. Average satisfaction between older (>65 years) and younger patients was similar (4.06 vs. 4.06,</i> p<i> = 0.97), however, younger patients were more likely to reach top box (42% vs. 51%,</i> p <i>< 0.001). Confidence that the physician came to the correct diagnosis (</i>r<i> = 0.78,</i> p <i>< 0.001) and receiving the same information and care as an in-office visit (</i>r<i> = 0.60,</i> p <i>< 0.001) demonstrated the strongest correlation with satisfaction and desire for future telemedicine visits, respectively. Interestingly, 31.1% of patients would have sought treatment elsewhere had telemedicine not been an option.</i><b><i>Conclusions:</i></b><i>Overall, satisfaction rates are high for orthopedic patients undergoing telemedicine visits. Patients are more confident in telemedicine when presenting for a follow-up visit and with the use of video.</i></p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"806-814"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39686511","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 Effects of Text Messages for Promoting Physical Activities in Prediabetes: A Randomized Controlled Trial.","authors":"Prawit Bootwong,&nbsp;Nirun Intarut","doi":"10.1089/tmj.2021.0303","DOIUrl":"https://doi.org/10.1089/tmj.2021.0303","url":null,"abstract":"<p><p><b>Objective:</b> To test the effects of text messages for promoting physical activities in people with prediabetes. <b>Methods:</b> This randomized controlled trial was performed in participants with prediabetes. Participants were recruited from a primary care unit. Allocation to the study groups used a stratified block randomization. All participants received physical activity education at baseline. The intervention group additionally received supportive text messages by using mobile phone text messages. Participants were assessed at baseline at 8 and 12 weeks. The primary outcome measure was physical activity energy. Secondary outcomes included weight, body mass index, waist circumstance, and blood pressure. <b>Results:</b> All participants were included in the analyses (<i>n</i> = 324; control: <i>n</i> = 162; intervention: <i>n</i> = 162). Mean physical activity energy was significantly increased in those who received text messages at 8 weeks, increasing 1,590.73 Metabolic Equivalent of Tasks (METs)/min/week (95% confidence interval [CI]: 837.72, 2343.75) in the intervention group and 407.39 METs/min/weeks (95% CI: -267.59, 1082.36) in the control group with an adjusted mean difference of -1,183 METs/min/weeks (95% CI: -2190.11, -176.58, <i>p</i> = 0.02). Over the 12 weeks follow-up period, mean physical activity energy did not differ statistically by group. Mixed-model repeated-measures analysis of the total physical energy revealed no significant differences, with an adjusted mean difference 273.3 METs/min/week (95% CI: -530.64, 1077.21, <i>p</i> = 0.513). However, moderate physical energy was significantly increased to 256.40 METs/min/week (95% CI: 17.20, 495.63, <i>p</i> = 0.040). <b>Conclusion:</b> Text messaging significant in physical activity at the 8-week. But, text messaging no significant in physical activity at 12-week. Further research is needed to identify optimal times to send messages to people with prediabetes. Thai Clinical Trials Registry (TCTR), number: TCTR20200624008.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"896-903"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39493924","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":"Home Low Vision Ocular Rehabilitation Telehealth Expansion Due to COVID-19 Pandemic.","authors":"Carolyn Ihrig","doi":"10.1089/tmj.2021.0264","DOIUrl":"https://doi.org/10.1089/tmj.2021.0264","url":null,"abstract":"<p><p>\u0000 <b>\u0000 <i>Background:</i>\u0000 </b>\u0000 <i>In March 2020, the pandemic added a major barrier resulting in the cancelation of all low vision ocular rehabilitation services. To prevent delay of beginning low vision ocular rehabilitation services, all low vision care was switched to telerehabilitation to home.</i>\u0000 <b>\u0000 <i>Methods:</i>\u0000 </b>\u0000 <i>Case managers began to cancel all in-person services and offer Veterans Affairs (VA) video connect services to their home. Patients with video access scheduled a home VA video connect telerehabilitation evaluation and therapy assessment. Patients who did not have video access waited to schedule a future in-person low vision appointment (postpandemic).</i>\u0000 <b>\u0000 <i>Results:</i>\u0000 </b>\u0000 <i>Of the in-person canceled appointments, 54% who scheduled the new home telerehabilitation evaluation were delayed on average 25 calendar days. Patients who waited for in-person low vision care were delayed on average 98, 138, or 153 calendar days. Of the 56 new patients referred for low vision optometry services during this 4-month period (COVID-19), 91% scheduled home low vision ocular telerehabilitation evaluations without delay; 5% waited until in-person clinics were open; and 4% waited until rural VA's and community-based outpatient centers were open.</i>\u0000 <b>\u0000 <i>Discussion:</i>\u0000 </b>\u0000 <i>Veterans with low vision who live in rural communities have limited access to services unless they are able to travel several miles to a specialty low vision clinic. Low vision ocular rehabilitation telehealth services have been successfully provided at the VA Western New York Healthcare System (Buffalo, NY) low vision clinic.</i>\u0000 <b>\u0000 <i>Conclusions:</i>\u0000 </b>\u0000 <i>Home low vision ocular rehabilitation telehealth increases access as early as possible once diagnosed with ocular pathology resulting in low vision.</i>\u0000 </p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"873-877"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39445353","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 Role of Telehealth Services in Children with Cystic Fibrosis During Coronavirus Disease 2019 Outbreak.","authors":"Ömer Faruk Beşer,&nbsp;Ebru Pelin Uğur Karaboğa,&nbsp;Evrim Hepkaya,&nbsp;Ayşe Ayzıt Kılınç Sakallı,&nbsp;Ahsen Dönmez Türkmen,&nbsp;Tuğçe Damla Dilek,&nbsp;Haluk Çokuğraş,&nbsp;Fügen Çullu Çokuğraş","doi":"10.1089/tmj.2021.0228","DOIUrl":"https://doi.org/10.1089/tmj.2021.0228","url":null,"abstract":"<p><p><b><i>Objectives:</i></b><i>This study aimed to monitor the health and nutritional status of pediatric cystic fibrosis (CF) patients via telehealth services during the novel coronavirus disease 2019 (COVID-19). Additional aims were to determine the level of anxiety in the patients and their caregivers and to determine the COVID-19 transmission status among CF patients.</i><b><i>Materials and Methods:</i></b><i>The CF team supported the patients via remote contact. During telehealth services interviews, in addition to obtaining information about the patients' anthropometric measurements, health status, and CF-related complaints, the State-Trait Anxiety Inventory (STAI) was administered to the patients and controls. The Hospital Anxiety and Depression Scale (HAD) was administered to their caregivers.</i><b><i>Results:</i></b><i>The study included 144 pediatric CF patients (74 males and 70 females). Mean age of the patients was 8.9 years. In all, 42 (29.2%) of the patients were tested for COVID-19, of which 4 were positive. The mean STAI score was significantly lower in the patient group than in the control group (</i>p <i>< 0.001). The mean HAD anxiety score was significantly higher in the caregivers of the CF patients, compared to the caregivers of the controls (</i>p<i> = 0.005). In addition, the mean HAD depression score was significantly higher in the caregivers of the CF patients (</i>p <i>< 0.001).</i><b><i>Conclusions:</i></b><i>Telehealth is an innovative method for providing health care services while maintaining social distance and avoiding the risk of exposure and spread of COVID-19. Telehealth services reduce patient and parental anxiety and increase the level of confidence in managing CF-related complications.</i></p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"832-837"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39493987","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":"Development of Mobile Application for Assessment of Basic Echocardiographic Parameters in Apparently Healthy Population.","authors":"Irina V Pospelova,&nbsp;Dmitry S Bragin,&nbsp;Irina V Cherepanova,&nbsp;Victoriya N Serebryakova,&nbsp;Alexander A Sokolov,&nbsp;Vladimir S Kaveshnikov","doi":"10.1089/tmj.2021.0302","DOIUrl":"https://doi.org/10.1089/tmj.2021.0302","url":null,"abstract":"<p><p>\u0000 <b>\u0000 <i>Background:</i>\u0000 </b>\u0000 <i>Development of tools, making for easier assessment of the age- and body size-specific echocardiographic parameters in the general population, becomes increasingly important.</i>\u0000 <b>\u0000 <i>Materials and Methods:</i>\u0000 </b>\u0000 <i>The application was developed on the basis of the previously designed model of normal values for basic echocardiographic parameters. The source population for the normal values was 10,604 apparently healthy people aged from 1 day to 65 years old, in which optimal visualization of the heart in the parasternal and apical echocardiographic views could be obtained. The whole population surveyed was categorized into three age groups. The predicted parameters were calculated by the group-specific regression equations. Deviation from the norm for one or another echocardiographic parameter was determined based on the value of z-score.</i>\u0000 <b>\u0000 <i>Results:</i>\u0000 </b>\u0000 <i>The mobile application was designed for the medical community and allows for a selective assessment of basic echocardiographic parameters in apparently healthy people with high accuracy. The application has a friendly graphical interface and provides color output on display of the results obtained.</i>\u0000 <b>\u0000 <i>Discussion:</i>\u0000 </b>\u0000 <i>The value of this application is in its uniqueness, since having analyzed available scientific works on mobile applications in medicine we could hardly find similar developments.</i>\u0000 <b>\u0000 <i>Conclusions:</i>\u0000 </b>\u0000 <i>Using the mobile application can save a doctor's time by simplifying the process of entering initial data, automating calculations, and providing convenient displaying of results. From this perspective, the application developed can become a useful tool in the sphere of telemedicine, in particular-the mobile medicine for remote consultation of patients.</i>\u0000 </p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"815-822"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39558540","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":"Criteria-Based Assessment of a Teleophthalmology Diabetic Retinopathy Evaluation Program in a Primary Care Setting.","authors":"Samuel Leeman,&nbsp;Lu Wang,&nbsp;Brent A Johnson,&nbsp;Robert J Fortuna,&nbsp;Rajeev S Ramchandran","doi":"10.1089/tmj.2021.0064","DOIUrl":"https://doi.org/10.1089/tmj.2021.0064","url":null,"abstract":"<p><p><b><i>Background:</i></b><i>Studies have shown that teleophthalmology programs using a nonmydriatic camera in primary care settings can improve rates of diabetic retinopathy (DR) screening. However, such programs are not yet widespread due to common challenges in sustainability.</i><b><i>Purpose:</i></b><i>To comprehensively evaluate clinical and operational measures of an urban primary care clinic's 1-year pilot teleophthalmology DR evaluation program.</i><b><i>Materials and Methods:</i></b><i>This retrospective analysis used five metrics to evaluate the program: clinical diabetic retinal exam (DRE) rate, visual acuity and pathology, camera utilization, billing and insurance reimbursements, and outcomes of follow-up referrals.</i><b><i>Results:</i></b><i>Two hundred eleven patients were screened over 14 months. The DRE rate had more than doubled (34-75%). Of the patients, 55.9% had vision better than 20/50 in each eye and 21% with at least 1 eye worse than or equal to 20/70. DR was noted in 11% of patients. The program's first few months saw greatest camera use. Government and Medicare Advantage insurers were significantly (</i>p <i>< 0.001) less likely to reimburse than commercial insurers. Twenty-seven percent of patients screened had documented follow-up with an eye care provider within 16 months of their screening. Patients diagnosed with DR or recommended follow-up within 1 month were significantly (</i>p <i>< 0.001) more likely to schedule an appointment.</i><b><i>Discussion:</i></b><i>Challenges to program sustainability include efficient utilization, reimbursement from governmental insurers, and adherence to follow-up recommendations.</i><b><i>Conclusions:</i></b><i>Assessing teleophthalmology programs with the aforementioned five metrics allows for a comprehensive evaluation of impact and sustainability. This may be utilized to standardize the implementation and evaluation of such programs across diverse settings.</i></p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"865-872"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39631866","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":"Current Surgical Trainee Perceptions and Experiences in Telehealth.","authors":"Emaad J Iqbal,&nbsp;Thomas Sutton,&nbsp;Mudassir S Akther,&nbsp;Ashraf Samhan,&nbsp;Stephanie MacDonald,&nbsp;Julia R Coleman,&nbsp;Patricia L Turner,&nbsp;Vahagn C Nikolian","doi":"10.1089/tmj.2021.0237","DOIUrl":"https://doi.org/10.1089/tmj.2021.0237","url":null,"abstract":"<p><p><b><i>Introduction:</i></b><i>Broad expansion of telehealth technologies has been implemented during the coronavirus disease 2019 (COVID-19) pandemic to allow for physical distancing and limitation of viral transmission within health care facilities. Although telehealth has been studied for its impact on patients, payors, and practitioners, its educational impact is largely unstudied. To better understand the trainee experience and perception of telehealth during the COVID-19 pandemic, we conducted a survey of the membership of the American College of Surgeons Resident and Associate Society (RAS).</i><b><i>Methods:</i></b><i>An anonymous survey was sent to members of RAS. Descriptive analysis was used to report experiences and perceptions. Chi-square analysis was used to compare cohorts with and without exposure to telehealth.</i><b><i>Results:</i></b><i>Of the 465 RAS respondents, 292 (62.8%) reported knowledge of telehealth technologies at their institutions. The majority of these respondents experienced a decrease in in-person clinic volume (94.4%) and an associated increase in virtual clinic volume (95.7%) related to the COVID-19 pandemic. Trainee integration into telehealth workflows increased drastically from prepandemic levels (11% vs. 54.5%,</i> p <i>< 0.001). Likelihood of trainee exposure to telehealth was associated with university-based training programs or larger program size. Trainees demonstrated a desire for more integration and development of curricula.</i><b><i>Conclusions:</i></b><i>These data serve as the first description of surgical trainee experience with, and opinion of, telehealth. Trainees recognize the importance of their integration and training in telehealth. These results should be used to guide the development of workflows and curricula that integrate trainees into telemedicine clinics.</i></p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"789-797"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39508262","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":"Impact of Tele-Coaching During the COVID-19 Pandemic on Risk-Reduction Behavior of Patients with Heart Failure.","authors":"Katharina Knoll,&nbsp;Sarah M Leiter,&nbsp;Stefanie Rosner,&nbsp;Teresa Trenkwalder,&nbsp;Amadea Erben,&nbsp;Christian Kloss,&nbsp;Patrick Bregenhorn,&nbsp;Heribert Schunkert,&nbsp;Wibke Reinhard","doi":"10.1089/tmj.2021.0324","DOIUrl":"https://doi.org/10.1089/tmj.2021.0324","url":null,"abstract":"<p><p><b>Introduction:</b> Our study assessed the effectiveness of tele-coaching over written information in educating patients with chronic heart failure (CHF) at high risk of hospitalization about corona virus disease 2019 (COVID-19). We analyzed the impact on number of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections and self-reported behavior change. <b>Methods:</b> In April 2020, a tele-coaching module and written summary about COVID-19, risk-reduction measures for prevention of COVID-19, and appropriate consultation of medical attention during the pandemic were integrated into an established tele-coaching program. Three hundred seventy-eight patients who had received both tele-coaching and written information 3 weeks earlier were interviewed using a structured questionnaire and compared with 1,748 patients who had only received written information at this point. <b>Results:</b> Tele-coaching had no short-term effect on numbers of SARS-CoV-2 infections. However, patients receiving tele-coaching reported significantly more behavioral changes, including increased room ventilation (88% vs. 78%, <i>p</i> < 0.0001), surface cleaning (80% vs. 70%, <i>p</i> = 0.0006), wearing of face masks (59% vs. 51%, <i>p</i> = 0.013), and reduced usage of public transport (77% vs. 68%, <i>p</i> = 0.0003), despite no observed difference in recall about risk-reduction measures. Moreover, tele-coaching improved patients' knowledge about how to seek medical help in an emergency (46% vs. 36%, <i>p</i> = 0.0006), with a significant reduction in self-reported doctors' appointments (304 vs. 413 per 1,000 patients, <i>p</i> = 0.002) and hospital visits (50 vs. 87 per 1,000, <i>p</i> = 0.033) during the first peak of the pandemic. <b>Conclusion:</b> In a population of patients with CHF at high risk of hospitalization, COVID-19-specific tele-coaching effectively supported behavioral changes and significantly reduced face-to-face medical contacts in a short-term follow-up period.</p>","PeriodicalId":520784,"journal":{"name":"Telemedicine journal and e-health : the official journal of the American Telemedicine Association","volume":" ","pages":"823-831"},"PeriodicalIF":4.7,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39493920","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}