Telemedicine and e-Health最新文献

{"title":"Adherence and Retention Rates to Home-Based Video Exercise Programs in Older Adults-Systematic Review and Meta-Analysis.","authors":"Marcela Rihova, Tereza Jandova, Tomas Vetrovsky, Katerina Machacova, Veronika Kramperova, Michal Steffl, Petra Hospodkova, Małgorzata Marchelek-Myśliwiec, Iva Holmerova","doi":"10.1089/tmj.2024.0100","DOIUrl":"10.1089/tmj.2024.0100","url":null,"abstract":"<p><p><b>Introduction:</b> This systematic review and meta-analysis aimed to investigate adherence and retention rates to home-based video exercise programs and identify key factors associated with these rates in older adults to understand the effectiveness of home-based video exercise interventions. <b>Methods:</b> We searched PubMed, Web of Science, and Scopus for articles addressing adherence to and retention of home-based video exercise programs. The study was conducted following PRISMA recommendations. <b>Results:</b> A total of 26 articles, including 1,292 participants older than 65, were included in the final qualitative and quantitative syntheses. The weighted mean of the retention rate was 91.1, and of the attendance rate was 85.0, with low <i>I</i>² = 3.5, not significant <i>p</i> = 0.409 heterogeneity. The generalized regression models showed a positive effect of session duration on the attendance rate (%), where the possible change from <20 min to >60 min duration could decrease the attendance rate (%) <i>B</i> = -24.390 (<i>p</i> <0.001). The delivery method had a significant effect, where the absence of live contact with the coach in web-based or DVD-delivered interventions could decrease the attendance rate (%) compared to the online sessions <i>B</i> = -11.482 (<i>p</i> = 0.010). The lockdown during the COVID-19 pandemic had a positive effect on both the attendance rate (%) B = 10.321 (<i>p</i> = 0.019) and retention rate (%) B = 9.577 (<i>p</i> = 0.032). <b>Conclusions:</b> This systematic review and meta-analysis indicate that supervised home-based video exercise programs lasting less than 60 min might be a suitable and sustainable exercise mode to keep older adults active, especially in times resembling feelings of confinement.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"2649-2661"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789812","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}

{"title":"Understanding the Personal Barriers of Elderly Patients for Carrying out Teleconsultations During COVID-19 Pandemic: An Observational Study.","authors":"Clara Sousa Diniz, Laryssa Reis Coelho, Sarah Rocha de Almeida, Virgílio Barroso de Aguiar, Caroline Lopes de Amorim, Maria Augusta Matos Corrêa, Rafael Pereira de Moraes Ribeiro, Paullinne Ariel Nogueira Barbosa, Emanuelle Vaz Gontijo, Antonio Luiz P Ribeiro, Clara Rodrigues Alves Oliveira","doi":"10.1089/tmj.2023.0544","DOIUrl":"10.1089/tmj.2023.0544","url":null,"abstract":"<p><p><b>Introduction:</b> The expansion of telehealth during the COVID-19 pandemic may widen digital divides. It is essential to better understand the use of telehealth by the elderly population for the development of equitable telehealth tools. <b>Objectives:</b> This study aimed to describe the socioeconomic, clinical, and functional characteristics of elderly patients who were supported by a COVID-19 telehealth program. It also investigated the characteristics associated with the need for support for teleconsultations, hospitalization, and mortality. <b>Methods:</b> >Elderly patients supported by the TeleCOVID-MG program, between June 2020 and December 2021, in two Brazilian municipalities (Divinópolis and Teófilo Otoni) were included. Data were collected from electronic records and through phone call interviews. Descriptive and multivariable analyses were performed. <b>Results:</b> Among the 237 patients,121 were women (51.1%), mean age was 70.8 years (±8.5), 121 (51.1%) had less than 4 years of formal education, 123 patients (51.9%) had two or more comorbidities, and 68 (29%) reported functional decline in activities of daily life. Age greater than 80 years (odds ratio [OR]:4.68, 95% confidence interval [CI] 1.93-11.37, <i>p</i> = 0.001), lower educational level (OR:3.85, 95% CI 1.8-8.21, <i>p</i> < 0.001), hearing (OR:5.46, 95% CI: 1.24-11.27, <i>p</i> = 0.019), and visual (OR:15.10, 95% CI: 3.21-71.04, <i>p</i> = 0.001) impairments were characteristics associated with the need for support for teleconsultations. The need for support was associated with hospitalization and mortality (OR:5.08, 95% CI: 2.35-10.98, <i>p</i> < 0.001). <b>Conclusion:</b> Older age, lower educational level, and sensory impairments may compromise the effectiveness and the safety of the telehealth assistance to the elderly population. Functional evaluation and frailty screening should be considered part of the telehealth assessment of elderly patients.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"2712-2720"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789884","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}

{"title":"Disparities in Telehealth Offer and Use among U.S. Adults: 2022 Health Information National Trends Survey.","authors":"Nicole Senft Everson, Roxanne E Jensen, Robin C Vanderpool","doi":"10.1089/tmj.2024.0014","DOIUrl":"10.1089/tmj.2024.0014","url":null,"abstract":"<p><p><b>Objective:</b> Understanding the sources of telehealth disparities can inform efforts to ensure equity. This study examines disparities in telehealth offer and use to understand the role of health care providers in increasing telehealth access. <b>Methods:</b> This cross-sectional analysis of the 2022 Health Information National Trends Survey (n = 5,295) used survey-weighted proportions to characterize telehealth use and multivariable logistic regressions to test associations of sociodemographic and social determinants with (1) telehealth offer and (2) use among those offered the option. <b>Results:</b> Among U.S. adults, 57% were offered telehealth, 80% of whom used it. Technology difficulties and privacy concerns were barriers for 15%-20% of U.S. adults. Compared to telehealth users, most nonusers preferred in-person care (25% versus 84%). Age, education, geographic location, and broadband internet access were related to telehealth offer, whereas no significant disparities emerged in telehealth use. <b>Conclusions:</b> Telehealth use is widespread, but structural and provider-level engagement are needed to achieve equity.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"2752-2758"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460711","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}

{"title":"Accuracy of Patient-Collected Vital Signs.","authors":"Joshua P Metlay, Ralph Gonzales, Timothy J Judson, Yuchiao Chang, Justin Margolin, Samir Oza, Blair A Parry, Michelle D Tagerman, Emily Hayden","doi":"10.1089/tmj.2023.0548","DOIUrl":"10.1089/tmj.2023.0548","url":null,"abstract":"<p><p><b>Introduction:</b> Telehealth has emerged as an important clinical setting for managing acute respiratory tract infections (ARIs), potentially reducing emergency department and urgent care overcrowding, and reducing nosocomial transmission. Many current algorithms for ARI management incorporate information on patient vital signs. However, the accuracy of vital signs collected by patients using readily available home devices and techniques has not been studied. <b>Methods:</b> A cross-sectional sample of patients seen for urgent conditions at a hospital emergency and urgent care center were given instructions and low-cost, readily available devices to collect their vital signs. A trained research coordinator collected a parallel set of vital signs using standard hospital equipment, serving as the gold standard. We analyzed the performance of patient-collected vital signs compared with vital signs collected by a trained research coordinator. <b>Results:</b> A total of 300 patients completed the study. Patient-collected vital signs were highly specific for traditional levels of abnormalities (HR >100 beats per min, RR >24 breaths per min, temperature >100.4 degrees Fahrenheit, oxygen saturation <94 percent); however, sensitivity was poor for elevated heart rate by pulse estimation (25%) and elevated respiratory rate (60%). Heart rate and oxygen saturation by pulse oximeter and oral temperature had higher sensitivity. <b>Conclusions:</b> Vital signs measured and provided by patients are not uniformly accurate, particularly when using manual techniques rather than automated devices. Telehealth algorithms that rely on these values could provide incorrect triage and management advice.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":"2747-2751"},"PeriodicalIF":2.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989530","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}

{"title":"Mining User Reviews for Key Design Features in Cognitive Behavioral Therapy-Based Mobile Mental Health Apps.","authors":"Omar El-Gayar, Mohammad Al-Ramahi, Abdullah Wahbeh, Ahmed Elnoshokaty, Tareq Nasralah","doi":"10.1089/tmj.2024.0053","DOIUrl":"https://doi.org/10.1089/tmj.2024.0053","url":null,"abstract":"<p><p><b>Background:</b> Cognitive behavioral therapy (CBT)-based mobile apps have been shown to improve CBT-based interventions effectiveness. Despite the proliferation of these apps, user-centered guidelines pertaining to their design remain limited. The study aims to identify design features of CBT-based apps using online app reviews. <b>Methods:</b> We used 4- and 5-star reviews, preprocessed the reviews, and represented the reviews using word-level bigrams. Then, we leveraged latent Dirichlet allocation (LDA) and visualization techniques using python library for interactive topic model visualization to analyze the review and identify design features that contribute to the success and effectiveness of the app. <b>Results:</b> A total of 24,902 reviews were analyzed. LDA optimization resulted in 86 topics that were labeled by two independent researchers, with an interrater Cohen's kappa value of 0.86. The labeling and grouping process resulted in a total of six main design features for effective CBT-based mobile apps, namely, mental health management and support, credibility support, self-understanding and personality insights, therapeutic approaches and tools, beneficial rescue sessions, and personal growth and development. <b>Conclusions:</b> The high-level design features identified in this study could evidently serve as the backbone of successful CBT-based mobile apps for mental health.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513031","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}

{"title":"Ten Years of Bipolar Telehealth: Program Evaluation of a Team-Based Telemental Health Clinic.","authors":"Nathan R Stein, Kelly L Stolzmann, Erica A Abel, Claire M Burgess, Aleda Franz, Samantha L Connolly, Nathaniel Meshberg, Hannah M Bailey, David N Osser, Eric G Smith, Mark S Bauer, Linda Godleski, Christopher J Miller","doi":"10.1089/tmj.2024.0411","DOIUrl":"https://doi.org/10.1089/tmj.2024.0411","url":null,"abstract":"<p><p><b>Objectives:</b> Telemental health via videoconferencing (TMH-V) can overcome many of the barriers to accessing quality mental health care. Toward this end, in 2011, the U.S. Department of Veterans Affairs (VA) established the National Bipolar Disorders TeleHealth (BDTH) Program to provide expert mental health consultation and treatment to Veterans with bipolar spectrum disorders. <b>Methods:</b> Initial analyses of BDTH services suggested that participants had positive changes in quality-of-care indices and clinical outcomes; however, that evaluation was based on a limited sample of both participants and VA medical centers. We were able to confirm and expand upon those early results by using nearly eight times the number of participants and more than twice as many medical centers. <b>Results:</b> For the 2,456 Veterans who completed the intake to our program, there were significant improvements in some of the quality metrics (e.g., lithium use) and a 54% reduction in positive suicide screens (<i>p</i> < 0.05). The Veterans who completed the initial and postprogram assessments (<i>n</i> = 815) reported a 16.6% reduction in manic symptoms (<i>p</i> < 0.001), a 29.3% reduction in depressive symptoms (<i>p</i> < 0.001), and a 21.2% reduction in mood episodes (<i>p</i> < 0.001). Additionally, these Veterans demonstrated significant improvements (<i>p</i> < 0.001) in mental health-related quality of life between the two assessments. <b>Conclusions:</b> These analyses provide further support for the general effectiveness and safety of telemental health via videoconferencing. Future research should examine the generalizability of these findings across various subgroups (e.g., minority patients, patients in rural areas), populations, and health care systems.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481024","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}

{"title":"Obstetrician-Gynecologists' Telehealth Provision at the Beginning, During, and Latter Stages of the COVID-19 Pandemic.","authors":"Mandar Bodas, Yoon Hong Park, Qian Luo, Clese Erikson, Anushree Vichare","doi":"10.1089/tmj.2024.0391","DOIUrl":"https://doi.org/10.1089/tmj.2024.0391","url":null,"abstract":"<p><p><b>Objective</b>: This study aims to determine how obstetrician-gynecologists provided telehealth from January 2020 to December 2022 in the United States, using de-identified commercial insurance data from FAIR Health. It also explores the trends in telehealth provision by physicians' age, gender, and by state policies on telehealth payment parity. <b>Methods</b>: Aggregated, de-identified data derived from medical claims containing 450,588 physician-quarter observations during 2020 to 2022 were analyzed using descriptive methods to examine the total number of telehealth services to pregnant individuals provided, the number of obstetrician-gynecologists that provided telehealth, and the mean number of telehealth services provided per quarter. <b>Results</b>: Obstetrician-gynecologists' telehealth provision increased rapidly after the onset of the COVID-19 pandemic, reaching its peak during the winter 2020 wave (fourth quarter) during which 4,663 obstetrician-gynecologists provided 13,846 telehealth visits. This was followed by a drop in subsequent quarters and during the fourth quarter of 2022, about 9,500 visits were provided by 2,800 obstetrician-gynecologists. Mean number of telehealth visits per physician was higher among older obstetrician-gynecologists and among those that practiced in states that adapted telehealth payment parity policies. <b>Conclusions</b>: Physician sex, age, and the state of practice location impacted their telehealth provision during the COVID-19 pandemic. Future policies aimed at ensuring telehealth access for pregnant people should consider these factors.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481023","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}

{"title":"Understanding Barriers to Access and Opportunities for Telemedicine in Underserved Urban Communities.","authors":"Joseph-Kevin Igwe, Caylynn Yao, Ugo Alaribe, Ngozi Okorafor, Neal Outland, Deandrea Nwokeofor-Laz, Onyinye Okonma, Neal Sikka","doi":"10.1089/tmj.2024.0315","DOIUrl":"https://doi.org/10.1089/tmj.2024.0315","url":null,"abstract":"<p><p><b>Introduction:</b> Loss to follow-up and decreased access to timely care have health consequences that often lead to increased emergency service utilization for benign, treatable, and preventable conditions. As such, significant medical intervention is necessary. Specifically in the District of Columbia (DC), the health of Medicaid beneficiaries of Wards 7 and 8, overwhelmingly underserved communities, necessitates alternative means for more accessible, convenient, and consistent care, which can be achieved by integrating telemedicine services into current care modalities. <b>Methods:</b> Utilizing survey responses from the pre-COVID-19 pandemic, we identified a need for a community-based telemedicine service centered at the Pennsylvania Avenue Baptist Church, designing a threefold project to build knowledge, capacity, and to test feasibility. To build knowledge, we assessed demographics, telemedicine knowledge, current and past telemedicine use, health care utilization, access and improvement issues, telemedicine layperson utilization, and opinions and desire for telemedicine services. <b>Results:</b> A total of 223 responses were gathered from residents residing in Wards 7 and 8 as well as in the neighboring DC communities. An array of data results demonstrates that integrating telemedicine services into community care centers ultimately satisfies identifiable needs in DC's low-income communities for mental health resources, better coordination of care, more convenient and culturally attuned care, and greater health literacy. <b>Discussion:</b> Integrating telemedicine services into community care centers satisfies the need to decrease costs of care and improve the access and quality of care. Effective evaluation strategies and outcome measures that indicate benefits beyond cost savings could provide useful information on how to integrate sustainable telehealth systems in health care delivery models.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632478","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}

{"title":"Creation and Validation of a Spanish Questionnaire for Evaluating Pediatricians' Satisfaction with Teledermatology.","authors":"Juan Carlos Palazón Cabanes, Gloria Juan Carpena, Begoña Palazón Cabanes, Laura Berbegal De Gracia, María Teresa Martínez Miravete, Isabel Betlloch-Mas","doi":"10.1089/tmj.2024.0254","DOIUrl":"https://doi.org/10.1089/tmj.2024.0254","url":null,"abstract":"<p><p><b>Introduction:</b> In 2021, we introduced a program to promote the use of teledermatology among pediatricians. In the present study, we created and validated a satisfaction questionnaire to assess pediatricians' perceptions of teledermatology. We used this questionnaire to evaluate the efficacy of the program. <b>Methods:</b> First, a provisional questionnaire, based on questionnaires available in the literature, was drafted. A group of experts evaluated the clarity, coherence, relevance and sufficiency of the questions, and we calculated a content validity index (CVI). Only questions with a CVI above 0.78 were acceptable. Based on these results and on the experts' comments, we revised the questionnaire and then sent it to a population of pediatricians. We used their responses to validate the revised questionnaire using statistical methods. A Cronbach's alpha above 0.7 indicated adequate internal consistency, and an intraclass correlation coefficient above 0.75 indicated adequate reproducibility. We used the Varimax method to measure construct validity. <b>Results:</b> We clarified and reformulated some questions from the provisional questionnaire based on the experts' comments. All questions had a CVI above 0.78, so no other changes were needed. Although the statistical validation showed suboptimal construct validity, the revised questionnaire had good internal consistency and reliability, and high content validity index. <b>Discussion:</b> The validated questionnaire is a robust tool for assessing pediatricians' satisfaction with teledermatology.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407163","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}

{"title":"Exploring the Feasibility and Acceptability of a Telehealth Platform for Older Adults with Noncommunicable Diseases and Chronic Viral Hepatitis.","authors":"Pitchaya Chairuengjitjaras, Zethapong Nimmanterdwong, Aisawan Petchlorlian, Kearkiat Praditpornsilpa, Pisit Tangkijvanich","doi":"10.1089/tmj.2024.0289","DOIUrl":"https://doi.org/10.1089/tmj.2024.0289","url":null,"abstract":"<p><p><b>Background</b>: Telehealth improves access to health care and potentially leads to better clinical outcomes. However, digital competence could be an essential factor in ensuring its adoption, particularly among older adults. This study evaluated the acceptability and perception of a mobile application platform among Thai older patients with chronic diseases according to their demographics and digital skills. <b>Methods</b>: The demographic information and internet usage profiles of patients with nonmalignant chronic diseases, including chronic viral hepatitis, were collected. Participants were grouped based on their self-perceived digital familiarity. The chi-square test was used to evaluate the associations between the parameters. <b>Results:</b> Among 710 participants (61.7% women, mean age: 66.2 years), digital familiarity was significantly higher among individuals aged <70 years, men, those with a bachelor's degree or higher, those with higher incomes, and Bangkok residents (<i>p</i> < 0.001). In this study, regular use of smartphones and the internet, but not messaging applications, was associated with self-perceived digital familiarity. Of these, 100 participants completed a survey evaluating their satisfaction with and perceptions of telehealth. Participants with greater digital familiarity demonstrated significantly higher satisfaction with telemedicine compared with those with limited ability or relied on caretakers (χ² = 70.145, <i>p</i> < 0.001). <b>Conclusion</b>: Our data indicated that a user-friendly mobile application is feasible and acceptable for the management of chronic diseases in older patients. Digital familiarity is an important factor associated with satisfaction with the platform, underscoring the need to bridge digital skill gaps and ensure equitable health care delivery.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395251","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}