Telemedicine and e-Health最新文献

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Effectiveness of a Home-Based Pulmonary Rehabilitation Program in Veterans. 退伍军人家庭肺康复计划的有效性。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-09-01 Epub Date: 2022-05-17 DOI: 10.1089/tmj.2022.0050
Kariann R Drwal, Delanie Hurst, Bonnie J Wakefield
{"title":"Effectiveness of a Home-Based Pulmonary Rehabilitation Program in Veterans.","authors":"Kariann R Drwal, Delanie Hurst, Bonnie J Wakefield","doi":"10.1089/tmj.2022.0050","DOIUrl":"10.1089/tmj.2022.0050","url":null,"abstract":"<p><p><b><i>Purpose:</i></b> <i>This study examined the effectiveness and safety of a home-based pulmonary rehabilitation (HBPR) program in Veterans.</i> <b><i>Methods:</i></b> <i>Patients were evaluated from five Veteran Affairs facilities that enrolled in the 12-week program. Pre- to postchanges were completed on clinical outcomes using paired</i> t<i>-tests and the Wilcoxon signed rank sum test. Descriptive statistics were used for patient demographics, emergency room visits, and hospitalizations.</i> <b><i>Results:</i></b> <i>Two hundred eighty-five patients with a mean age of 69.6 ± 8.3 years enrolled in the HBPR program from October 2018 to March 2020. There was a 62% (</i>n<i> = 176) completion rate of both pre- and post assessments. Significant improvements were detected after completion of the HBPR program in dyspnea (modified Medical Research Council: 3.1 ± 1.1 vs. 1.9 ± 1.1;</i> p <i>< 0.0001); exercise capacity (six-minute walk distance: 263.1 m ± 96.6 m vs. 311.0 m ± 103.6 m;</i> p <i>< 0.0001; Duke Activity Status Index: 13.8 ± 9.6 vs. 20.0 ± 12.7;</i> p <i>< 0.0001; self-reported steps per day: 1514.5 ± 1360.4 vs. 3033.8 ± 2716.2;</i> p <i>< 0.0001); depression (patient health questionnaire-9: 8.3 ± 5.7 vs. 6.4 ± 5.1); nutrition habits (rate your plate, heart: 45.3 ± 9.0 vs. 48.9 ± 9.2;</i> p <i>< 0.0001); multicomponent assessment tools (BODE Index: 5.1 ± 2.5 vs. 3.4 ± 2.4;</i> p <i>< 0.0001), GOLD ABCD Assessment: p < 0.0009); and quality of life (chronic obstructive pulmonary disease assessment test: 25.4 ± 7.7 vs. 18.7 ± 8.5;</i> p <i>< 0.0001). No adverse events were reported due to participation in HBPR.</i> <b><i>Conclusions:</i></b> <i>The HBPR program is a safe and effective model and provides an additional option to address the gap in pulmonary rehabilitation access and utilization in the Veterans Affairs.</i></p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73423974","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
Rosalind Franklin Society Proudly Announces the 2023 Award Recipient for Telemedicine and e-Health. 罗莎琳德-富兰克林学会自豪地宣布 2023 年远程医疗和电子健康奖获得者。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-09-01 DOI: 10.1089/tmj.2024.12432.rfs2023
Pamela Whitten
{"title":"Rosalind Franklin Society Proudly Announces the 2023 Award Recipient for <i>Telemedicine and e-Health</i>.","authors":"Pamela Whitten","doi":"10.1089/tmj.2024.12432.rfs2023","DOIUrl":"https://doi.org/10.1089/tmj.2024.12432.rfs2023","url":null,"abstract":"","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301103","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
Advances in Pediatric Telehealth Education and Training: A National Survey. 儿科远程保健教育和培训的进展:全国调查。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-09-01 Epub Date: 2024-06-25 DOI: 10.1089/tmj.2024.0156
Christina Coleman, Sonja Ziniel, Dana Schinasi, Ragan DuBose-Morris
{"title":"Advances in Pediatric Telehealth Education and Training: A National Survey.","authors":"Christina Coleman, Sonja Ziniel, Dana Schinasi, Ragan DuBose-Morris","doi":"10.1089/tmj.2024.0156","DOIUrl":"10.1089/tmj.2024.0156","url":null,"abstract":"<p><p><b>Background:</b> The COVID-19 pandemic accelerated the formal integration of telehealth into education curricula and training programs, prompting the need to reevaluate the current landscape and inform a research agenda. We developed a survey to assess telehealth education and training curriculum, competencies, certification, and research across pediatric medical centers. <b>Methods:</b> Questions were derived from a previously published national survey and de novo. The survey was distributed across national pediatric professional associations. <b>Results:</b> In total, 32 respondents representing medical centers (86.5%) were providing telehealth education and/or training. Most were internally developed didactic (78.6%) and experiential (64.3%) curricula. Respondents who included education and/or training in telehealth research protocols and conducted telehealth research (74%) reported mandatory or optional training in tele-research. A form of certification was preferred by most organizations (>60%). <b>Conclusion:</b> Telehealth education and training are key factors within current and future service development, provision, and research to demonstrate competencies and positively impact patient care.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447613","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
The Growing Role of Telerehabilitation and Teleassessment in the Management of Movement Disorders in Rare Neurological Diseases: A Scoping Review. 远程康复和远程评估在罕见神经疾病运动障碍管理中的作用日益增强:范围综述》。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-09-01 Epub Date: 2024-07-01 DOI: 10.1089/tmj.2023.0702
Luigi Lavorgna, Elisabetta Maida, Carola Reinhard, Patrick Cras, Kathrin Reetz, Maria Judit Molnar, Jorik Nonnekes, Kadri Medijainen, Susanna Summa, Karin Diserens, Maurizio Petrarca, Alberto Albanese, Letizia Leocani, Marianna Delussi, Claudia Vinciguerra, Emanuela Pagliano, Jadwiga Kubica, Pauline Lallemant, Gregor Wenning, Deborah Sival, Katja Groleger Srsen, Enrico Silvio Bertini, Giovanna Lopane, Sylvia Boesch, Simona Bonavita, David Crosiers, Dafin Muresanu, Dagmar Timmann, Antonio Federico
{"title":"The Growing Role of Telerehabilitation and Teleassessment in the Management of Movement Disorders in Rare Neurological Diseases: A Scoping Review.","authors":"Luigi Lavorgna, Elisabetta Maida, Carola Reinhard, Patrick Cras, Kathrin Reetz, Maria Judit Molnar, Jorik Nonnekes, Kadri Medijainen, Susanna Summa, Karin Diserens, Maurizio Petrarca, Alberto Albanese, Letizia Leocani, Marianna Delussi, Claudia Vinciguerra, Emanuela Pagliano, Jadwiga Kubica, Pauline Lallemant, Gregor Wenning, Deborah Sival, Katja Groleger Srsen, Enrico Silvio Bertini, Giovanna Lopane, Sylvia Boesch, Simona Bonavita, David Crosiers, Dafin Muresanu, Dagmar Timmann, Antonio Federico","doi":"10.1089/tmj.2023.0702","DOIUrl":"10.1089/tmj.2023.0702","url":null,"abstract":"<p><p><b>Background:</b> People with rare neurological diseases (RNDs) often experience symptoms related to movement disorders, requiring a multidisciplinary approach, including rehabilitation. Telemedicine applied to rehabilitation and symptom monitoring may be suitable to ensure treatment consistency and personalized intervention. The objective of this scoping review aimed to emphasize the potential role of telerehabilitation and teleassessment in managing movement disorders within RNDs. By providing a systematic overview of the available literature, we sought to highlight potential interventions, outcomes, and critical issues. <b>Methods:</b> A literature search was conducted on PubMed, Google Scholar, IEEE, and Scopus up to March 2024. Two inclusion criteria were followed: (1) papers focusing on telerehabilitation and teleassessment and (2) papers dealing with movement disorders in RNDs. <b>Results:</b> Eighteen papers fulfilled the inclusion criteria. The main interventions were home-based software and training programs, exergames, wearable sensors, smartphone applications, virtual reality and digital music players for telerehabilitation; wearable sensors, mobile applications, and patient home video for teleassessment. Key findings revealed positive outcomes in gait, balance, limb disability, and in remote monitoring. Limitations include small sample sizes, short intervention durations, and the lack of standardized protocols. <b>Conclusion:</b> This review highlighted the potential of telerehabilitation and teleassessment in addressing movement disorders within RNDs. Data indicate that these modalities may play a major role in supporting conventional programs. Addressing limitations through multicenter studies, longer-term follow-ups, and standardized protocols is essential. These measures are essential for improving remote rehabilitation and assessment, contributing to an improved quality of life for people with RNDs.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472684","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
Embracing the Future of Health Care: Investigating Medical Students' Willingness to Become Online Doctors. 拥抱医疗保健的未来:调查医学生成为在线医生的意愿。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-09-01 Epub Date: 2024-06-28 DOI: 10.1089/tmj.2023.0579
Jingjing Xiong, Xinyi Fu, Yongmei Yang, Xingyue Yu
{"title":"Embracing the Future of Health Care: Investigating Medical Students' Willingness to Become Online Doctors.","authors":"Jingjing Xiong, Xinyi Fu, Yongmei Yang, Xingyue Yu","doi":"10.1089/tmj.2023.0579","DOIUrl":"10.1089/tmj.2023.0579","url":null,"abstract":"<p><p><b>Purpose:</b> With the rapid advancement of technology, online health care services are becoming increasingly prominent. This study aims to investigate medical students' perceptions, attitudes, and readiness to adopt online health care services. <b>Methods:</b> Based on a literature review, this study constructed a conceptual model describing the relationships among medical students' perception, personality traits, and usage intention, grounded in the Technology Acceptance Model and Technology Readiness Index (TRI). The data for this study were collected from January to February 2023 through a questionnaire survey at Wenzhou Medical University, China. The proposed hypotheses were tested using structural equation modeling through AMOS software. <b>Results:</b> Out of the 340 respondents, 281 (82.6%) validly responded. Among these, 58.4% of medical students agreed and strongly agreed with the intention to become an online doctor. Within the TRI's motivational factors, optimism positively and significantly affected perceived usefulness (PU) and perceived ease of use (PEOU). Innovativeness also significantly enhanced PEOU. Among the inhibitory factors, insecurity was found to have a negative and statistically significant influence on PU. The rest of the dimensions did not have a significant effect on either PU or PEOU. Importantly, both PU and PEOU demonstrated a direct and substantial effect on usage intention. <b>Conclusions:</b> This study emphasizes the significance of comprehending medical students' readiness to adopt the role of online doctors in shaping the future of health care. By equipping medical students with the necessary skills and competencies, health care institutions can effectively leverage the full potential of online health care services while ensuring the provision of high-quality, accessible, and patient-centered care in the digital era.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472701","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
Cisgender Sexual Minority Women's Interest in Telemental Health Services: A Latent Class Analysis. 双性恋性少数群体妇女对 Telemental Health 服务的兴趣:潜类分析
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-08-26 DOI: 10.1089/tmj.2024.0230
Lexie Wille, Norian Caporale-Berkowitz, Nate Woznicki, Yaritza Carmona, Mike C Parent
{"title":"Cisgender Sexual Minority Women's Interest in Telemental Health Services: A Latent Class Analysis.","authors":"Lexie Wille, Norian Caporale-Berkowitz, Nate Woznicki, Yaritza Carmona, Mike C Parent","doi":"10.1089/tmj.2024.0230","DOIUrl":"https://doi.org/10.1089/tmj.2024.0230","url":null,"abstract":"<p><p><b>Introduction:</b> Telemental health is increasingly recognized for its potential to overcome barriers like cost and stigma, particularly for marginalized groups. Sexual minority women in particular may benefit from increased access to telemental health services, due to the unique health disparities faced by this population. However, very little research thus far has assessed the telemental health preferences of this group. <b>Methods:</b> The present study surveyed 1,092 cisgender sexual minority women regarding their demographic information, mental health, and telemental health preferences, using the Prolific.co research platform. Latent class analysis was conducted to identify subgroups within the sample based on their responses to the survey. <b>Results:</b> Results revealed diverse attitudes toward telemental health, with some that prefer in-person sessions, whereas others show a strong interest in virtual options. Latent class analysis identified five groups, termed the Neutral, Ambivalent, Inclined, Inclined Related to Travel, and Averse groups. There were statistically significant differences between groups on measures of rurality, socioeconomic status, previous therapy experience, and symptoms of depression and anxiety. Overall, sexual minority women demonstrated interest in telemental health, especially individuals with mobility challenges and those living in rural areas. <b>Conclusion:</b> This study underscores the importance of tailoring mental health services to diverse needs and suggests that telemental health could be a valuable tool in addressing health disparities among sexual minority women. Importantly, these data were conducted prior to the COVID-19 pandemic. Further research could examine how sexual minority women's attitudes toward telemental health have shifted since the COVID-19 pandemic and how telemental health services could be tailored for marginalized subgroups.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057240","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
Telepractice Assessments for Individuals with Aphasia: A Systematic Review. 针对失语症患者的远程实践评估:系统性综述》(Telepractice Assessments for Individuals with Aphasia: A Systematic Review)。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-08-23 DOI: 10.1089/tmj.2024.0268
Selina D Teti, Laura L Murray, J B Orange, Keren S Kankam, Angela C Roberts
{"title":"Telepractice Assessments for Individuals with Aphasia: A Systematic Review.","authors":"Selina D Teti, Laura L Murray, J B Orange, Keren S Kankam, Angela C Roberts","doi":"10.1089/tmj.2024.0268","DOIUrl":"https://doi.org/10.1089/tmj.2024.0268","url":null,"abstract":"<p><p><b>Purpose:</b> Current literature broadly demonstrates the effectiveness and feasibility of telepractice services for people with aphasia. However, the examination of telepractice assessments for people with aphasia is limited. The purpose of this systematic review was to examine the current use of telepractice assessment protocols for people with aphasia. Specifically, the review sought to: (a) identify the assessments utilized in the aphasia telepractice literature; (b) appraise critically the quality of such investigations; and (c) evaluate critically the psychometric properties of the standardized tests used. <b>Methods:</b> A review of the literature published in English since 2000 was conducted in January 2023 by searching MEDLINE, EMBASE, PsychInfo, CINAHL, and Scopus databases. A total of 2,429 articles were screened. Two reviewers assessed records independently finding 11 articles eligible for inclusion. Data extraction was conducted once and validated by a second reviewer. Quality appraisal was carried out for the included studies as well as for the standardized testing measures used in these studies. <b>Results:</b> There was a lack of variation among the telepractice assessment protocols and aphasia tests used across all the included studies. That is, there was limited investigation of screening tests, discourse analysis, extralinguistic cognitive measures, and the use of patient-reported measures. Study characteristics lacked high-quality and free-of-bias examinations. Most standardized tests that were utilized exhibited poor validity and reliability properties. <b>Conclusions:</b> Overall, the current systematic review pointed to the need to investigate a wider range of aphasia assessment protocols that can be offered via telepractice. Moreover, more robust research designs are necessary to examine the variety of assessment tests and/or procedures that are available for in-person aphasia assessment services. Finally, given that many tests used in the included studies had psychometric property issues, the current review raised concerns regarding the use of these tests in research and clinical practices.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142044194","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
Associations Between Sociodemographic Factors And Interest in Remote Patient Monitoring Among Arkansas Residents. 阿肯色州居民的社会人口因素与远程患者监护兴趣之间的关联。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-08-23 DOI: 10.1089/tmj.2023.0557
Jennifer A Andersen, Cari A Bogulski, Surabhee Eswaran, Don E Willis, Mahip Acharya, Ji Li, Byron Marciniak, Dinesh Edem, James P Selig, Pearl A McElfish
{"title":"Associations Between Sociodemographic Factors And Interest in Remote Patient Monitoring Among Arkansas Residents.","authors":"Jennifer A Andersen, Cari A Bogulski, Surabhee Eswaran, Don E Willis, Mahip Acharya, Ji Li, Byron Marciniak, Dinesh Edem, James P Selig, Pearl A McElfish","doi":"10.1089/tmj.2023.0557","DOIUrl":"https://doi.org/10.1089/tmj.2023.0557","url":null,"abstract":"<p><p><b>Introduction:</b> Remote patient monitoring (RPM) has the power to transform health care delivery, as it allows for the digital transmission of individual health data to health care professionals, providing the most up-to-date information to be able to make medical decisions. Although RPM use has grown exponentially during the pandemic, there is limited information on the association between sociodemographic characteristics and interest in RPM use in underserved areas of the United States after the onset of the pandemic. <b>Methods:</b> We conducted a survey via random digit dialing of 2201 adults living in Arkansas in March of 2022. Weighted estimates were generated using rank ratio estimation to approximate the 2019 American Community Survey 1-year Arkansas estimates for race/ethnicity, age, and gender. We fit a partial proportional odds model using weighted generalized ordered logistic regression to examine adjusted odds ratios (ORs) for interest in RPM. Predictors included sociodemographic characteristics, nativity, health care access, and self-rated health. <b>Results:</b> Results indicate respondents who were age 60 or older had lower odds of interest in RPM than those between the ages 18-39 (OR = 0.61). Hispanic adults had lower odds of reporting interest in RPM (OR = 0.68), and non-Hispanic adults of other races/ethnicities had lower odds of reporting any interest at all (OR = 0.67) or interest greater than a little (OR = 0.67) in RPM compared with non-Hispanic White respondents. However, respondents who had previously used telehealth had greater odds of reporting higher levels of interest in RPM than those who had not previously used it (OR = 1.93). <b>Discussion:</b> Interest in RPM use is associated with several sociodemographic factors. Future work is needed to understand and address RPM reluctance and to increase interest in RPM among marginalized and underserved populations who may need these services.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142044177","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
Guideline-Based Telemedicine Assessment of Orthopedic Low-Risk Conditions by General Practitioners is Not Inferior to that of Face-to-Face Consultations with Specialists in the Emergency Department: A Randomized Trial. 全科医生对骨科低风险疾病进行基于指南的远程医疗评估并不比急诊科专家面对面会诊差:一项随机试验。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-08-21 DOI: 10.1089/tmj.2024.0312
Noel Oizerovici Foni, Tarso Augusto Duenhas Accorsi, Renata Farias Vidigal Correia, Flavio Tocci Moreira, Karine De Amicis Lima, Renata Albaladejo Morbeck, Jose Leão de Souza, Carlos Henrique Sartorato Pedrotti, Nelson Wolosker
{"title":"Guideline-Based Telemedicine Assessment of Orthopedic Low-Risk Conditions by General Practitioners is Not Inferior to that of Face-to-Face Consultations with Specialists in the Emergency Department: A Randomized Trial.","authors":"Noel Oizerovici Foni, Tarso Augusto Duenhas Accorsi, Renata Farias Vidigal Correia, Flavio Tocci Moreira, Karine De Amicis Lima, Renata Albaladejo Morbeck, Jose Leão de Souza, Carlos Henrique Sartorato Pedrotti, Nelson Wolosker","doi":"10.1089/tmj.2024.0312","DOIUrl":"https://doi.org/10.1089/tmj.2024.0312","url":null,"abstract":"<p><p><b>Background:</b> There is a lack of randomized controlled trials focusing on orthopedic telemedicine (TM). The objective of this research was to compare the diagnostic accuracy and pattern of TM consultations of low-risk orthopedic patients performed by general practitioners (GPs) with those of face-to-face evaluations by orthopedists at an emergency department (ED). <b>Methods:</b> This randomized, single-center study was conducted between October 2021 and November 2022 on patients at an ED. Inclusion criteria were age >18 years, low back pain, extremity contusion, ankle sprain, or neck pain. Eligible patients were randomized 1:1 for TM consultations by generalist physicians with subsequent face-to-face orthopedic evaluations (TM-ED group) or face-to-face evaluations by orthopedic physicians (ED group). Primary outcomes were syndromic diagnosis, physical examination, and tests ordered. Secondary analysis included a satisfaction survey. <b>Results:</b> A total of 99 patients were enrolled; mean age was 41 ± 10.1 years, and 62.6% were female. The most common conditions were foot contusion (28.3%), ankle sprain (27.3%), hand contusion (19.2%), low back pain (19.2%), and neck pain (6.1%). Syndromic diagnosis showed no difference between groups (<i>p</i> = 0.231). In the TM-ED group (<i>n</i> = 51), self-examination demonstrated moderate to good agreement with face-to-face evaluations in several areas. Both groups showed similar tests practices. Patient satisfaction was higher in the TM-ED group across multiple measures. <b>Conclusion:</b> TM consultations for low-risk orthopedic patients by GPs are not inferior to face-to-face specialist evaluations at the ED. Virtual assessments are associated with higher patient satisfaction. Clinical Trial Identifier: NCT04981002.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009951","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
Patient-Reported Outcomes Improve with a Virtual Diabetes Care Model that Includes Continuous Glucose Monitoring. 包括连续血糖监测在内的虚拟糖尿病护理模式改善了患者报告的结果。
IF 2.8 3区 医学
Telemedicine and e-Health Pub Date : 2024-08-21 DOI: 10.1089/tmj.2024.0093
Korey Hood, Richard M Bergenstal, Terra Cushman, Robin L Gal, Dan Raghinaru, Davida Kruger, Mary L Johnson, Teresa McArthur, Amy Bradshaw, Beth A Olson, Sean M Oser, Tamara K Oser, Craig Kollman, Ruth S Weinstock, Roy W Beck, Grazia Aleppo
{"title":"Patient-Reported Outcomes Improve with a Virtual Diabetes Care Model that Includes Continuous Glucose Monitoring.","authors":"Korey Hood, Richard M Bergenstal, Terra Cushman, Robin L Gal, Dan Raghinaru, Davida Kruger, Mary L Johnson, Teresa McArthur, Amy Bradshaw, Beth A Olson, Sean M Oser, Tamara K Oser, Craig Kollman, Ruth S Weinstock, Roy W Beck, Grazia Aleppo","doi":"10.1089/tmj.2024.0093","DOIUrl":"https://doi.org/10.1089/tmj.2024.0093","url":null,"abstract":"<p><p><b>Background:</b> The objective was to examine patient-reported outcomes (PROs) associated with access to a virtual clinic model for diabetes care. <b>Methods:</b> Adults with diabetes (<i>N</i> = 234) received virtual care, including support for continuous glucose monitoring (CGM) over a 6-month study period. Care was led by a Certified Diabetes Care and Education Specialist and focused on optimizing self-management skills and response to glucose values observed on CGM. After 6 months of CGM use and access to diabetes education, participants could opt in to another 6 months of follow-up with access to the virtual care team. Participants completed PRO surveys and had health and glycemic measures collected at baseline, 3, 6, and 12 months. <b>Results:</b> Participants with type 1 diabetes (<i>N</i> = 160) were 44 ± 14 years and had mean baseline HbA1c of 61 mmol/mol (7.7%). Participants with type 2 diabetes (<i>N</i> = 74) were 52 ± 12 years and had mean baseline HbA1c of 66 mmol/mol (8.2%). Compared with baseline levels, at 6 months participants experienced less depression, diabetes distress, and hypoglycemic fears while also experiencing greater satisfaction with glucose monitoring, diabetes technology and specifically with CGM, and confidence for managing hypoglycemic (<i>p</i> < 0.05). For participants with type 1 diabetes, more time in the target range for glucose levels (70-180 mg/dL) was associated with less depression, diabetes distress, and hypoglycemic fears. <b>Conclusions:</b> PROs improved for adults with diabetes utilizing virtual diabetes care, including support for CGM use. Paired with the glycemic improvements observed in this virtual clinic study, there were robust benefits on the quality of life of adults with diabetes. ClinicalTrials.gov Identifier: NCT04765358.</p>","PeriodicalId":54434,"journal":{"name":"Telemedicine and e-Health","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009953","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}
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