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International Journal of Telemedicine and Applications

Mart Wetzels, Eva Broers, Peter Peters, Loe Feijs, Jos Widdershoven, Mirela Habibovic
New technologies are increasingly evaluated for use within the clinical practice to monitor patients' medical and lifestyle data. This development could contribute to a more personalized approach to patient care and potentially improve health outcomes. To date, patient perspective on this development has mostly been neglected in the literature. Hence, this study aims to shed more light on the patient perspective on health data privacy and management. Focus groups with cardiac patients were done at the Elizabeth TweeSteden Ziekenhuis (ETZ) in the Netherlands as part of the DoCHANGE project...
2018: International Journal of Telemedicine and Applications
Bhaskaran Unnikrishnan, Priya Rathi, Daivik Shah, Abhay Tyagi, Anish V Rao, Koyel Paul, Joe Tomy
Introduction: Social media has a potential to bring about major changes in the healthcare system. Objective: To find out the pattern of use of social media among healthcare professionals (HCPs) and perception, facilitators, and barriers of using social media, to translate evidence into clinical practice. Method: We conducted a cross-sectional study among 196 HCPs of institutions attached to a university using a self-administered questionnaire...
2018: International Journal of Telemedicine and Applications
Jeremiah W Acharibasam, Rolf Wynn
Introduction: The rising incidence of mental illness and its impact on individuals, families, and societies is becoming a major public health concern, especially in resource-constrained countries. Consequently, there is an increasing demand for mental health services in many middle- and low-income countries (LMIC). Challenges such as inequality in access, lack of staff and hospital beds, and underfunding, often present in the LMIC, might in part be addressed by telemental health services...
2018: International Journal of Telemedicine and Applications
Lisbeth O Rygg, Hildfrid V Brataas, Bente Nordtug
Background: This article examines personnel and patient experiences of videoconferencing (VC) trials on tablet computers between oncology certified nurses (OCNs) and patients with cancer who live at home. The study points to organizational pitfalls during the introduction process. In many different arenas, the use of VC has increased recently owing to improved Internet access and capacity. This creates new opportunities for contact between patients living at home and their nurses. Video conferencing presupposes knowledge about Internet access, training, and usability of technological equipment...
2018: International Journal of Telemedicine and Applications
Christina I Serrano, Vishal Shah, Michael D Abràmoff
Objective: The purpose of the study is to extend research on patient satisfaction with telemedicine services by employing the theoretical framework of Expectation Disconfirmation Theory (EDT) for diabetic retinopathy screenings focusing on rural patients. Method: Adult subjects (n=220) with diabetes were recruited from a single family practice office in rural Iowa. Subjects completed a "pre" survey concerning their forward-looking perceptions of telemedicine prior to using telemedicine for detection of diabetic retinopathy and a "post" survey after they received recommendations from the distant ophthalmologists...
2018: International Journal of Telemedicine and Applications
C B Barcaui, P M O Lima
Background: Dermatology, due to the peculiar characteristic of visual diagnosis, is suitable for the application of modern telemedicine techniques, such as mobile teledermoscopy. Objectives: To evaluate the feasibility and reliability of the technique for the diagnosis of pigmented lesions. Methods: Through the storage and routing method, 41 pigmented lesions were analyzed. After the selection of the lesions during the outpatient visit, the clinical and dermatoscopic images were obtained by the resident physician through the cellphone camera and sent to the assistant dermatologist by means of an application for exchange of messages between mobile platforms...
2018: International Journal of Telemedicine and Applications
Kerstin Kempf, Martin Röhling, Monika Stichert, Gabriele Fischer, Elke Boschem, Jürgen Könner, Stephan Martin
Background: Lifestyle interventions have shown to be effective when continuous personal support was provided. However, there is lack of knowledge whether a telemedical-approach with personal coaching contributes to long-term weight losses in overweight employees. We, therefore, tested the hypothesis that telemedical-based lifestyle interventions accompanied with telemedical coaching lead to larger weight losses in overweight persons in an occupational health care setting. Methods: Overweight employees (n=180) with a body mass index (BMI) of >27 kg/m2 were randomized into either a telemedical (TM) group (n=61), a telemedical coaching (TMC) group (n=58), or a control group (n=61)...
2018: International Journal of Telemedicine and Applications
Natthaporn Sudas Na Ayutthaya, Itsarawan Sakunrak, Teerapon Dhippayom
Objective: To evaluate the impact of telephone follow-up service on clinical outcomes in patients on warfarin when discharged from hospital. Methods: This randomized controlled trial was conducted at a general hospital in Thailand. Patients aged ≥20 years who were prescribed warfarin when discharged were eligible to participate in this study. They were randomly allocated, using a computer generated random number, to receive either telephone follow-up intervention or usual care...
2018: International Journal of Telemedicine and Applications
Tarsh Pandit, Robin A Ray, Sabe Sabesan
Introduction: Historically, the use of videoconference technologies in emergency medicine training has been limited. Whilst there are anecdotal reports of the use of teletraining for emergency medicine by rural doctors in Australia, minimal evidence exists in the literature. This paper aimed to explore the use of teletraining in the context of managing emergency presentations in rural hospitals. Methods: Using a qualitative approach, a mixture of junior and senior doctors were invited to participate in semistructured interviews...
2018: International Journal of Telemedicine and Applications
Juan Pablo Sáenz, Mónica Paola Novoa, Darío Correal, Bell Raj Eapen
Background: The use of mobile applications in dermatology to support remote diagnosis is gaining acceptance, particularly in rural areas, where dermatology services are commonly managed by healthcare personnel with no specialty training. Moreover, ontologies-sets of concepts that represent knowledge in a given domain-are increasingly being used to support medical diagnosis. A specific case is ONTODerm: an ontology to aid dermatological diagnosis. However, there is little information on the combined use of mobile applications and ontologies as support solutions in dermatology...
2018: International Journal of Telemedicine and Applications
Todd Molfenter, Roger Brown, Andrew O'Neill, Ed Kopetsky, Alexander Toy
Telemedicine applications offer innovative approaches for treating and reducing the effects of substance use disorders (SUDs). This analysis assessed the interest in and use of 11 telemedicine applications in a sample of 363 SUD organizations in the United States of America. Fifty percent of the organizations expressed high rates of interest in seven of the telemedicine applications, demonstrating the appeal of telemedicine within this field. The top three self-reported telemedicine applications being used were (1) computerized screening/assessments (44...
2018: International Journal of Telemedicine and Applications
Iván Chérrez-Ojeda, Emanuel Vanegas, Erick Calero, Karin Plaza, Jose A Cano, Juan Carlos Calderon, Jorge Valdano, Jorge Oswaldo Gutierrez, Jose Guevara
Purpose: The purpose of this study is to assess the frequency of use of information and communication technologies and patterns of preference among Ecuadorian patients with diabetes. Methods: We conducted an anonymous cross-sectional survey on type 2 diabetes mellitus. A chi-square test for association and adjusted regression analyses were performed. Results: 248 patients were enrolled, with a mean sample age of 57.7 years. SMS was the most used ICT (66...
2018: International Journal of Telemedicine and Applications
Brittanie LaBelle, Alexandra M Franklyn, Vicky Pkh Nguyen, Kathleen E Anderson, Joseph K Eibl, David C Marsh
Rural patients with opioid use disorder (OUD) face a variety of barriers when accessing opioid agonist therapy (OAT) and psychiatric services, due to the limited supply of physicians and the vast geographic area. The telemedicine allows for contact between patients and their physician-regardless of physical distance. Objective . We characterize the usage of telemedicine to deliver psychiatric services to patients with OUD in Ontario, as well as traits of treatment-seeking patients with opioid dependence and concurrent psychiatric disorders...
2018: International Journal of Telemedicine and Applications
Inger Lindberg, Birgitta Lindberg, Siv Söderberg
Background: Telehealth applications have shown positive effects for people with chronic conditions and their awareness of health. Objective: To describe patients' and healthcare personnel's experiences of using health coaching with online self-management in primary health care. Method: A pragmatic randomised controlled trial was conducted. Patients in the intervention group measured and reported medical parameters such as blood pressure, blood glucose, prothrombin complex (PK) values, and 2-channel ECG...
2017: International Journal of Telemedicine and Applications
Antonio J Salazar, Nicolás Useche, Manuel Granja, Aníbal J Morillo, Sonia Bermúdez
Objective: The aim of this study was to evaluate the equivalence of brain CT interpretations performed using a diagnostic workstation and a mobile tablet computer, in a telestroke service. Materials and Methods: The ethics committee of our institution approved this retrospective study. A factorial design with 1452 interpretations was used. The assessed variables were the type of stroke classification, the presence of contraindications to the tPA administration, the presence of a hyperdense intracranial artery sign (HMCA), and the Alberta Stroke Program Early CT Score (ASPECTS) score...
2017: International Journal of Telemedicine and Applications
Benedict Osei Asibey, Seth Agyemang, Augustina Boakye Dankwah
The aim of the study was to investigate university students' use of the Internet for health purpose in the Ghanaian context. The study employed a quantitative cross-sectional design. A total of 650 out of 740 students selected from 3 different universities participated, giving a response rate of 87.7% (650/740). Data were obtained using questionnaires and frequency and percentages were used to analyze data. The results show that university students are active users of the Internet as 78.3% (509/650) used Internet daily and 67...
2017: International Journal of Telemedicine and Applications
Priyasdarshani Galappatthy, Wasundara S Wathurapatha, Priyanga Ranasinghe, Maheshi D M S Wijayabandara, Dinuka S Warapitiya, Krishantha Weerasuriya
Background: The medical community is increasingly using Portable Electronic Devices (PEDs). We evaluated usage of PEDs and medical apps among medical students from Sri Lanka. Methods: This descriptive cross-sectional study was conducted at Faculty of Medicine, University of Colombo. Medical students from 2nd to 5th year were invited for the study. A self-administered questionnaire was used to collect details of PEDs availability, accessibility, and usage, perceived advantages/barriers of PEDs, and availability, accessibility, and usage of medical apps...
2017: International Journal of Telemedicine and Applications
Louise Newbould, Gail Mountain, Mark S Hawley, Steven Ariss
A scoping review was conducted to map the research evidence on the use of videoconferencing for remote health care provision for older adults in care homes. The review aimed to identify the nature and extent of the existing evidence base. Databases used were Embase, Medline, Web of Science, and Cochrane Library Reviews. The review identified 26 articles for inclusion, of which 14 were case studies, making the most used study design. Papers described videoconferencing as being used for assessment, management of health care, clinical support, and diagnosis, with eight of the papers reporting the use of videoconferencing for more than one clinical purpose...
2017: International Journal of Telemedicine and Applications
Liang Qiao, Xin Chen, Ye Zhang, Jingna Zhang, Yi Wu, Ying Li, Xuemei Mo, Wei Chen, Bing Xie, Mingguo Qiu
This study aimed to propose a pure web-based solution to serve users to access large-scale 3D medical volume anywhere with good user experience and complete details. A novel solution of the Master-Slave interaction mode was proposed, which absorbed advantages of remote volume rendering and surface rendering. On server side, we designed a message-responding mechanism to listen to interactive requests from clients ( Slave model) and to guide Master volume rendering. On client side, we used HTML5 to normalize user-interactive behaviors on Slave model and enhance the accuracy of behavior request and user-friendly experience...
2017: International Journal of Telemedicine and Applications
Ramesh Sharma Poudel, Shakti Shrestha, Pawan Bhatta, Rano Mal Piryani
Introduction. Current modes of instruction on inhaler technique are inadequate. We aimed to evaluate the value of face-to-face training and telephonic reminder (FFTTR) for improving Rotahaler technique in experienced patients with COPD. Materials and Methods. A single group pre-/postinterventional study was conducted at Chitwan Medical College Teaching Hospital, Nepal. We assessed the Rotahaler technique of thirty consecutive patients using Rotahaler device for more than one year. Patients with incorrect technique (n = 20) were instructed and trained by a pharmacist...
2017: International Journal of Telemedicine and Applications
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