VyVy N Young, Yue Ma, Clark A Rosen, Sarah L Schneider
OBJECTIVE: Ample literature shows voice and swallowing therapy, in-person or virtual, to be essential for Otolaryngology and Speech-Language Pathology care. In March 2023, Medicare announced discontinuing teletherapy reimbursement in hospital-based outpatient departments, effective May 2023. This decision was subsequently reversed; however, the uncertain interval period provided the opportunity to study the impact of eliminating teletherapy. STUDY DESIGN: Prospective cohort...
April 12, 2024: Otolaryngology—Head and Neck Surgery
Steffen Baumann, Richard Stone, Joseph Yun-Ming Kim
The adoption of telehealth has soared, and with that the acceptance of Remote Patient Monitoring (RPM) and virtual care. A review of the literature illustrates, however, that poor device usability can impact the generated data when using Patient-Generated Health Data (PGHD) devices, such as wearables or home use medical devices, when used outside a health facility. The Pi-CON methodology is introduced to overcome these challenges and guide the definition of user-friendly and intuitive devices in the future...
April 2, 2024: Sensors
Caroline Baker, Sonia Thomas, Priscilla Tjokrowijoto, Brooke Ryan, Ian Kneebone, Renerus Stolwyk
Aphasia, a communication disability commonly caused by stroke, can profoundly affect a person's mood and identity. We explored the experiences of stroke survivors with aphasia and depression who received a modified cognitive behavioral therapy (CBT)-based psychological intervention. The therapy is manualized with a flexible treatment protocol, including 10 individually based therapy sessions (+2 booster sessions) either via telehealth or in person. Six participants with chronic aphasia (60% of the total sample) participated in in-depth interviews that were analyzed using reflexive thematic analysis...
April 2, 2024: Healthcare (Basel, Switzerland)
Alvin Wong, Yingxiao Huang, Merrilyn D Banks, P Marcin Sowa, Judy D Bauer
INTRODUCTION: Malnutrition is a widespread and intricate issue among hospitalized adults, necessitating a wide variety of nutritional strategies to address its root causes and repercussions. The primary objective of this study is to systematically categorize nutritional interventions into simple or complex, based on their resource allocation, strategies employed, and predictors of intervention complexity in the context of adult malnutrition in hospital settings. METHODS: A conceptual evaluation of 100 nutritional intervention studies for adult malnutrition was conducted based on data from a recent umbrella review (patient population of mean age > 60 years)...
March 31, 2024: Healthcare (Basel, Switzerland)
Ibrahim Mubarak Al Baalharith, Ahmad Eissa Aboshaiqah
BACKGROUND: Virtual care adoption accelerated during the COVID-19 pandemic, highlighting the need for healthcare professionals to develop relevant competencies. However, limited evidence exists on the core competencies required for quality virtual care delivery. OBJECTIVE: This study aimed to identify the critical competencies physicians, nurses, and other health professionals need for adequate virtual care provision in Saudi Arabia using a Delphi method. METHODS: A 3-round Delphi technique was applied with a panel of 42 experts, including policymakers, healthcare professionals, academicians, and telehealth specialists...
March 29, 2024: Healthcare (Basel, Switzerland)
Rebecca G Kim, Claire McDonell, Jeff McKinney, Lisa Catalli, Jennifer C Price, Meghan D Morris
BACKGROUND: Telemedicine offers the opportunity to provide clinical services remotely, thereby bridging geographic distances for people engaged in the medical system. Following the COVID-19 pandemic, the widespread adoption of telemedicine in clinical practices has persisted, highlighting its continued relevance for post-pandemic healthcare. Little is known about telemedicine use among people from socially marginalized groups. METHODS: The No One Waits (NOW) Study is a single-arm clinical trial measuring the acceptability, feasibility, and safety of an urban point-of-diagnosis hepatitis C (HCV) treatment initiation model delivered in a non-clinical community setting...
March 25, 2024: Healthcare (Basel, Switzerland)
Craig Lett, David Welch, Rosie Dobson
BACKGROUND: Teleaudiology can potentially improve access to hearing healthcare services. Remote hearing aid fittings offer a new mode of service delivery that removes barriers of geography and access to an audiologist. Real-ear measurements (REMs) are the gold standard for hearing aid output verification but require in-clinic appointments. This study will investigate whether remote hearing aid fittings can provide clinically equivalent outcomes when compared to current, in-clinic, best practice guidelines...
April 12, 2024: Trials
Melissa A Day, Marcia A Ciol, M Elena Mendoza, Jeffrey Borckardt, Dawn M Ehde, Andrea K Newman, Joy F Chan, Sydney A Drever, Janna L Friedly, John Burns, Beverly E Thorn, Mark P Jensen
BACKGROUND: Chronic low back pain (CLBP) is a significant problem affecting millions of people worldwide. Three widely implemented psychological techniques used for CLBP management are cognitive therapy (CT), mindfulness meditation (MM), and behavioral activation (BA). This study aimed to evaluate the relative immediate (pre- to post-treatment) and longer term (pre-treatment to 3- and 6-month follow-ups) effects of group, videoconference-delivered CT, BA, and MM for CLBP. METHODS: This is a secondary analysis of a three-arm, randomized clinical trial comparing the effects of three active treatments-CT, BA, and MM-with no inert control condition...
April 12, 2024: BMC Medicine
Tammy Walkner, Daniel W Karr, Sarah Murray, Amanda Heeren, Maresi Berry-Stoelzle
BACKGROUND: Many of the challenges in advanced care planning (ACP) conversations are linked to the waxing and waning progress of serious illnesses. Conversations with patients about future medical care decisions by a surrogate decision maker have historically been left until late in the patient's disease trajectory. These conversations often happen at a time when the patient is already very ill. The challenge in effective early ACP and serious illness conversations is to create a situation where patients appreciate the link between current and future medical care...
April 12, 2024: JMIR Research Protocols
Tara Austin, Jennifer Smith, Borsika Rabin, Laurie Lindamer, James Pittman, Staley Justice, Elizabeth W Twamley, Crystal Lantrip
BACKGROUND: Subjective cognitive concerns (SCCs) entail perceived difficulties in thinking or memory, often reported without substantial objective evidence of cognitive impairment. These concerns are prevalent among individuals with a history of brain injuries, neurological conditions, or chronic illnesses, contributing to both psychological distress and functional limitations. They are increasingly considered to be a risk factor for future objective decline. A considerable number of individuals reporting SCCs also exhibit mental health symptoms, such as a history of trauma, depression, or anxiety...
April 12, 2024: JMIR Formative Research
Evelyn Gotlieb, Parul Agarwal, Leah J Blank, Churl-Su Kwon, Maria Muxfeldt, James J Young, Nathalie Jette
BACKGROUND AND OBJECTIVES: Medicaid beneficiaries in many American academic medical centers can receive care in a separate facility than those not covered by Medicaid. We aimed to identify possible disparities in care by evaluating the association between facility type (integrated faculty practice or Medicaid-only outpatient clinic ) and telehealth utilization in people with epilepsy. METHODS: We performed retrospective analyses using structured data from the Mount Sinai Health System electronic medical record data from January 2003 to August 2021...
May 14, 2024: Neurology
Genna Cohen, Nancy Duda, Katie Morrison-Lee, Kaylyn Swankoski, Gillian Giudice, Maya Palakal, Caroline Mack, Ann S O'Malley
BACKGROUND: A growing literature documents how primary care practices adapted to the COVID-19 pandemic. We examine a topic that has received less attention-how participants in an advanced alternative payment model perceive the model influenced their ability to meet patients' care needs during the pandemic. METHODS: Analysis of closed- and open-ended questions from a 2021 survey of 2496 practices participating in the Comprehensive Primary Care Plus (CPC+) model (92% response rate) and a 2021 survey of 993 randomly selected primary care physicians from these practices (55% response rate)...
April 10, 2024: Healthcare
Emily F Dauria, Joslyn Lapinski, Mary Hawk, James E Egan, Divya Venkat, Thomas Robertson
The Rethinking Incarceration and Empowering Recovery (RIvER) Clinic was launched in June 2021 to address the health disparities experienced during and after incarceration. The RIvER Clinic's multidisciplinary, community-centered team engages patients during jail detention and after release via telehealth, collocated in community locations, on a mobile van, and in clinic. The clinic serves as a bridge between incarceration and the establishment of permanent health care and social services in the community. In 2022, a total of 479 visits were completed...
May 2024: Journal of Public Health Management and Practice: JPHMP
Sarah L Reeves, Melissa Plegue, Pooja N Patel, Susan T Paulukonis, Sophia S Horiuchi, Mei Zhou, Brandon K Attell, Betty S Pace, Angela B Snyder, Allison P Plaxco, Ayesha Mukhopadhyay, Matthew P Smeltzer, Chandy S Ellimoottil, Mary Hulihan
Background: Telehealth can be defined as using remote technologies to provide health care. It may increase access to care among people with sickle cell disease (SCD). This study examined (1) telehealth use, (2) characteristics of telehealth use, and (3) differences between telehealth users and nonusers among people with SCD during the COVID-19 pandemic. Methods: This was a retrospective analysis of Medicaid claims among four states [California (CA), Georgia (GA), Michigan (MI), Tennessee (TN)] participating in the Sickle Cell Data Collection program...
April 11, 2024: Telemedicine Journal and E-health
Susanny Beltran, Asli Yalim, Ashley Morris, Lauren Taylor
SUMMARY METHODS AND APPROACH: Social workers support clients' psychosocial and resource needs across care settings. Social workers are typically not, however, trained to engage in emergency response practices such as the ones that may be necessary to support needs brought on by the COVID-19 pandemic. This article reports findings from a cross-sectional survey of social work students and recent graduates entering the field of social work during COVID-19, exploring their preparation, perceived readiness, and training needs...
May 2023: Journal of Social Work: JSW
Hannah Labinsky, Susann May, Katharina Boy, Sophie von Rohr, Manuel Grahammer, Sebastian Kuhn, Jessica Rojas-Restrepo, Ekaterina Vogt, Martin Heinze, Georg Schett, Felix Muehlensiepen, Johannes Knitza
Patients with axial spondyloarthritis (axSpA) require close monitoring to achieve the goal of sustained disease remission. Telehealth can facilitate continuous care while relieving scarce healthcare resources. In a mixed-methods proof-of-concept study, we investigated a hybrid telehealth care axSpA pathway in patients with stable disease over 6 months. Patients used a medical app to document disease activity (BASDAI and PtGA bi-weekly, flare questionnaire weekly). To enable a remote ASDAS-CRP (TELE-ASDAS-CRP), patients used a capillary self-sampling device at home...
April 11, 2024: Rheumatology International
Miyuki Watanabe, Jade Cartwright, John E Pierce
BACKGROUND: Primary progressive aphasia (PPA) is a neurodegenerative condition characterised by a prominent and progressive deterioration in language abilities, which significantly impacts quality of life and interpersonal relationships. Speech and language therapy plays a crucial role in offering interventions. Group intervention is one mode of delivery that could benefit communication functioning and overall wellbeing of people with PPA (pwPPA) and their care partners. Group interventions are also more efficient than one-to-one intervention and may facilitate peer support...
April 11, 2024: International Journal of Language & Communication Disorders
Eunice Toriola, Lyn Biviano, Christine Lau, Natalie Hooke, Amie Donnelly, Emma Dickins, Sandra Pengilly, Joanne Ging, Nadine Shaw, Jagdev Singh
During the COVID-19 pandemic, the escalating trend of pediatric patients, particularly non-urgent cases, going to the emergency departments (EDs) in New South Wales, Australia, prompted the establishment of virtualKIDS, a nursing-led telehealth service. This service, initiated in June 2021, operates 24/7 and provides comprehensive care through audio-visual consultations emphasizing a patient-centered approach. Three elements-COVID-19 Outpatient Response Team (CORT), virtualKIDS Acute Review (vKAR), and Virtual Urgent Care (VUC)-addressed specific needs during and beyond the pandemic, showcasing the adaptability and impact of virtual care...
April 11, 2024: Creative Nursing
Sarah Alexandra Marshall, Lachan E Siebenmorgen, Katherine Youngen, Tyrone Borders, Nickolas Zaller
BACKGROUND: The COVID-19 pandemic catalyzed a rapid shift in healthcare delivery towards telehealth services, impacting patient care, including opioid use disorder (OUD) treatment. Regulatory changes eliminated the in-person evaluation requirement for buprenorphine treatment, encouraging adoption of telehealth. This study focused on understanding experiences of primary care providers in predominantly rural areas who used telehealth for OUD treatment during the pandemic. METHODS: Semi-structured interviews were conducted with 22 primary care providers...
2024: Journal of Primary Care & Community Health
Julian Gerald Dcruz, Paichang Yeh
BACKGROUND: The traditional measurement of these vitals via physical examination has become challenging and the recent pandemic has accelerated trends towards telehealth and remote monitoring. Instead of going to the physician for checking Heart Rate, Oxygen Saturation (SPO2), Blood Pressure, Body Temperature and Respiration Rate it would be excellent if it could be measured at home. Vital signs monitors, also known as physiological parameter monitors, are electronic devices that measure and display biological information about patients under constant monitoring...
April 4, 2024: JMIR Formative Research
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