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Aim This study aimed to evaluate the patients' satisfaction with using store-and-forward voice and text messaging teleconsultation service to provide primary health care to patients during the COVID-19 pandemic. Method A cross-sectional survey was conducted between October 1 and December 1, 2020, in Iran. The study population consisted of patients who used the service. Three hundred-ninety-six patients were enrolled in the study by convenience sampling. Data were collected by a researcher-made questionnaire. The face, comprehensibility, and content validity of the questionnaire were tested and met. The reliability of this questionnaire was confirmed (r = 0.9). Descriptive statistics and multinomial logistic regression were conducted. Data were analyzed using STATA 14.0 software. Results In total, 396 patients responded to the online questionnaire. The mean age of patients was 37 ± 10.31 years. More than half of them had an academic degree (65.40 %). Teleconsultation was considered satisfactory by 172 patients (43.43 %), while more than half of the patients (56.57 %) were unsatisfied with teleconsultation. In terms of "quality of care provided" and "patient information privacy" components, around 41 % of patients were satisfied. However, the number of patients who feel satisfied with teleconsultation's similarity to a face-to-face encounter was lower (37.88 %). The results showed no significant relationship between age, gender, education, and overall satisfaction (p > 0.05). The association between overall satisfaction and health status was (AOR = 1.51, 95 % CI = 1.16–1.96). Conclusion More than half of patients from our study did not have a good experience with teleconsultation. This is also partially due to the use of existing communication platform, instead of custom-made solution. It is necessary to improve the services' quality and meet patients' needs to optimize patients' experience, particularly during a health crisis, resulting in better health outcomes and end-user satisfaction.

Introduction The United Nations has defined disaster as a severe disruption that can change the normal condition and it exceeds the capacity and resources of the affected community (1). Disasters are divided into two basics categories: natural and man-made. Earthquakes, volcanoes, hurricanes, floods, and fires are listed as natural disasters. War, pollution, nuclear explosions, fires, hazardous materials exposures, explosions, and transportation accidents are named as man-made disasters (2). Only in one year, these generated around 40 million homeless and too many deaths in the developed world (3). The cost in this period is about two thousand and a half billion of US dollars (4). These damages sometimes take years to repair, and others can never be repaired. Since disasters are often a sudden and shocking fact, they require quick and error-free decisions. It is necessary to have predetermined planning and strategies to respond appropriately, preserve the remaining lives and resources, and reduce pain and suffering. In other words, we need disaster management (5). The International Federation of Red Cross and Red Crescent Societies defines disaster management as to how we "prepare for, respond to, and learn from the effects of major failures" (6). High costs, inadequate budgets, inappropriate approaches, weakness of alert systems, inappropriate knowledge and motivation, and inadequate awareness of technology are the challenges that disaster management must address them (7). Lack of proper facilities for collecting, processing, and transmitting important

Background: Although the systematic reviews regarding telemedicine have increased in recent decades, no comprehensive studies have been conducted to review these systematic reviews. The present study aimed to review the published systematic reviews regarding telemedicine applications for the report and appraisal of several aspects. Methods: The literature search was performed in the PubMed database for the systematic reviews published during January 2010-June 2020 in the field of telemedicine using “telemedicine” Mesh terms. The extracted data from the selected articles were the year of publication, telemedicine specialty, clinical outcomes, cost evaluation, and satisfaction assessment. Data analysis was performed using descriptive statistics. Results: Among 746 retrieved articles, 191 cases were selected and reviewed. Most of the studies were focused on telemedicine (n=35; 18.3%), followed by telerehabilitation (n=22; 11.5%), tele-diabetes (n=18; 9.4%), telecardiology (n=16; 8.3%), home telecare (n=13; 6.8%), telepsychiatry (n=12; 6.3%), teledermatology (n=11; 5.7%), and teleneurology (n=9; 4.7%). The selected studies were primarily focused on clinical outcomes (72.7%), followed by cost-effectiveness (32.4%) and user satisfaction (29.3%). In addition, they mostly indicated that telemedicine services yielded acceptable clinical outcomes (72.5%), cost-effectiveness (67.7%), and healthcare provider/patient satisfaction (83.9%). Conclusion: Although telerehabilitation, tele-diabetes, telecardiology, home telecare, and telepsychiatry were studied further, there are still some specific specialties such as teleradiology, telepathology, and telepediatric that should be considered more. Moreover, investigation of various outcomes could result in a more comprehensive view of this field. Therefore, further investigations in this regard would improve telemedicine applications and encourage potential telemedicine providers to initiate these applications.

This study aimed to evaluate the efficacy of a web-based health information intervention on knowledge, care burden and attitudes of family caregivers of patients with dementia. This study is a unblinded randomised controlled trial. The study population consisted of family caregivers of patients with dementia ( n = 50) which were randomly allocated to the intervention group (access to the web-based health information) or control group (access to information as usual). The participants completed knowledge, care burden and attitude questionnaire at baseline and at two months follow-up. A total of 50 caregivers participated in this study. Before the intervention, there was no statistically significant difference between the knowledge, care burden and attitude score between the two groups ( p > 0.001). In comparison to the control group after the intervention, participants in the intervention group showed significant improvements in all outcomes ( p < 0.001). These findings provide further evidence that web-based information interventions helped caregivers feel more confident, empathetic and concerned about dementia care with less care burden.

Objectives: This study aims to describe healthcare professionals' experience in providing mental health services to women with postpartum depression. Methods: In this qualitative study, data were collected through semi-structured interviews with five physicians, five midwives, and five psychologists from fourteen urban healthcare centers in Kerman, Iran, from April 2019 to September 2019. We used purposeful sampling to select the participants. Data were qualitatively analyzed using a content analysis approach. Results: Data analysis revealed the main theme of the study, "the long way ahead of comprehensive, integrated and responsive mental health services." This theme includes four categories: "postpartum depression challenges, "social and personal factors," "structural challenges," and "need to change in the mental health services." The participants described that the diagnosis of depression is difficult due to insufficient knowledge of healthcare providers and hidden signs of postpartum depression. The participants described how different factors might cause depression. These factors were economic, cultural factors in the society, personality traits, community lack of knowledge, negative attitude toward depression, and limited family support. Moreover, providing mental health services has some challenges, such as limited human resources, insufficient financial resources, and incomplete or inefficient policy makings. Conclusion: Although measures have been taken to provide mental health services, there are many challenges regarding providing mental health services to mothers. Therefore, there is a need to take serious measures to improve mental health services and re-define the existing measures. Informing the community, empowering the healthcare providers, and planning to change the community's attitude and belief can affect women's mental health care with depression. Keywords: Postpartum Depression, Mental Health Services, Community Mental Health Services, Mental Disorders, Depressive Disorder.

Background: Multiple sclerosis (MS) is a progressive disease of the central nervous system that has negative impacts on the quality of the patient's life. This disease is one of the most chronic disabling neurological diseases in young adults. The progress of this disease is unique and unpredictable. Self-care is one of the processes, which is used to control and prevent the progression of the disease. Some technologies such as mobile health can be used in improving monitoring as well as self-care in MS patients. Success in using this technology requires acceptance and readiness of the patients. Objectives: The aim of this study was to evaluate the readiness of MS patients using mobile health technology. Methods: This is a cross-sectional descriptive study that was conducted in 2016. Participants were MS patients who were referring to the MS clinic in Kerman city. We used convenient sampling method to recruit patients referred to the MS clinic during the study period. Data collection tool for this study was a questionnaire, which its validity was confirmed by 3experts in the fields of medical informatics and health information technology; its reliability coefficient was calculated 73%. Results: In total, 47 patients participated in the study. More than 55% of them had an academic degree. More than 57% of the patients had not heard about mobile health technology yet. More than 98% of patients stated that if the technology is free for them they are interested in using it. In addition, the same percentage of patients were feeling comfortable in terms of controlling their health situation by physicians or nurses via mobile phone. Also, more than 93% of these patients believed that the use of this technology can participate in effective communication with their physician. About 96% of patients agreed that the use of this technology can help them recall their medical orders. Conclusions: According to the results, patients were interested and have the adequate readiness to use mobile health technology. This technology can improve the self-care of MS patients through effective communication between patients and health care providers. Furthermore, this technology can help patients recall their physicians' advices and orders and therefore increase their adherence.

Background: Mobile-based social media play an important role in the dissemination of information during public health emergencies. Objectives: This study aimed to analyze the contents and trends of public messages posted on Telegram during Coronavirus Disease 2019 (COVID-19) pandemic. Methods: A content analysis of the 1781 messages, posted in a public Telegram channel with more than one million subscribers performed over 9-weeks. The messages were categorized into seven categories. Results: In total, 39% (n=703) of all messages were related to COVID-19. With the official confirmation of the case of COVID-19 in Iran, the number of COVID-related massages started to rise. Overall, the most frequent messages were of joke and humor (n=292, 41.5%), followed by educational messages (n=140, 19.9%). Conclusion: Our study showed that the most popular messages during first weeks of COVID pandemic were satirical, indicating that people may not had taken the risks of this pandemic seriously. It is crucial for health organizations to develop strategies for dissemination of reliable health information through social media.