Interactive Health Communication Applications for people with chronic disease

Murray, Elizabeth; Burns, Joanne; Tai, Sharon See; Lai, Rosalind; Nazareth, Irwin

doi:10.1002/14651858.cd004274.pub4

Cited by 495 publications

(406 citation statements)

References 95 publications

(13 reference statements)

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“…Obviously the success of Internet interventions will depend not only on patient acceptance but also on treatment success, and efficacy trials will remain a critical part of the expanding Internet intervention literature (Murray, Burns, See, Lai, & Nazareth, 2005;Ritterband et al, 2003;Wantland et al, 2004). This indication of patient acceptance does, however, add support for the notion that Internet interventions have considerable potential for delivering structured behavioural programs.…”

Section: Resultsmentioning

confidence: 99%

Development and Perceived Utility and Impact of an Internet Intervention for Insomnia

Thorndike¹,

Saylor²,

Bailey³

et al. 2008

EJAP

114

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Insomnia is a major health problem, with significant psychological, health, and economic consequences. Studies have demonstrated that cognitive-behavioural therapy can effectively treat insomnia; however, treatment availability is limited by many factors, including a lack of trained clinicians. One potential way to overcome these barriers is to use the Internet to deliver treatment. Toward this aim, we developed a self-guided, interactive, tailored Internet intervention for adults with insomnia (SHUTi: Sleep Healthy Using The Internet). The current paper provides a detailed description of SHUTi and examines users' perceptions of the intervention's usefulness and effectiveness. The study was part of a larger randomised controlled trial (RCT) to test the efficacy of SHUTi, but findings in this paper are based only on the 21 participants who completed the postassessment after using SHUTi. The overwhelming majority rated SHUTi as convenient, understandable, and useful. Nearly all (95%) indicated that the program had at least somewhat improved their sleep, sleep efficiency, and overall quality of life. Ninety percent perceived the intervention as effective and predicted it would be effective in producing a long-term cure. Although these results were based on a small sample, they provide encouraging evidence of the potential for Internet interventions to be accepted by patients.

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Section: Resultsmentioning

confidence: 99%

Development and Perceived Utility and Impact of an Internet Intervention for Insomnia

Thorndike¹,

Saylor²,

Bailey³

et al. 2008

EJAP

114

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“…Generally there is evidence of high patient satisfaction ratings for telerehabilitation, but reviewers argue that more process research, case studies and qualitative studies are needed to improve our understanding of these outcomes [74]. Interactive health communication applications (IHCAs) for people with chronic disease appear to give benefit in terms of improved support, better knowledge and improved health outcomes, but the authors asked for more larger studies to be conducted [75].…”

Section: Is Telemedicine Good For Patients?mentioning

confidence: 99%

Effectiveness of telemedicine: A systematic review of reviews

Ekeland¹,

Bowes²,

Flottorp³

2010

International Journal of Medical Informatics

947

649

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To conduct a review of reviews on the impacts and costs of telemedicine services. Methods: A review of systematic reviews of telemedicine interventions was conducted. Interventions included all e-health interventions, information and communication technologies for communication in health care, Internet-based interventions for diagnosis and treatments, and social care if important part of health care and in collaboration with health care for patients with chronic conditions were considered relevant. Each potentially relevant systematic review was assessed in full text by one member of an external expert team, using a revised check list from EPOC (Cochrane Effective Practice and Organisation of Care Group) to assess quality. Qualitative analysis of the included reviews was informed by principles of realist review. Results: In total 1593 titles/abstracts were identified. Following quality assessment, the review included 80 heterogeneous systematic reviews. Twenty one reviews concluded that telemedicine is effective, 18 found that evidence is promising but incomplete and others that evidence is limited and inconsistent. Emerging themes are the particularly problematic nature of economic analyses of telemedicine, the benefits of telemedicine for patients, and telemedicine as complex and ongoing collaborative achievements in unpredictable processes. Conclusions: The emergence of new topic areas in this dynamic field is notable and reviewers are starting to explore new questions beyond those of clinical and cost effectiveness. Reviewers point to a continuing need for larger studies of telemedicine as controlled interventions, and more focus on patients' perspectives, economic analyses and on telemedicine innovations as complex processes and ongoing collaborative achievements. Formative assessments are emerging as an area of interest.2 Introduction Previous reviews of telemedicine have concluded that irrefutable evidence regarding the positive impact of telemedicine on clinical outcomes still eludes us. One review [1] of more than 150 articles concluded that potential effectiveness could only be attributed to teleradiology, telepsychiatry, transmission of echocardiographic images and consultations between primary and secondary health providers. Another systematic review [2] that assessed more than 1300 papers making claims about telemedicine outcomes found only 46 publications that actually studied at least some clinical outcomes. A review that analyzed the suitability of telemedicine as an alternative to face-to-face care [3] concluded that establishing systems for patient care using telecommunications technologies is feasible; however, the studies provided inconclusive results regarding clinical benefits and outcomes. A report on peer-reviewed literature for telemedicine services that substituted face-to-face services with ICT based services at home and in offices or hospitals [4] identified 97 articles that met the inclusion criteria for analysis. The authors concluded that telemedicine is being used even if the use ...

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“…Interactive health communication applications (IHCAs) for people with chronic diseases that are Internet based and that incorporate health information, chronic care principles, and tailored support for health-behavior change, have been shown to increase patient health knowledge, self-efficacy, and health-related behaviors [1][2][3]. IHCAs have great potential to augment care for diabetes and other chronic conditions by providing round-the-clock access to the tools and encouragement needed to support daily chronic disease self-management.…”

Section: Introductionmentioning

confidence: 99%

Linking internet-based diabetes self-management to primary care: lessons learned and implications for research translation and practice implementation

Glasgow

Kurz

Dickman

et al. 2012

Behav. Med. Pract. Policy Res.

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There has been little discussion of or research on the key translational issue of how to integrate patient selfmanagement programs across multiple primary care clinics within an HMO. The purpose of this study was to summarize our experiences and lessons learned in trying to integrate information from a web-based diabetes self-management program into primary care and the electronic health record (EHR). We describe plans, implementation, adaptations made, and data on patient and physician reactions to the My Path diabetes self-management program provided to 331 adult primary care patients. Mixed methods results revealed that, despite the availability of a state-of-the-art EHR, the intervention was not well integrated into primary care. Information from health-promotion and disease management programs, even within the same organization and with advanced EHR systems, is challenging to integrate into busy primary care.

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Interactive Health Communication Applications for people with chronic disease

Cited by 495 publications

References 95 publications

Development and Perceived Utility and Impact of an Internet Intervention for Insomnia

Development and Perceived Utility and Impact of an Internet Intervention for Insomnia

Effectiveness of telemedicine: A systematic review of reviews

Linking internet-based diabetes self-management to primary care: lessons learned and implications for research translation and practice implementation

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