Standards and Guidelines for Telemedicine—An Evolution

Doarn, Charles R.; Merrell, Ronald C.

doi:10.1089/tmj.2014.9995

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Results have generally been supportive of both efficacy and feasibility, though several issues have been identified, such as confidentiality, privacy, crisis management, technological competence, and ethical issues [ 3 , 8 ]. As with all innovations, new practice guidelines have been developed to address the unique challenges presented [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Integrating technology into cognitive behavior therapy for adolescent depression: a pilot study

2015

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Background Rapid advances in information technology and telecommunications have resulted in a dramatic increase in the use of mobile devices and the internet to enhance and facilitate access to treatment. Cognitive behavior therapy (CBT) is an empirically based treatment that is well suited for enhancement by new technologies, particularly with youth. To facilitate the dissemination of this evidence-based treatment, we developed a technology-enhanced CBT intervention for the treatment of adolescent depression consisting of (1) online therapist training (2) in-session use of tablets for teaching clients CBT concepts and skills, and (3) text messaging for between session homework reminders and self-monitoring.MethodsEighteen licensed clinicians (social workers n = 7, psychologists n = 9) were randomized to have their patients receive either the intervention (CBT) or treatment as usual (TAU). Each clinician treated four adolescents for 12 weeks. Clinicians in the CBT arm completed an online tutorial on CBT treatment of adolescent depression, then received an iPad with access to patient education materials for teaching CBT concepts to patients during sessions. Individualized text messages were integrated into treatment for homework reminders, support, and outcomes measurement. Outcome measures included a 49-item multiple choice test for tutorial effectiveness; the system usability scale (SUS) for user satisfaction; quick inventory of depressive symptomatology–adolescent version (QIDS-A-Pat); and clinician and patient ratings on the therapeutic alliance scale for adolescents (TASA).ResultsA significant increase in knowledge of CBT concepts was found after completing the tutorial, t(8) = 7.02, p < 0.001. Clinician and patient ratings of user satisfaction were high for both the iPad teaching tools, and the text messaging. Ninety-five percent of teens said reviewing their text messages with their therapist was helpful, and all said they would use text messaging in treatment again. Ratings of the therapeutic alliance were higher in the CBT arm t(131) = 4.03, p = 0.001. A significant reduction in depression was found in both groups [t(34) = 8.453, p < 0.001 and t(29) = 6.67, p < 0.001 for CBT and TAU, respectively). Clinical ratings of improvement were greater on all outcome measures for the CBT arm; however, none reached statistical significance. Effect sizes (Cohen’s d) ranged from small (QIDS-A) to large (TASA). ConclusionsResults support the feasibility of this technology-enhanced CBT intervention as a means of improving CBT treatment of adolescent depression and may help address the critical shortage of therapists trained on empirically based treatments.

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Section: Introductionmentioning

confidence: 99%

Integrating technology into cognitive behavior therapy for adolescent depression: a pilot study

2015

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“…Telemedicine has rapidly evolved and has successfully responded to the pandemic in consultation, follow-up, psychotherapeutic care, and getting the patient's family involved. Guidelines for practicing telemedicine have been developed to ensure the proper delivery of clinical care without compromising patient safety [25]. Moreover, there should be more development in information technology infrastructure, stricter data protection and privacy regulations, and more advanced technology for better body examination, such as test-specific medical devices equipped with smartphones, wearable devices, and remote palpation techniques.…”

Section: Perceived Importance Of Possible Preparationsmentioning

confidence: 99%

Global impacts of COVID-19 on lifestyles and health and preparation preferences: An international survey of 30 countries

Li,

Fong,

Lok

et al. 2023

J Glob Health

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“…A conglomeration of factors, ranging from technological to organizational and infrastructure issues, have an impact on the success and sustainability of telehealth services [4]. Despite the efforts from researchers to develop guidelines [5,6], no practical framework have actually been developed for telehealth nurses, as they often take on the role of clinical and managerial change champions in promoting and integrating telehealth [7,8].…”

Section: Introductionmentioning

confidence: 99%

B.E.L.T.TM: Framework for Nurse Champions to Successful Implement Sustainable Telehealth Services

Arnaert

Debe

2019

IJNC

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Despite the growing use of telehealth and mobile health, the implementation of these services remains challenging. Nurses, who are often called upon by healthcare organizations to take on the role of champions to initiate and promote the uptake of telehealth services, have expressed a need for a holistic implementation framework. To complement the existing guidelines and recommendations for the provision of telehealth services, the B.E.L.T.™ Framework is an easy tool and catchy mnemonic to guide a systematic environmental assessment of an organization's readiness, which can foster successful implementation. B.E.L.T.™ stands for "Bandwidth/Broadband, Education/Environment, Leadership & Technology", as these have been identified by the authors to be the recurrent sources of difficulty in implementation, in both developed and emerging countries. From a metaphorical perspective, B.E.L.T. TM represents a loop. In which these identified elements are interdependent; any breach in this loop will ultimately influence one's readiness for implementation.

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Standards and Guidelines for Telemedicine—An Evolution

Cited by 4 publications

References 14 publications

Integrating technology into cognitive behavior therapy for adolescent depression: a pilot study

Integrating technology into cognitive behavior therapy for adolescent depression: a pilot study

Global impacts of COVID-19 on lifestyles and health and preparation preferences: An international survey of 30 countries

B.E.L.T.TM: Framework for Nurse Champions to Successful Implement Sustainable Telehealth Services

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