Telehealthcare for asthma

McLean, Susannah; Chandler, David; Nurmatov, Ulugbek; Liu, Joseph Ly; Pagliari, Claudia; Car, Josip; Sheikh, Aziz

doi:10.1002/14651858.cd007717.pub2

Cited by 102 publications

(117 citation statements)

References 83 publications

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“…It should be underlined, in the context of the Gibson et al study [19], that McLean et al [20] have presented different results based on a systematic review carried out in 2010 that included a completely randomised controlled trial of tele-healthcare initiatives aimed at improving asthma care. McLean et al [20] showed that tele-healthcare interventions carried out for patients with relatively mild asthma rarely result in clinically relevant improvements in health outcomes, but they may be of certain importance for patients with a more severe disease who are at a high risk of hospital admission.…”

Section: Discussionmentioning

confidence: 99%

Searching Online for Health-Related Information by People Suffering from Respiratory Allergy and Asthma: The Results of a Survey Study

Kłak

Raciborski

Samoliński

2017

Advances in Respiratory Medicine

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Introduction: The objective of the study was to compare online behaviour in groups of persons suffering from respiratory allergy and/or asthma and in the reference group. Material and methods: Comparative analysis of two independent questionnaire studies. Study A was carried out in the Masovian Voivodeship, Poland in 2013. As many as 1,728 questionnaires were collected and 51 respondents were selected for analysis (study A, reference group). Study B was carried out in 2014 in a group of 59 patients of the outpatient allergy clinic. Results: More than 92% of the general population (study A) declared that they used the Internet to search for health-related information, health protection, while in the group of patients (study B) the same was declared by 97%. Both studies showed that more than 74% of respondents looked for online information on a specific disease (p > 0.05). Information on how other persons cope with similar health issues was searched by 20% (study A) and 33% (study B) of respondents. Advice on different methods of treatment of a given disease was sought by 40% and 51% of respondents, respectively. Nearly 51% of respondents in study A and 56% of subjects in study B searched online for health information when they did not feel well or were sick. Conclusions: Both in the group of chronically ill persons and in the reference group, it is common to search online for health--related information. Persons suffering from respiratory allergy and/or asthma verified the physician's diagnosis on the Internet much more often than did the reference group.

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Section: Discussionmentioning

confidence: 99%

Searching Online for Health-Related Information by People Suffering from Respiratory Allergy and Asthma: The Results of a Survey Study

Kłak

Raciborski

Samoliński

2017

Advances in Respiratory Medicine

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“…Current use of telehealth technologies in respiratory medicine is limited; 2 evidence for their effective use is accruing, [8][9][10][11][12][13][14][15][16][17][18][19] but there remain concerns about clinical and cost effectiveness. 7,17 These issues will be affected by the setting in which telehealth is deployed.…”

Section: Discussionmentioning

confidence: 99%

“…It also does not take account of demand from tourists, nor provide an indication of disease severity -which will influence the types of service required. 17 This would require further specific work prior to commissioning of local services. However, the high total numbers of patients living in more remote communities highlights the need to consider the available digital infrastructure -e.g.…”

Section: Discussionmentioning

confidence: 99%

“…16 For asthma, a more recent systematic review of randomised controlled trials of telehealthcare highlighted the importance of disease severity in determining effectiveness -clinical benefit being more likely in those at greater risk of hospital admission. 17 Telehealth might prove attractive in rural areas where travel times and costs are high. Telemedicine was cost-effective for delivery of outpatient pulmonary care for rural populations with limited access to subspecialty services in the USA, 18 while in Finland, an e-mail triage system supported by teleconsultation reduced costs and demand for hospital outpatient care.…”

Section: Introductionmentioning

confidence: 99%

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Rational development of telehealth to support primary care respiratory medicine: patient distribution and organisational factors

Godden

King

2011

Primary Care Respiratory Journal

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Aims: Telehealth may offer opportunities to support primary and secondary care of patients with respiratory disease. This study examined the potential for applying telehealth in a region of the UK by exploring the distribution of patients and examining attitudes to implementation of telehealth. Methods:The distribution of patients with asthma, COPD, lung cancer and obstructive sleep apnoea (OSAS) in the NHS Highland Region (309,900 residents, 12,507 square miles) was determined from Quality and Outcomes Framework data and disease registers. Qualitative interviews with health professionals (n=20) focussing on the potential for telehealth in respiratory medicine were analysed using the Normalisation Process Model. Results:The most remote general practices accounted for 40% of patients with asthma (7198/17822), 45% of those with COPD (2145/4721), 33% of lung cancer (199/605) and 35% of OSAS (169/489) patients. Urban figures were 28% of asthma patients, 26% of COPD patients, 25% of lung cancer and 31% of OSAS patients. Interviewees identified a range of telehealth applications they considered potentially beneficial including management, information and communication systems. However, they also identified challenges -mainly related to training, costs and infrastructure.Conclusions: Tailoring telehealth to support management of respiratory diseases in primary care requires knowledge of patient distribution, which will impact on the nature and feasibility of services. Individual and organisational capacities and attitudes are also likely to influence successful implementation.

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“…This technology has already been evaluated in several different health care specialties (e.g., psychiatry, emergency medicine, HIV/AIDS) with data suggesting safety, feasibility, and effectiveness [32][33][34][35][36][37][38][39][40][41][42][43][44][45][46]. The application of VC to weight management, however, has been limited.…”

Section: Introductionmentioning

confidence: 99%

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

Azar

Aurora

Wang

et al. 2014

Behav. Med. Pract. Policy Res.

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While group interventions for weight management have been shown to be efficacious, adherence is often low, especially among men. This pilot study seeks to test whether group interventions using web-based group video conferencing (VC) technology is effective for weight loss. We adapted a 12-week curriculum based on the Diabetes Prevention Program, and delivered this intervention to a small group of men (BMI ≥30 kg/m 2 ), using web-based group VC. Participants were randomized to intervention (n=32) or delayed-intervention control group (n=32). The intervention group lost 3.5 % (95 % CI 2.1 %, 4.9 %) of their initial body weight. Difference in mean weight loss was 3.2 kg (p=0.0002) and mean BMI decrease was 1.0 kg/m 2 (p=0.0010) between the two groups. Virtual small groups may be an effective means of allowing face-to-face group interaction, while overcoming some barriers to access.

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Telehealthcare for asthma

Abstract: References to studies included in this review Barbanel 2003 {published data only} Barbanel D, Eldridge S, Griffiths C. Can a self-management programme delivered by a community pharmacist improve asthma control? A randomised trial. Thorax 2003;58: 851-4.

Cited by 102 publications

References 83 publications

Searching Online for Health-Related Information by People Suffering from Respiratory Allergy and Asthma: The Results of a Survey Study

Searching Online for Health-Related Information by People Suffering from Respiratory Allergy and Asthma: The Results of a Survey Study

Rational development of telehealth to support primary care respiratory medicine: patient distribution and organisational factors

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

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