The aim of this study was to design and pilot test ICT-supported rehabilitation services across twelve health care institutions and four different diagnosis groups (i.e. acute hip, arthritis, cancer and chronic obstructive pulmonary disease) starting from a multimodal service platform that offers four different telemedicine technologies: 1) teleconsultation, 2) activity coaching, 3) webbased exercising and 4) health monitoring. Results showed that using the same technologies, different telemedicine services can be developed with different clinical purposes. Results also show that different implementation strategies are needed for different patient groups, or even within different patient groups, to get the services implemented in everyday care. Evaluation of the ICTsupported rehabilitation services in everyday care showed that the ICT support is being accepted and highly used by the patient. However, the use of the ICT support by care professionals was dramatically low. Future studies should focus on full-scale implementation in clinical practice, on education of the health care professionals as well as large-scale trials.
Informal caregivers of people with cognitive impairment are often concerned about the health and wellbeing of their loved ones, leading to frequent care-related visits, check-ups, and conversations. Results from focus groups we held in daily care showed a strong need for support in terms of information about the health and wellbeing of the person with cognitive impairment (PwCI). The health monitoring application developed in this study, called HELMA, aims to offer a solution by monitoring the health and wellbeing of the PwCI in the long term and informing the informal caregivers. HELMA is an eHealth application that uses short frequent online monitoring questions to provide informal caregivers with information about the following health and wellbeing domains: physical; mental; social; and environmental. The next step is to evaluate HELMA on a large scale with end-users in daily practice.
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