A telehealth intervention for veterans on antiviral treatment for the hepatitis C virus.

Silberbogen, Amy K.; Ulloa, Erin W.; Mori, DeAnna L.; Brown, Kirstin L.

doi:10.1037/a0026821

Cited by 11 publications

(11 citation statements)

References 35 publications

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“…The important role of nurses in patients’ quality of life during HCV treatment has been mentioned in previous studies [20, 23] , and support from nurses has been rated highly [22] .The role of pharmacists in improving the HCV treatment experience has also been explored, particularly in increasing adherence [41, 42] . Mental health providers have also proven helpful to HCV treatment adherence [43] , and a pilot study suggests that weekly telephone meetings with a mental health professional are effective [44] . Other studies and guidelines suggest that integrated care models can help to optimize HCV treatment [45–47] , and such systems are in place de facto in countries with interdisciplinary, integrated national health services.…”

Section: Discussionmentioning

confidence: 99%

Physical, Social, and Psychological Consequences of Treatment for Hepatitis C

Manos

Murphy

et al. 2013

Patient

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Background Hepatitis C virus (HCV) antiviral therapy entails a long treatment course, as well as significant side effects that can lead to medication non-adherence and premature termination of treatment. Few large studies have comprehensively examined patient perspectives on the treatment experience, particularly the social and personal effects. Objective We sought to understand how a diverse group of patients’ lives were affected during HCV treatment, and to obtain suggestions about how to better support patients during treatment. Methods On average, 13 months after therapy we interviewed by telephone a consecutive sample of 200 patients treated for hepatitis C with ribavirin and pegylated interferon in a comprehensive, integrated health plan in the years 2008–2010. Mixed (quantitative and qualitative) survey methods were used. Results The response rate was 68.9 %. Mean age at treatment was 51 years; 63.0 % were men; and Black, Hispanic, Asian, and White non-Hispanic racial/ethnic groups were similarly represented. Patients whose treatment was managed by nurses or clinical pharmacists (vs. physicians) were more likely to report their providers as being part of their support system (83.5 % vs. 58.9 %; p < 0.001). Most patients reported flu-like symptoms (93.5 %) and psychiatric problems (84.5 %), and 43.0 % reported side effects lasted up to 6 months after treatment. Black patients reported discontinuing treatment prematurely due to side effects more often than non-Blacks (29.4 % vs.12.1 %; p < 0.001). Physical side effects (69.5 % of patients), psychiatric issues (43.5 %), and employment (27.4 %) were ranked among the three most difficult challenges. Patients desired help in anticipating and arranging work modifications during treatment. Most patients rated peer support, nutritional guidance, and weekly provider contact by telephone as potentially helpful resources for future patients undergoing HCV treatment. Conclusions Patient perspectives can help formulate and refine HCV treatment support programs. Effective support programs for diverse populations are crucial as the complexities and costs of HCV treatment increase. The call for greater support from peers, providers, and employers demands new systems such as patient-centered care teams.

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Section: Discussionmentioning

confidence: 99%

Physical, Social, and Psychological Consequences of Treatment for Hepatitis C

Manos

Murphy

et al. 2013

Patient

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“…24 26,27 Çalışmaların dördünde siroz hastalarına yönelik komplikasyonların takibi ve erken dönemde saptanmasına yönelik telesağlık uygulaması; sekizinde hepatit olan bireylere yönelik hastalık yönetimi ve antiviral tedaviye yönelik telesağlık uygulaması; ikisinde nonalkolik karaciğer yağlanması olan bireylerde karaciğer enzim düzeyleri, sağlıklı yaşam davranışları üzerine telesağlık uygulamalarının etkisi değerlendirilmiştir. [26][27][28][29][30][31][32][33][34][35][36][37][38][39] UYGULANAN TELESAĞLIK YÖNTEMLERİ Sistematik derlemeye dâhil edilen çalışmalardan beşinde mobil uygulama temelli telesağlık uygulamasının etkinliği; dördünde videokonferans temelli telesağlık uygulamalarının etkinliği; beşinde telefon ile verilen takip ve danışmanlık temelli telesağlık uygulamalarının etkinliği değerlendirilmiştir. [26][27][28][29][30][31][32][33][34][35][36][37][38][39] Telesağlık yöntemlerinin etkinliği, yüz yüze eğitim, broşür ile eğitim, hasta başı kalem kağıt testi gibi yöntemler, standart tedavi, aynı grupta ön değerlendirme ve son değerlendirme ile karşılaştırılmıştır.…”

Section: çAlişmalarin Değerlendi̇ri̇lmesi̇unclassified

“…[26][27][28][29][30][31][32][33][34][35][36][37][38][39] UYGULANAN TELESAĞLIK YÖNTEMLERİ Sistematik derlemeye dâhil edilen çalışmalardan beşinde mobil uygulama temelli telesağlık uygulamasının etkinliği; dördünde videokonferans temelli telesağlık uygulamalarının etkinliği; beşinde telefon ile verilen takip ve danışmanlık temelli telesağlık uygulamalarının etkinliği değerlendirilmiştir. [26][27][28][29][30][31][32][33][34][35][36][37][38][39] Telesağlık yöntemlerinin etkinliği, yüz yüze eğitim, broşür ile eğitim, hasta başı kalem kağıt testi gibi yöntemler, standart tedavi, aynı grupta ön değerlendirme ve son değerlendirme ile karşılaştırılmıştır. [26][27][28][29][30][31][32][33][34][35][36][37][38][39] TELESAĞLIK YÖNTEMLERİNİN UYGULANMASI VE TAKİBİ…”

Section: çAlişmalarin Değerlendi̇ri̇lmesi̇unclassified

“…[26][27][28][29][30][31][32][33][34][35][36][37][38][39] Telesağlık yöntemlerinin etkinliği, yüz yüze eğitim, broşür ile eğitim, hasta başı kalem kağıt testi gibi yöntemler, standart tedavi, aynı grupta ön değerlendirme ve son değerlendirme ile karşılaştırılmıştır. [26][27][28][29][30][31][32][33][34][35][36][37][38][39] TELESAĞLIK YÖNTEMLERİNİN UYGULANMASI VE TAKİBİ…”

Section: çAlişmalarin Değerlendi̇ri̇lmesi̇unclassified

See 1 more Smart Citation

The Effect of Telehealth Interventions in Management of Liver Diseases: Systematic Review

Çelik¹,

Bektaş²

2019

Turkiye Klinikleri J Nurs Sci

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“…The importance of nurses in patient QOL during HCV treatment and their support has been rated highly [38]. Mental health providers are also helpful to maintain HCV treatment adherence, and a pilot study suggests efectiveness of the weekly telephone meetings with a mental health professional [39]. Other studies and guidelines suggest that interdisciplinary, integrated care models can help optimizing HCV treatment [40,41].…”

Section: Approach Considerations In the Ifn Treatment Eramentioning

confidence: 99%

Approaches and Considerations for the Successful Treatment of HCV Infection

Stoehr¹,

Jakab²,

Kuna³

et al. 2017

Update on Hepatitis C

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The complexity of the hepatitis C virus (HCV) infection is relected in its therapy, and great eforts are needed from the patient and the physician to be successful in eliminating the infection. How HCV will progress depends a lot on patient characteristics and social factors, in addition to the timing of initiation, duration, and inal results of the therapy. The irst treatment approved for patients with chronic hepatitis C was interferon (IFN) which had a sustained viral response (SVR) rate in 20%. Due to side efects, the adherence to this treatment was limited and required a patient-tailored approach with various medical disciplines working together and intervening at the right time to minimize potential obstacles. The introduction of direct-acting antivirals (DAAs) has contributed to the advancement of HCV treatment. However, a major obstacle to wide use of DAAs is their high price which has largely limited access to treatment. Guidelines and recommendations on treatment of hepatitis C have been developed to assist physicians and other health care providers to determine priority. Despite that, the arrival of new oral therapies has been met with enthusiasm as shorter, simpler, safer treatment allows for the possibility of delivering antiviral therapy on a large scale.

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A telehealth intervention for veterans on antiviral treatment for the hepatitis C virus.

Cited by 11 publications

References 35 publications

Physical, Social, and Psychological Consequences of Treatment for Hepatitis C

Physical, Social, and Psychological Consequences of Treatment for Hepatitis C

The Effect of Telehealth Interventions in Management of Liver Diseases: Systematic Review

Approaches and Considerations for the Successful Treatment of HCV Infection

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