Cardiovascular risk reduction via telehealth: A feasibility study

PausJenssen, Anne M.; Spooner, Betty Anne; Wilson, Merne; Wilson, Thomas W.

doi:10.1016/s0828-282x(08)70550-6

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…The need for continuous monitoring, long-term planning, and frequent interaction of patients with chronic diseases with their providers might be addressed with ongoing technological advancements [ 1 ]. Emerging health technologies such as remote patient monitoring systems, mobile phone intervention programs, electronic health databases, smartphone apps, instant messaging, video calling, and patient portals are increasingly being used in health care for communication, data collection, patient monitoring, education, and facilitating adherence to chronic disease management [ 11 - 28 ]. It has been suggested that these technologies can assist in reducing both the burden and cost of CVD around the world [ 29 - 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, the use of Web-based and mobile health (mHealth) intervention programs has led to a few suggestions for the technological intervention to improve health information exchange (HIE). In fact, it has been shown that information exchange via various portals and mobile intervention has led to an increased adherence to healthy lifestyle programs, treatment regimens, and disease prevention programs [ 11 - 13 , 15 , 32 ]. However, the literature on this topic is very general and seldom concentrates on different chronic diseases and conditions.…”

Section: Introductionmentioning

confidence: 99%

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Preferences for Health Information Technologies Among US Adults: Analysis of the Health Information National Trends Survey

Asan¹,

Cooper²,

Nagavally³

et al. 2018

J Med Internet Res

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BackgroundEmerging health technologies are increasingly being used in health care for communication, data collection, patient monitoring, education, and facilitating adherence to chronic disease management. However, there is a lack of studies on differences in the preference for using information exchange technologies between patients with chronic and nonchronic diseases and factors affecting these differences.ObjectiveThe purpose of this paper is to understand the preferences and use of information technology for information exchange among a nationally representative sample of adults with and without 3 chronic disease conditions (ie, cardiovascular disease [CVD], diabetes, and hypertension) and to assess whether these preferences differ according to varying demographic variables.MethodsWe utilized data from the 2012 and 2014 iteration of the Health Information National Trends Survey (N=7307). We used multiple logistic regressions, adjusting for relevant demographic covariates, to identify the independent factors associated with lower odds of using health information technology (HIT), thus, identifying targets for awareness. Analyses were weighted for the US population and adjusted for the sociodemographic variables of age, gender, race, and US census region.ResultsOf 7307 participants, 3529 reported CVD, diabetes, or hypertension. In the unadjusted models, individuals with diabetes, CVD, or hypertension were more likely to report using email to exchange medical information with their provider and less likely to not use any of the technology in health information exchange, as well as more likely to say it was not important for them to access personal medical information electronically. In the unadjusted model, additional significant odds ratio (OR) values were observed. However, after adjustment, most relationships regarding the use and interest in exchanging information with the provider were no longer significant. In the adjusted model, individuals with CVD, diabetes, or hypertension were more likely to access Web-based personal health information through a website or app. Furthermore, we assessed adjusted ORs for demographic variables. Those aged >65 years and Hispanic people were more likely to report no use of email to exchange medical information with their provider. Minorities (Hispanic, non-Hispanic black, and Asian people) were less likely to indicate they had no interest in exchanging general health tips with a provider electronically.ConclusionsThe analysis did not show any significant association among those with comorbidities and their proclivity toward health information, possibly implying that HIT-related interventions, particularly design of information technologies, should focus more on demographic factors, including race, age, and region, than on comorbidities or chronic disease status to increase the likelihood of use. Future research is needed to understand and explore more patient-friendly use and design of information technologies, which can be utilized by diverse age, race, and education or...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preferences for Health Information Technologies Among US Adults: Analysis of the Health Information National Trends Survey

Asan¹,

Cooper²,

Nagavally³

et al. 2018

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…There is some evidence that substituting telehealth visits for in-person visits in preventive cardiology clinics may be effective. An observational evaluation of clinic-based telehealth follow-up visits for CVD risk reduction in remote Saskatchewan, Canada found increased visit completions and similar risk reductions with telehealth as compared to that with usual care, but this study included only 9 patients in the intervention arm [ 17 ]. Further research is needed to evaluate telehealth care models in primary CVD prevention.…”

Section: Introductionmentioning

confidence: 99%

Initial Outcomes of CardioClick, a Telehealth Program for Preventive Cardiac Care: Observational Study

Kalwani¹,

Johnson²,

Parameswaran³

et al. 2021

JMIR Cardio

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Background Telehealth use has increased in specialty clinics, but there is limited evidence on the outcomes of telehealth in primary cardiovascular disease (CVD) prevention. Objective The objective of this study was to evaluate the initial outcomes of CardioClick, a telehealth primary CVD prevention program. Methods In 2017, the Stanford South Asian Translational Heart Initiative (a preventive cardiology clinic focused on high-risk South Asian patients) introduced CardioClick, which is a clinical pathway replacing in-person follow-up visits with video visits. We assessed patient engagement and changes in CVD risk factors in CardioClick patients and in a historical in-person cohort from the same clinic. Results In this study, 118 CardioClick patients and 441 patients who received in-person care were included. CardioClick patients were more likely to complete the clinic’s CVD prevention program (76/118, 64.4% vs 173/441, 39.2%, respectively; P<.001) and they did so in lesser time (mean, 250 days vs 307 days, respectively; P<.001) than the patients in the historical in-person cohort. Patients who completed the CardioClick program achieved reductions in CVD risk factors, including blood pressure, lipid concentrations, and BMI, which matched or exceeded those observed in the historical in-person cohort. Conclusions Telehealth can be used to deliver care effectively in a preventive cardiology clinic setting and may result in increased patient engagement. Further studies on telehealth outcomes are needed to determine the optimal role of virtual care models across diverse preventive medicine clinics.

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“…1 Effective management of chronic risk in the presymptomatic phase of CVD is important in preventing CVD, and is rarely achieved in conventional practice. 2 Effective long-term reduction of CVD risk requires a patient-centred approach in which a strong patient-provider partnership is established and frequent patient-provider communication occurs. 3,4 Active patient participation is a key part of managing chronic CVD risk.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Frequency of Patient Use of Internet-Based Telemedicine to Manage Cardiovascular Disease Risk

et al. 2013

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We examined the frequency of use by patients of a web-based reporting system to monitor and control cardiovascular disease (CVD) risk factors. A total of 192 patients with intermediate or high CVD risk were categorized into four quartiles based on their frequency of use of the telemedicine reporting system over one year. The lowest frequency users (Quartile I) averaged 17 reporting days in one year and the highest frequency users (Quartile IV) averaged 211 reporting days in one year. Factors associated with more frequent use were overall knowledge of CVD (P = 0.014), blood lipids (P = 0.017), smoking (P = 0.036), higher scores in medication self-efficacy (P = 0.016) and higher income (P = 0.002). All quartiles showed trends of decreasing systolic blood pressure from hypertensive (≥140 mm Hg) to pre-hypertensive (<140) ranges. Patients were able to lower CVD risk with as few as two transmissions per month using the telemedicine system. Telemedicine reporting coupled with self-assessment of health status can promote a strong patient-provider partnership for managing the chronic risk factors of CVD.

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Cardiovascular risk reduction via telehealth: A feasibility study

Cited by 8 publications

References 15 publications

Preferences for Health Information Technologies Among US Adults: Analysis of the Health Information National Trends Survey

Preferences for Health Information Technologies Among US Adults: Analysis of the Health Information National Trends Survey

Initial Outcomes of CardioClick, a Telehealth Program for Preventive Cardiac Care: Observational Study

Factors Affecting Frequency of Patient Use of Internet-Based Telemedicine to Manage Cardiovascular Disease Risk

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