CE Test: Home Talk ???/Healthy Talk: Improving Patients??? Health Status With Telephone Technology

Stricklin, Mary Lou V.; Jones, Sharon; Niles, Sheila A.

doi:10.1097/00004045-200001000-00019

Cited by 4 publications

(9 citation statements)

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“…Studies were selected if they met the pre-defined criteria. Sixteen studies were identified as randomized controlled trials in which an automated messaging system was used to deliver reminder, informational or educational messages to patients in their homes (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32). Table 1 summarizes important information from these studies.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

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Patient Acceptance of Educational Voice Messages: A Review of Controlled Clinical Studies

Krishna¹,

Balas²,

Boren³

et al. 2002

Methods Inf Med

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Summary Objectives: The objective of this study was to evaluate controlled evidence on the impact of automated computer-based telephone messaging technology upon health outcomes, cost savings and acceptance by patients, caregivers and care providers. Methods: Systematic searches of electronic databases were conducted to find controlled clinical studies of automated phone messaging used in patient care. Studies were selected based on the three criteria: 1) randomized controlled trials or controlled trials; 2) patients receiving health care related education, information, advice or reminder for a specific action to be taken in their home setting; and 3) use of automated computer-based phone technology to deliver the messages. Information abstracted from studies included information about the institution, persons targeted, intervention and its effect on health outcomes, costs and acceptance by patients and caregivers. Results: A total of nineteen studies were identified for review. Sixteen studies were randomized controlled trials and three were controlled studies with no randomization. Studies were placed in two categories, preventive care education and chronic care studies. Preventive care education studies covered childhood immunizations, medication compliance, influenza vaccinations, tuberculosis and health prevention activities and chronic care studies were related to cholesterol, diabetes, hyper-tension and congestive heart failure. More than 80% of studies showed significant impact upon measurable health outcomes. Conclusions: Controlled evidence substantiates the efficacy of automated telephone communication in improving the quality of care. Educational voice messages are acceptable to patients and represent an important opportunity to enhance telemedicine and telehealth applications.

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Section: Synthesis Of Resultsmentioning

confidence: 99%

“…Participants belonged to a variety of language, ethnic and cultural backgrounds. Three studies that used automated message systems but did not use random assignment of subjects to control and study groups were also included (22,33,34). One article described two studies.…”

Section: Synthesis Of Resultsmentioning

confidence: 99%

Patient Acceptance of Educational Voice Messages: A Review of Controlled Clinical Studies

Krishna¹,

Balas²,

Boren³

et al. 2002

Methods Inf Med

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“…Research has shown decreased rehospitalization rates in patients with HF, 4,6,7,28 diabetes, 2,21 and spinal cord injury 8 ; better diabetic management 16 ; and the ability to assess chronic wound progression using telecommunications technology. 9 However, variations in sample characteristics, such as age, equipment type used, intervention length, and study design, make generalizations difficult.…”

Section: Effects On Chronic Illnessmentioning

confidence: 99%

Applying Research Evidence to Optimize Telehomecare

Bowles

Baugh

2007

The Journal of Cardiovascular Nursing

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Telemedicine is the use of technology to provide healthcare over a distance. Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. Most home care agencies are adopting telehomecare to assist with the care of the growing population of chronically ill adults. This article presents a summary and critique of the published empirical evidence about the effects of telehomecare on older adult patients with chronic illness. The knowledge gained will be applied in a discussion regarding telehomecare optimization and areas for future research. The referenced literature in PubMed, MEDLINE, CDSR, ACP Journal Club, DARE, CCTR, and CINAHL databases was searched for the years 1995-2005 using the keywords "telehomecare" and "telemedicine," and limited to primary research and studies in English. Approximately 40 articles were reviewed. Articles were selected if telehealth technology with peripheral medical devices was used to deliver home care for adult patients with chronic illness. Studies where the intervention consisted of only telephone calls or did not involve video or in-person nurse contact in the home were excluded. Nineteen studies described the effects of telehomecare on adult patients, chronic illness outcomes, providers, and costs of care. Patients and providers were accepting of the technology and it appears to have positive effects on chronic illness outcomes such as selfmanagement, rehospitalizations, and length of stay. Overall, due to savings from healthcare utilization and travel, telehomecare appears to reduce healthcare costs. Generally, studies have small sample sizes with diverse types and doses of telehomecare intervention for a select few chronic illnesses; most commonly heart failure. Very few published studies have explored the cost or quality implications since the change in home care reimbursement to prospective payment. Further research is needed to clarify how telehomecare can be used to maximize its benefits among diverse adult chronic illness populations. Keywords home care; telecommunications; telemedicineTelemedicine is defined as the use of technology to provide healthcare over a distance. 1 Telehomecare, a form of telemedicine based in the patient's home, is a communication and clinical information system that enables the interaction of voice, video, and health-related data using ordinary telephone lines. 2 As noted in other articles in this issue, typical equipment can include a telephone line; simplified, regular computer, or wireless devices; videocamera; and physiologic monitoring equipment such as a blood glucose monitor, stethoscope, blood

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“…IT-based applications for home care delivery are important media for increasing healthcare quality, increasing quality of life, and creating educational platforms expected to increase the mutually beneficial collaboration between patient and professionals. 4,5 In Sweden, as in other Western countries, the health system is coping with increasing demand for services, partly due to aging populations. Still, using the Internet for communication, treatment, and consultation is underutilized in Sweden.…”

Section: Introductionmentioning

confidence: 99%