The Effects of a Telehealth Coping Skills Intervention on Outcomes in Chronic Obstructive Pulmonary Disease

Blumenthal, James A.; Emery, Charles F.; Smith, Patrick J.; Keefe, Francis J.; Welty-Wolf, Karen E.; Mabe, Stephanie; Martinu, T.; Johnson, Julie; Babyak, Michael A.; O'Hayer, Virginia F.; Diaz, Philip T.; Durheim, Michael T.; Baucom, Donald H.; Palmer, Scott M.

doi:10.1097/psy.0000000000000101

Cited by 55 publications

(65 citation statements)

References 75 publications

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“…30,33,35,36,38,41,45,47,49,56,57 mHealth enables selfmonitoring, self-management, self-medication, overcomes issues of anxiety that can be experienced in crowded environments such as clinics, hospitals or even malls, and it enables patients to live alone and increase their health literacy. Themes of understanding and visibility were mentioned in 8/60 occurrences (13%).…”

Section: Facilitatorsmentioning

confidence: 99%

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Mobile health solutions for the aging population: A systematic narrative analysis

2016

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Introduction: The ubiquitous nature of mobile technology coupled with the acceptance of mobile health (mHealth) among the elderly offers an opportunity to augment the existing medical workforce in long-term care. The objective of this review and narrative analysis is to identify and analyse facilitators and barriers to adoption of mHealth for the elderly. Methods: Studies over the last year were identified in multiple database indices, and three reviewers examined abstracts (k ¼ 0.82) and analysed articles for themes which were tallied in affinity diagrams to identify frequency of occurrence in the literature (n ¼ 36). Results: The three facilitators mentioned most often were independence (18%), understanding (13%), and visibility (13%). The three barriers mentioned most often were complexity (21%), limited by users (12%) and ineffective (12%). Discussion and conclusions: The reviewers concluded that the work done so far illustrates that mHealth enables a perception of independence. Future research should focus on the barriers of complexity of technology and improving existing medical literacy in order to facilitate further adoption.

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Section: Facilitatorsmentioning

confidence: 99%

“…23,30,31,33,35,36,38,41,45,47,[49][50][51][52][53][54][55][56][57][58][59] Table 1 illustrates and rank orders the themes from analysis of the facilitators of adoption based on frequency of their occurrence in the literature.…”

Section: Facilitatorsmentioning

confidence: 99%

Mobile health solutions for the aging population: A systematic narrative analysis

2016

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“…(1) The conventional wisdom that an attention control group automatically makes a trial more scientifically rigorous is no longer universally accepted (13Y15). First, it may be difficult to achieve an equal amount of attention in both groups, as shown in the trial by Blumenthal et al, where the CST group sessions were on average nearly three times as long as the control group sessions (32.6 versus 10.8 minutes).…”

Section: Editorial Commentmentioning

confidence: 99%

“…In this issue of Psychosomatic Medicine, two trials exemplify different approaches to the emerging paradigm of distance therapy (1,2). These two studies targeted psychological and somatic symptoms as well as quality of life (QoL), which are conditions that especially lend themselves to treatment outside the clinic walls (3Y7).…”

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confidence: 99%

Distance Therapy to Improve Symptoms and Quality of Life

Kroenke¹

2014

Psychosomatic Medicine

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Two randomized trials exemplify strategies for administering behavioral interventions through distance therapy-the use of telemedicine or e-health approaches to treating patients outside the conventional in-person office-based visit. In the first trial, telephone-based coping skills training for patients with chronic obstructive pulmonary disease was not more effective than an education control in reducing mortality or rehospitalization. However, it was superior in improving psychological and somatic quality of life. In the second trial, a web-based distress management program was not more effective than usual care in postoperative psychological outcomes in patients receiving an implantable cardioverter defibrillator. However, both of these trials raise important methodological issues in designing and interpreting trials testing telehealth delivery of behavioral interventions. Key issues include: 1) selection of the appropriate control group (e.g., when may a usual care or active comparator be preferable to an attention control?); 2) choice of the appropriate outcome (i.e., one most likely to respond to the specific intervention); 3) enrolling only patients who have at least some threshold level of the symptom or risk level for the outcome being targeted by the intervention; 4) focusing on patients likely to participate in telehealth or other distance-administered treatment programs; and 5) optimal timing for the delivery of behavioral interventions that may occur around the time of major events such as hospitalization or procedures. A policy implication is that once distance therapy interventions are proven effective, reimbursement changes will be necessary to enhance the likelihood of uptake by providers and health care systems.

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“…Quite different approach was proposed by Blumenthal et al [8], who compared in a randomized clinical trial coping skills training intervention (by helping them develop skills for coping more effectively with their disease) with COPD education for improving QoL and medical outcomes in COPD patients. The authors concluded, that a telehealth coping skills training intervention produced clinically meaningful improvements in quality of life and functional capacity, but no overall improvement in risk of COPD-related hospitalization and all-cause mortality.…”

mentioning

confidence: 99%