Using information technology to improve the management of chronic disease

Celler, Branko G.; Lovell, Nigel H.; Basilakis, Jim

doi:10.5694/j.1326-5377.2003.tb05529.x

Cited by 178 publications

(88 citation statements)

References 22 publications

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“…For children, guardians and health care providers who participated in the reviewed studies, computer-based interventions were effective in improving health care behavior and health care outcomes, in enhancing knowledge and communication with parents and health care providers, and in reducing the need for urgent medical care. This is consistent with findings of systematic reviews of studies including adults with chronic conditions [2,43,44]. …”

Section: Discussionsupporting

confidence: 91%

Application of biomedical informatics to chronic pediatric diseases: a systematic review

Moeinedin

Moineddin

Jadad

et al. 2009

BMC Med Inform Decis Mak

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BackgroundChronic diseases affect millions of children worldwide leading to substantial disease burden to the children and their families as well as escalating health care costs. The increasing trend in the prevalence of complex pediatric chronic diseases requires innovative and optimal delivery of care. Biomedical informatics applications play an important role in improving health outcomes while being cost-effective. However, their utility in pediatric chronic diseases has not been studied in a comprehensive and systematic way. The objective of this study was to conduct a systematic review of the effects of biomedical informatics applications in pediatric chronic diseases.MethodsA comprehensive literature search was conducted using MEDLINE, the Cochrane Library and EMBASE databases from inception of each database to September 2008. We included studies of any methodological type and any language that applied biomedical informatics to chronic conditions in children and adolescents 18 years of age or younger. Two independent reviewers carried out study selection and data extraction. Quality assessment was performed using a study design evaluation instrument to appraise the strength of the studies and their methodological adequacy. Because of heterogeneity in the conditions and outcomes we studied, a formal meta-analysis was not performed.ResultsBased on our search strategy, 655 titles and abstracts were reviewed. From this set we identified 27 relevant articles that met our inclusion criteria. The results from these studies indicated that biomedical informatics applications have favourable clinical and patient outcomes including, but not limited to, reduced number of emergency room visits, improved knowledge on disease management, and enhanced satisfaction. Seventy percent of reviewed papers were published after year 2000, 89% of users were patients and 11% were either providers or caregivers. The majority (96%) of the selected studies reported improved outcomes.ConclusionPublished studies suggested positive impacts of informatics predominantly in pediatric asthma. As electronic tools become more widely adopted, there will be opportunities to improve patient care in a wide range of chronic illnesses through informatics solutions.

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Section: Discussionsupporting

confidence: 91%

Application of biomedical informatics to chronic pediatric diseases: a systematic review

Moeinedin

Moineddin

Jadad

et al. 2009

BMC Med Inform Decis Mak

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“…Stated another way, random assignment effectively removed the apparent advantage of the technology component. This finding is somewhat disappointing as technology-based interventions have been helpful in managing other chronic diseases (Celler, Lovell, & Basilakis, 2003; Gaikwad & Warren, 2009). Our results indicate that loneliness reduction interventions have yet to harness the power of technology.…”

Section: Discussionmentioning

confidence: 99%

A Meta-Analysis of Interventions to Reduce Loneliness

Masi

Chen

Hawkley

et al. 2010

Pers Soc Psychol Rev

1,519

1,312

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Social and demographic trends are placing an increasing number of adults at risk for loneliness, an established risk factor for physical and mental illness. The growing costs of loneliness have led to a number of loneliness reduction interventions. Qualitative reviews have identified four primary intervention strategies: 1) improving social skills, 2) enhancing social support, 3) increasing opportunities for social contact, and 4) addressing maladaptive social cognition. An integrative meta-analysis of loneliness reduction interventions was conducted to quantify the effects of each strategy and to examine the potential role of moderator variables. Results revealed that single group pre-post and non-randomized comparison studies yielded larger mean effect sizes relative to randomized comparison studies. Among studies that used the latter design, the most successful interventions addressed maladaptive social cognition. This is consistent with current theories regarding loneliness and its etiology. Theoretical and methodological issues associated with designing new loneliness reduction interventions are discussed.

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“…This difficulty can be largely overcome through developments in telemedicine, telehealth (or e-health) and home telecare [32]. Numerous computer-based approaches have been useful in reporting patient conditions [33-36].…”

Section: Discussionmentioning

confidence: 99%

A Wireless Health Outcomes Monitoring System (WHOMS): development and field testing with cancer patients using mobile phones

Bielli

Carminati

Capra

et al. 2004

BMC Med Inform Decis Mak

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BackgroundHealth-Related Quality of Life assessment is widely used in clinical research, but rarely in clinical practice. Barriers including practical difficulties administering printed questionnaires have limited their use. Telehealth technology could reduce these barriers and encourage better doctor-patient interaction regarding patient symptoms and quality-of-life monitoring. The aim of this study was to develop a new system for transmitting patients' self-reported outcomes using mobile phones or the internet, and to test whether patients can and will use the system via a mobile phone.MethodsWe have developed a prototype of a Wireless Health Outcomes Monitoring System, which allows structured questionnaires to be sent to the patient by their medical management team. The patients' answers are directly sent to an authorised website immediately accessible by the medical team, and are displayed in a graphic format that highlights the patient's state of health. In the present study, 97 cancer inpatients were asked to complete a ten-item questionnaire. The questionnaire was delivered by display on a mobile phone, and was answered by the patients using the mobile phone keypad.ResultsOf the 97 patients, 56 (58%) attempted the questionnaire, and all of these 56 completed it. Only 6% of the total number of questions were left unanswered by patients. Forty-one (42%) patients refused to participate, mostly due to their lack of familiarity with mobile phone use. Compared with those who completed the questionnaire, patients who refused to participate were older, had fewer years of education and were less familiar with new communications technology (mobile phone calls, mobile phone SMS, internet, email).ConclusionMore than half of the patients self-completed the questionnaire using the mobile phone. This proportion may increase with the use of multichannel communications which can be incorporated into the system. The proportion may also increase if the patient's partner and/or family were able to assist the patient with using the technology. These preliminary results encourage further studies to identify specific diseases or circumstances where this system could be useful in patients' distance monitoring. Such a system is likely to detect patient suffering earlier, and to activate a well-timed intervention.

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Using information technology to improve the management of chronic disease

Cited by 178 publications

References 22 publications

Application of biomedical informatics to chronic pediatric diseases: a systematic review

Application of biomedical informatics to chronic pediatric diseases: a systematic review

A Meta-Analysis of Interventions to Reduce Loneliness

A Wireless Health Outcomes Monitoring System (WHOMS): development and field testing with cancer patients using mobile phones

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