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Full-Text Articles in Social and Behavioral Sciences
Integrated Telehealth Care For Chronic Illness And Depression In Geriatric Home Care Patients: The Integrated Telehealth Education And Activation Of Mood (I-Team) Study, Zvi Gellis, Bonnie Kenaley, Thomas Have
Integrated Telehealth Care For Chronic Illness And Depression In Geriatric Home Care Patients: The Integrated Telehealth Education And Activation Of Mood (I-Team) Study, Zvi Gellis, Bonnie Kenaley, Thomas Have
Bonnie Kenaley
OBJECTIVES: To evaluate an integrated telehealth intervention (Integrated Telehealth Education and Activation of Mood (I-TEAM)) to improve chronic illness (congestive heart failure, chronic obstructive pulmonary disease) and comorbid depression in the home healthcare setting. DESIGN: Randomized controlled trial. SETTING: Hospital-affiliated home healthcare setting. PARTICIPANTS: Medically frail older homebound individuals (N = 102). INTERVENTION: The 3-month intervention consisted of integrated telehealth chronic illness and depression care, with a telehealth nurse conducting daily telemonitoring of symptoms, body weight, and medication use; providing eight weekly sessions of problem-solving treatment for depression; and providing for communication with participants' primary care physicians, who also prescribed …
Outcomes Of A Telehealth Intervention For Homebound Older Adults With Heart Or Chronic Respiratory Failure: A Randomized Controlled Trial, Zvi Gellis, Bonnie Kenaley, Jean Mcginty, Joan Davitt, Thomas Ten Have
Outcomes Of A Telehealth Intervention For Homebound Older Adults With Heart Or Chronic Respiratory Failure: A Randomized Controlled Trial, Zvi Gellis, Bonnie Kenaley, Jean Mcginty, Joan Davitt, Thomas Ten Have
Bonnie Kenaley
Purpose: Telehealth care is emerging as a viable intervention model to treat complex chronic conditions, such as heart failure (HF) and chronic obstructive pulmonary disease (COPD), and to engage older adults in self-care disease management. Design and Methods: We report on a randomized controlled trial examining the impact of a multifaceted telehealth intervention on health, mental health, and service utilization outcomes among homebound medically ill older adults diagnosed with HF or COPD. Random effects regression modeling was used, and we hypothesized that older adults in the telehealth intervention (n = 51) would receive significantly better quality of care resulting in …