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Critical Success Factors For Adopting Telemedicine Applications, Arjen Maris, Anas Yousfi, Stefan v. Ramshorst, Pascal Ravesteyn 2018 HU University of Applied Sciences

Critical Success Factors For Adopting Telemedicine Applications, Arjen Maris, Anas Yousfi, Stefan V. Ramshorst, Pascal Ravesteyn

Communications of the IIMA

The use of IT within healthcare is increasing, but at a slow rate. In complex projects like the implementation of a telemedicine application within the context of physiotherapy processes where both practitioners and patients use the application, it is still unclear what factors should be taken into consideration for a successful adoption. Therefore, the research question for this study is: ‘what are the critical success factors for adopting a telemedicine application for primary physiotherapists and their patients within the Netherlands?’ A literature study is performed followed by a thematic analysis to determine the factors that are relevant for adoption of ...


Parkview Heart Institute Telecardiology Consultation Service (Phi-Tcs) Outcomes, Roy Robertson MD, Srilatha Dasari, George Sun 2018 Parkview Health

Parkview Heart Institute Telecardiology Consultation Service (Phi-Tcs) Outcomes, Roy Robertson Md, Srilatha Dasari, George Sun

MAHE Student Research

Background: Cardiovascular disease is a major cause of death in the United States, and there is a growing shortage of physician specialists necessary to address this issue. Telecardiology is a form of telemedicine that allows cardiologists to treat patients from remote locations, and this form of patient care has the potential to improve both patient and economic outcomes, as well as reduce the length of patient hospitalization. The PHI-TCS was established at Parkview Huntington Hospital in September 2016 and has since been extended to additional Parkview community hospitals.

Objective: Our objectives in this study were to evaluate the usage patterns ...


Traumatic Brain Injuries: A Telehealth Alternative For Veterans, Jessica Dickman 2018 University of Missouri, St. Louis

Traumatic Brain Injuries: A Telehealth Alternative For Veterans, Jessica Dickman

Dissertations

Problem: Traumatic Brain Injuries (TBI) are known as the signature wound of veterans serving in Operation Enduring Freedom (OEF) and the Operation Iraqi Freedom (OIF). After the initial TBI diagnosis, outpatient TBI follow-up rates are reported to be approximately 9% less in the Veteran Healthcare Administration (VA) system when compared to the private sector. The purpose of this quality initiative was to decrease the rate of missed appointments among OEF/OIF veterans using a telehealth alternative.

Methods: The Plan-Do-Study-Act (PDSA) method was used to implement a consistent process for the telehealth visit option. A retrospective medical record review over the ...


Using The Habit App For Weight Loss Problem Solving: Development And Feasibility Study, Sherry Pagoto, Bengisu Tulu, Emmanuel Agu, Molly E. Waring, Jessica L. Oleski, Danielle E. Jake-Schoffman 2018 University Of Connecticut

Using The Habit App For Weight Loss Problem Solving: Development And Feasibility Study, Sherry Pagoto, Bengisu Tulu, Emmanuel Agu, Molly E. Waring, Jessica L. Oleski, Danielle E. Jake-Schoffman

Open Access Articles

BACKGROUND: Reviews of weight loss mobile apps have revealed they include very few evidence-based features, relying mostly on self-monitoring. Unfortunately, adherence to self-monitoring is often low, especially among patients with motivational challenges. One behavioral strategy that is leveraged in virtually every visit of behavioral weight loss interventions and is specifically used to deal with adherence and motivational issues is problem solving. Problem solving has been successfully implemented in depression mobile apps, but not yet in weight loss apps.

OBJECTIVE: This study describes the development and feasibility testing of the Habit app, which was designed to automate problem-solving therapy for weight ...


Letter To The Editor: Patient And Staff Experiences With Inpatient Video Monitoring, Eric Shoemaker MD, Aysha Athar DO, Jonathon Brewis MD, Daniel Angell DO, Rana Zaban DO 2018 Annapolis Family Medicine Residency, Beaumont Wayne Hospital

Letter To The Editor: Patient And Staff Experiences With Inpatient Video Monitoring, Eric Shoemaker Md, Aysha Athar Do, Jonathon Brewis Md, Daniel Angell Do, Rana Zaban Do

Clinical Research in Practice: The Journal of Team Hippocrates

We describe the patient experience with remote video monitoring on a general practice inpatient floor in the hospital. We raise questions about unexplored areas relevant to this practice.


Assessing Psychophysiological Effects Of Malodorous Pollutants In Residents Of Leandrinho, Bahia, Brazil: A Pilot Study Using A Whatsapp-Based Questionnaire, Shanell Folger, Courtney Woods, Rita Franco Rego, Carlos Henrique Amaral, Washington Ramos, Amanda Northcross 2018 George Washington University

Assessing Psychophysiological Effects Of Malodorous Pollutants In Residents Of Leandrinho, Bahia, Brazil: A Pilot Study Using A Whatsapp-Based Questionnaire, Shanell Folger, Courtney Woods, Rita Franco Rego, Carlos Henrique Amaral, Washington Ramos, Amanda Northcross

GW Research Days 2016 - Present

Background: Leandrinho is located in the region that is home to the largest industrial chemical complex in the southern hemisphere that covers approximately 49 km2. Leandrinho residents have reported experiencing adverse health effects that co-occur during periods of malodor emitted by the petrochemical industry. However, there is currently no tool for the residents to systematically record incidents of malodor. This pilot study assessed the feasibility of using a questionnaire designed through Whatsapp, a text-messaging application commonly used among residents.

Method: Leandrinho residents were randomly recruited to complete a daily questionnaire using either paper (n=24) or Whatsapp (n=24 ...


Shelburne And Clark’S Harbour Quit Smoking: A Community-Based Smoking Cessation Initiative Process Evaluation, Georgeann Lois MacDonald MN: DNP, ANP, RN, ACCN, NP 2018 George Washington University

Shelburne And Clark’S Harbour Quit Smoking: A Community-Based Smoking Cessation Initiative Process Evaluation, Georgeann Lois Macdonald Mn: Dnp, Anp, Rn, Accn, Np

Doctor of Nursing Practice Projects

Background: The prevalence of Canadian smokers is 14.6%. Clark’s Harbour and Shelburne’s rate of smoking increased from 15.6% in 2012 to 19.4% in 2015 (Propel Centre for Population Health Impact, 2015). It was imperative that innovative ways be found to reduce the smoking prevalence.

Objectives: 1) Identify a difference in the participants’ Stages of Change before and after completing the smoking cessation program. 2) Determine whether the participants quit smoking 3) Assess whether there was satisfaction with the program.

Methods: In this one group pre and post-test design, the participants completed a series of pre ...


How The European Union Is Embracing Cross-Border Telemedicine And What The U.S. State Medical Boards Can Learn From It, Sohyun Laura Chang, Jesse M. Pines, Jane H. Thorpe 2018 George Washington University

How The European Union Is Embracing Cross-Border Telemedicine And What The U.S. State Medical Boards Can Learn From It, Sohyun Laura Chang, Jesse M. Pines, Jane H. Thorpe

GW Research Days 2016 - Present

Despite the fact that there have been many advances in the field of telemedicine, the United States (U.S.) state and federal laws have not kept pace with these technological advancements and may operate as a barrier to growth in the field of telemedicine. On the other hand, the European Union (EU) has developed a robust legal framework for the practice of telemedicine. The aim of this research project is to evaluate what elements of the EU legal experience could be used to support efforts to better align telemedicine law with the practice of telemedicine in the U.S.

Based ...


Foundations Of Health Information Technology (Ksu), Chi Zhang, Robert Brown 2018 Kennesaw State University

Foundations Of Health Information Technology (Ksu), Chi Zhang, Robert Brown

Computer Science and Information Technology Grants Collections

This Grants Collection for Health Information Technology was created under a Round Five ALG Textbook Transformation Grant and uses the following materials:

Foundations of Health Information Technology (Undergraduate) Course Materials

Foundations of Health Information Technology (Graduate) Course Materials

Affordable Learning Georgia Grants Collections are intended to provide faculty with the frameworks to quickly implement or revise the same materials as a Textbook Transformation Grants team, along with the aims and lessons learned from project teams during the implementation process.

Documents are in .pdf format, with a separate .docx (Word) version available for download. Each collection contains the following materials:

  • Linked ...


The Impact Of Digital Education Delivery On Postoperative Pain Outcomes, Amber Stitz, DNP, MS, APRN, ACNS-BC, OCNS-C 2018 George Washington University

The Impact Of Digital Education Delivery On Postoperative Pain Outcomes, Amber Stitz, Dnp, Ms, Aprn, Acns-Bc, Ocns-C

Doctor of Nursing Practice Projects

Background. Advances in technology and communication tools offer new, innovative methodologies for delivering information to patients. Research is needed to understand the clinical effectiveness of different education delivery methods on outcomes and comprehension.

Purpose. Compare the effects of digital education with conventional, written and verbal instructions on patients’ pain outcomes, knowledge attainment, and treatment participation.

Methods. A quasi-experimental design evaluated outcomes in 133 patients undergoing major hip (n=73) and knee (n=60) arthroplasty who received point-of-care pain education delivered via a dynamic mobile-computing (iPad) platform (n=65) or by conventional education (n=68). The significance level was set at ...


Effects Of An Online Diabetes Self-Management Educational Class On Perceived Self-Efficacy In Patients With Type 2 Diabetes Mellitus, Samantha L. Sugarman, DNP, BA, BSN, MSN, FNP-C 2018 George Washington University

Effects Of An Online Diabetes Self-Management Educational Class On Perceived Self-Efficacy In Patients With Type 2 Diabetes Mellitus, Samantha L. Sugarman, Dnp, Ba, Bsn, Msn, Fnp-C

Doctor of Nursing Practice Projects

Background: Diabetes is a complex, chronic disease that, without adequate glycemic control, may result in avoidable complications. Without proper diabetes self-management education, achieving good glycemic control is difficult. Furthermore, lacking self-efficacy to perform such tasks may prevent even the most educated patients from achieving good glycemic control. Studies have shown that live diabetes education has improved self-efficacy in patients with diabetes, but few look at the effects of a lecture-style educational format in an online approach.

Objectives: The purpose of this study is to determine if an online, lecture-style diabetes self-management educational class will improve self-efficacy among patients with type ...


The Power Of Community Partnerships For Innovative Regional Solutions For Food Justice: A Food Alert Phone Application For Southcoast Massachusetts, Timothy P. Shea, Deirdre Healy, Sirisha Jujjavarapu, Christine Sullivan, Joyce Bettencourt 2018 University of Massachusetts Dartmouth

The Power Of Community Partnerships For Innovative Regional Solutions For Food Justice: A Food Alert Phone Application For Southcoast Massachusetts, Timothy P. Shea, Deirdre Healy, Sirisha Jujjavarapu, Christine Sullivan, Joyce Bettencourt

Community Engagement and Research Symposia

There is evidence for a growing need for innovative solutions that a collaborative nonprofit network can facilitate. There is now interest by funders in the potential of collaborative networks. However, such networks can be difficult to create and nourish. The University of Massachusetts Dartmouth founded and facilitated a successful nonprofit network which has led to a significant, regional projects. Founded in 2009, Southcoast Serves - based in the Leduc Center for Civic Engagement -- began as a collaborative of over 40 community organizations. Starting as a leap of faith, then slowly developing connections through monthly meetings over five years, by 2014 Southcoast ...


Patient Centeredness In Electronic Communication: Evaluation Of Patient-To-Health Care Team Secure Messaging, Timothy P. Hogan, Tana M. Luger, Julie E. Volkman, Mary Rocheleau, Nora Mueller, Anna M. Barker, Kim M. Nazi, Thomas K. Houston, Barbara G. Bokhour 2018 University of Massachusetts Medical School

Patient Centeredness In Electronic Communication: Evaluation Of Patient-To-Health Care Team Secure Messaging, Timothy P. Hogan, Tana M. Luger, Julie E. Volkman, Mary Rocheleau, Nora Mueller, Anna M. Barker, Kim M. Nazi, Thomas K. Houston, Barbara G. Bokhour

Quantitative Health Sciences Publications and Presentations

BACKGROUND: As information and communication technology is becoming more widely implemented across health care organizations, patient-provider email or asynchronous electronic secure messaging has the potential to support patient-centered communication. Within the medical home model of the Veterans Health Administration (VA), secure messaging is envisioned as a means to enhance access and strengthen the relationships between veterans and their health care team members. However, despite previous studies that have examined the content of electronic messages exchanged between patients and health care providers, less research has focused on the socioemotional aspects of the communication enacted through those messages.

OBJECTIVE: Recognizing the potential ...


Patient And Health System Experience With Implementation Of An Enterprise-Wide Telehealth Scheduled Video Visit Program: Mixed-Methods Study., Rhea E. Powell, MD, MPH, Danica Stone, Judd Hollander, MD 2018 Thomas Jefferson University

Patient And Health System Experience With Implementation Of An Enterprise-Wide Telehealth Scheduled Video Visit Program: Mixed-Methods Study., Rhea E. Powell, Md, Mph, Danica Stone, Judd Hollander, Md

Division of Internal Medicine Faculty Papers & Presentations

BACKGROUND: Real-time video visits are increasingly used to provide care in a number of settings because they increase access and convenience of care, yet there are few reports of health system experiences.

OBJECTIVE: The objective of this study is to report health system and patient experiences with implementation of a telehealth scheduled video visit program across a health system.

METHODS: This is a mixed methods study including (1) a retrospective descriptive report of implementation of a telehealth scheduled visit program at one large urban academic-affiliated health system and (2) a survey of patients who participated in scheduled telehealth visits. Health ...


Usability And Reliability Of Smart Glasses For Secondary Triage During Mass Casualty Incidents, John Broach, Alexander Hart, Matthew Griswold, Jeffrey T. Lai, Edward W. Boyer, Aaron B. Skolnik, Peter R. Chai 2018 University of Massachusetts Medical School

Usability And Reliability Of Smart Glasses For Secondary Triage During Mass Casualty Incidents, John Broach, Alexander Hart, Matthew Griswold, Jeffrey T. Lai, Edward W. Boyer, Aaron B. Skolnik, Peter R. Chai

Emergency Medicine Publications and Presentations

Wearable smart glasses like Google Glass provide real-time video and image transmission to remote viewers. The use of Google Glass and other Augmented Reality (AR) platforms in mass casualty incidents (MCIs) can provide incident commanders and physicians at receiving hospitals real-time data regarding injuries sustained by victims at the scene. This real-time data is critical to allocation of hospital resources prior to receiving victims of a MCI. Remote physician participation in real-time MCI care prior to victims' hospital arrival may improve triage, and direct emergency and critical care services to those most in need. We report the use of Google ...


Professional Competencies For E-Helpers: A Telepractice Resource, Hannah M. Schlaak 2018 University of Kentucky

Professional Competencies For E-Helpers: A Telepractice Resource, Hannah M. Schlaak

Theses and Dissertations--Communication Sciences and Disorders

The primary purpose of this study was to craft and validate a set of core competencies necessary for an e-Helper to possess. A review of the literature guided the creation of the initial competencies. Following expert review, the competencies were revised and formatted into an online survey which was sent to respondents in four target groups: (a) school administrators who had adopted telepractice as a service delivery model; (b) SLPs experienced in telepractice within a school setting; (c) current e-Helpers, and (d) scholars experienced in telepractice. Sixty percent (21 out of 35) of the competencies were rated as “important” by ...


Healthcare Cost Savings Through Telemedicine Use At Correctional State Facilities, Sydney Davis, Paulius Mui, Tamara Broadnax, David Collins, Vimal Mishra 2018 VCU School of Medicine

Healthcare Cost Savings Through Telemedicine Use At Correctional State Facilities, Sydney Davis, Paulius Mui, Tamara Broadnax, David Collins, Vimal Mishra

Graduate Research Posters

Telemedicine offers both soft and hard return on investment, including cost savings avoidance and convenience of access to care. Incarcerated individuals represent a patient population that uniquely benefit from receiving care via telemedicine. They lack access to subspecialty care as prison facilities are located outside of urban areas, which is compounded by security risks, risk to individuals around inmates, and transportation cost to tertiary care facilities. To attend a brief in-office medical visit, an inmate requires hours of administrative support and logistical coordination, including appointment scheduling, transport arrangement and related fuel expense, and guard accompaniment - all at a financial cost ...


Health Systems Readiness For Adopting Mhealth Interventions For Addressing Non-Communicable Diseases In Low- And Middle-Income Countries: A Current Debate, Anam Feroz, Muhammad Masood Kadir, Sarah Saleem 2018 Aga Khan University

Health Systems Readiness For Adopting Mhealth Interventions For Addressing Non-Communicable Diseases In Low- And Middle-Income Countries: A Current Debate, Anam Feroz, Muhammad Masood Kadir, Sarah Saleem

Community Health Sciences

In low-and-middle-income countries, epidemiologic transition is taking place very rapidly from communicable diseases to non-communicable diseases. NCDs mortality rates are increasing faster and nearly 80% of NCDs deaths occur in LMICs. Existing weak health systems of LMICs are undergoing a devastating human and economic toll as a result of increasing treatment costs and losses to productivity from NCDs. At the same time, the increasing penetration of mobile phone technology and the spread of cellular network and infrastructure have led to the introduction of the mHealth field. While mHealth field offers a great promise to prevent and control non-communicable diseases in ...


Methods For Evaluating The Content, Usability, And Efficacy Of Commercial Mobile Health Apps, Danielle E. Jake-Schoffman, Valerie J. Silfee, Molly E. Waring, Edwin D. Boudreaux, Rajani S. Sadasivam, Sean P. Mullen, Jennifer L. Carey, Rashelle B. Hayes, Eric Y. Ding, Gary G. Bennett, Sherry L. Pagoto 2017 University of Massachusetts Medical School

Methods For Evaluating The Content, Usability, And Efficacy Of Commercial Mobile Health Apps, Danielle E. Jake-Schoffman, Valerie J. Silfee, Molly E. Waring, Edwin D. Boudreaux, Rajani S. Sadasivam, Sean P. Mullen, Jennifer L. Carey, Rashelle B. Hayes, Eric Y. Ding, Gary G. Bennett, Sherry L. Pagoto

Emergency Medicine Publications and Presentations

Commercial mobile apps for health behavior change are flourishing in the marketplace, but little evidence exists to support their use. This paper summarizes methods for evaluating the content, usability, and efficacy of commercially available health apps. Content analyses can be used to compare app features with clinical guidelines, evidence-based protocols, and behavior change techniques. Usability testing can establish how well an app functions and serves its intended purpose for a target population. Observational studies can explore the association between use and clinical and behavioral outcomes. Finally, efficacy testing can establish whether a commercial app impacts an outcome of interest via ...


Study Protocol For Smartphone Monitoring For Atrial Fibrillation In Real-Time In India (Smart-India): A Community-Based Screening And Referral Programme, Apurv Soni, Nisha Fahey, Shyamsundar Raithatha, Anna Handorf, John Bostrom, Ravi Shah, Robert J. Goldberg, Jeroan J. Allison, David D. McManus 2017 University of Massachusetts Medical School

Study Protocol For Smartphone Monitoring For Atrial Fibrillation In Real-Time In India (Smart-India): A Community-Based Screening And Referral Programme, Apurv Soni, Nisha Fahey, Shyamsundar Raithatha, Anna Handorf, John Bostrom, Ravi Shah, Robert J. Goldberg, Jeroan J. Allison, David D. Mcmanus

UMass Center for Clinical and Translational Science Supported Publications

INTRODUCTION: Atrial fibrillation (AF), the world's most common arrhythmia, often goes undetected and untreated in low-resource communities, including India, where AF epidemiology is undefined. AF is an important risk factor for stroke, which plagues an estimated 1.6 million Indians annually. As such, early detection of AF and management of high-risk patients is critically important to decrease stroke burden in individuals with AF. This study aims to describe the epidemiology of AF in Anand District, Gujarat, India, characterise the clinical profile of individuals who are diagnosed with AF and determine the performance of two mobile technologies for community-based AF ...


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